The Use of the GlideScope Ranger in Pediatric Critical Care Transport

Akron Children's Hospital22 enrolled

Overview

This study seeks to assess the role of the GlideScope Ranger video laryngoscope in facilitating successful neonatal/pediatric intubation by pediatric critical care transport teams. The central hypothesis of this study is that the GlideScope Ranger video laryngoscope reduces the rates of failed intubation attempts by pediatric critical care transport teams. The aims of this project are designed to specifically: (1) Establish competencies for GlideScope Ranger video laryngoscopy-assisted intubation for pediatric and neonatal patients; and (2) Compare the intubation success rates for intubation using GlideScope Ranger video laryngoscopy and using conventional, direct laryngoscopy by pediatric and neonatal critical care transport teams.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Respiratory Failure

Interventions

Eligibility

Sex: ALLMax age: 17 Years

Medical Language ↔ Plain English

Inclusion Criteria: * age \< 18 years * Presence of respiratory failure requiring tracheal intubation by the Critical Care Transport Team either at the referring institution or during the transport to the receiving institution * Ability of parent or legal guardian to provide written informed consent Exclusion Criteria: * Patients 18+ years of age * Patient has a functioning tracheostomy * Patient does not require orotracheal intubation

Outcomes

Primary Outcomes

Percent of Participants With Successful 1st Intubation Attempt

Percent of participants with successful 1st intubation attempt by group (GVL vs. DL)

Time frame: 30 days

Overall Successful Intubation Rate: GlideScope Video Laryngoscopy (GVL) vs. Direct Laryngoscopy (DL).

Overall successful intubation rate defined as all successful intubations (by type) divided by all attempts (by type).

Time frame: 30 days; no long-term outcome measures were included