Intubation During Pediatric Resuscitation

International Institute of Rescue Research and Education94 enrolled

Overview

The European Resuscitation Council (ERC) 2010 cardiopulmonary resuscitation (CPR) guidelines suggest that intubators should be able to secure the airway without interrupting chest compression. We examine the performance of the Berci-Kaplan DCI (BERCI), the GlideScope (GVL), the AirTraq, the Pentax AWS (Pentax) and the Miller laryngoscope (MIL) for endotracheal intubation (ETI) during pediatric resuscitation with and without chest compressions.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Cardiac Arrest Endotracheal Intubation Pediatric Manikin

Interventions

Miller LaryngoscopeDEVICE

Direct Laryngoscopy

The Berci-Kaplan DCIDEVICE

Videolaryngoscope-1

The AirTraqDEVICE

Videolaryngoscope-2

GlideScope GVL

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * give voluntary consent to participate in the study * minimum 1 year of work experience in emergency medicine * experienced emergency medicine personnel (physicians, nurses, paramedics) Exclusion Criteria: * not meet the above criteria * wrist or low back diseases

Locations (1)

International Institute of Rescue Research and Education

Warsaw, Masovia, Poland

Outcomes

Primary Outcomes

Intubation Time

time in seconds required for a successful intubation attempt with the five different ETI devices

Time frame: 1 month

Secondary Outcomes

Successful intubation

effectiveness of first, second, third intubation attempts and overall effectiveness intubation attempt using all intubation devices

Time frame: 1 month

POGO score

self reported percentage og glottis opening (POGO) score

Time frame: 1 month

VAS score

To assess subjective opinion about the difficulty of the procedure, participants were asked to rate it on a visual analogue scale (VAS) with a score from 1 (very easy) to 5 (very difficult).

Time frame: 1 month

Preferred ETI device

participants were asked which method of ETI they would prefer in a real-life resuscitation.

Time frame: 1 month

First Pass Attempt

Endotracheal Intubation (ETI) attempt will be defined as tip of the laryngoscope blade passing the patient's lips. First attempt success rate will be defined as the number of successful placements occurring on the first attempt to place the endotracheal tube.

Time frame: 1 month

Overall Success

Overall success rate will be defined as the total number of successful placements divided by the total number of patients treated.

Time frame: intraoperative

Data from ClinicalTrials.gov

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