The objective of this work is to compare standard intubation with video laryngoscope (Glide scope Ranger ) in French pre hospital multicentric study.
Introduction: In France, patients in critical status brought to hospital by emergency physicians and nurses experimented in tracheal intubation. It is an invasive act allowing a protection of airways and an optimal oxygenation of the patients in distress. The reference technique is the direct laryngoscopy by Macintosh . Corresponding data shows that a video laryngoscope - GLIDESCOPE laryngoscope - improve the conditions of intubation in the surgical unit thanks to a better display(visualization) of the opening. A derived device for pre hospital emergency units (GLIDESCOPE Ranger®) deserves to be compared with the classic laryngoscopy in emergency conditions. Objectives: compare the emergency intubation in Pre hospital meadow by Glide Scope Ranger with regard to the classic method Progress of the study: the patients will be included by emergency physicians working in out of hospital teams of 3 major hospitals of Paris. The patients will be randomized in 2 groups: 1 group classic laryngoscopy (group 1) and a group Glide scope Ranger (group 2). The score IDS will be compared for every group as well as the arisen of a complication during the procedure. The consent will be collected on the place or during the hospitalization.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Classical intubation
GLIDESCOPE intubation
IDS score in each group
Time frame: during the intubation
Vomit / regurgitation or inhalation per-procedure
Time frame: during the intubation
Dental or throat traumatism
Time frame: during the intubation
Broncho/laryngospasm
Time frame: during the intubation
Hypoxia
Time frame: per intubation
Hemodynamic instability
Time frame: per intubation
Inhalation pneumonia
Time frame: within 24 hours following the inclusion
Failure of intubate
Time frame: during the intubation
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