• Ashish Rajeshwar Dongara, Jagrut Jayprakash Modi, Somashekhar Marutirao Nimbalkar, and Rajendra Ganpatrao Desai.
• Department of Pediatrics, Pramukhswami Medical College; and #Central Research Services, Charutar Arogya Mandal; Karamsad, Anand, Gujarat, India. Correspondence to: Dr Somashekhar Nimbalkar, Department of Pediatrics, Pramukhswami Medical College, Karamsad, Anand 388 325, Gujarat, India. somu_somu@yahoo.com.
• Indian Pediatr. 2014 Jul 1;51(7):561-4.

ObjectiveTo determine success rate and time taken for intubation by pediatric residents/fellows.MethodsProspective observational study among neonates requiring endotracheal intubation.Results212 attempts and 118 successful intubations were recorded in 153 videos. An average of 1.93 attempts per successful intubation was observed. Success rate at first attempt and mean time taken by first year, second year, third year residents and fellows were 26% and 51.9; 79% and 39.8; 69% and 40.1; and 67% and 31.5 seconds, respectively. Complications were noted in 77 (36%) attempts. 44 (21%) intubations were performed within 30 seconds. Increase in complications was noted with increase in attempt time beyond 40 seconds.ConclusionsSkill improved from first year to second year. Most intubations exceeded 30 second time limit. There is a need to improve training methodology to ensure intubation time by health personnel does not exceed the expected time limit.

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