New single use laryngoscope metal blades are available for intubation. This type of blade is safer than the reusable ones concerning the interhuman cross infection risk. No clinical studies have compared the two types of blades in the emergency context. The primary aim of this study is to demonstrate that single use blades are as efficient as the reusable ones concerning intubation conditions.
All adult patients requiring tracheal intubation in the pre hospital emergency context will be included. All intubation will be performed by an emergency physician or a nurse specialized in anesthesia. For patients with spontaneous cardiac activity, rapid sequence intubation will be performed to allow intubation. Comparisons studied will be : Intubation success rate at the first laryngoscopy, glottis exposure assessed by Cormack and Lehane classification, difficult intubation rate assessed by the Intubation Difficult Score (IDS), the need for alternative airway techniques and the immediate post intubation complications rate as vomiting, dental trauma, pulmonary inhalation, arterial desaturation , hypotension episodes and cardiac arrest occurrence.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
800
metal single use laryngoscope blades
metal reusable laryngoscope blades
Service d'anesthésie reanimation SAMU 94 - CHU H MONDOR - APHP
Créteil, Île-de-France Region, France
Intubation success rate during at the first laryngoscopy
Time frame: 10 min
glottis exposure assessed by Cormack and Lehane classification
Time frame: 1 day
difficult intubation rate assessed by the Intubation Difficult Score (IDS)
Time frame: 1 day
the need for alternative airway techniques and the immediate post intubation complications rate
Time frame: 1 day
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