Teaching intubation skills using newly deceased infants

This prospective study was designed to (1) test the hypothesis that majority of families of newly dead infants in a tertiary neonatal care unit would consent to their infants' being intubated for purposes, (2) determine factors related to family consent, and (3) the effects of participation on resident physicians and respiratory. Family consent for intubation was requested following 44 (80%) of 55 deaths that occurred during the 10-month study period. Of these, 32 (73%) were granted. Proportionately more white than black consented and consent was positively related to autopsy permission. -three (75%) of 71 trainees completed a mailed questionnaire after their intubation experience. Although each respondent found the experience, many reported mixed feelings categorized as doubt about, apprehension and discomfort, respect for the body, appreciation the opportunity, a sense of achievement, and feelings of comfort knowing consent had been obtained. These findings confirm our initial hypothesis suggest that (1) newly dead infants can be a valuable resource for intubation skills, and (2) others considering a similar approach need be aware of and sensitive to trainees' feelings.