Pediatric Endotracheal Intubation During Resuscitation

International Institute of Rescue Research and Education100 enrolled

Overview

Endotracheal intubation (ETI) is perceived as the optimal method of providing and maintaining a clear and secure airway. The 2010 European Resuscitation Council (ERC) guidelines emphasized the importance of minimal interruption during cardiopulmonary resuscitation (CPR). These guidelines also suggest that skilled operators should be able to secure the airway without interrupting chest compression. The aim of the study was to compare time and success rates of different available video laryngoscopes and the Miller laryngoscope for emergency intubation during simulated pediatric CPR.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

100

Conditions

Pediatric Cardiopulmonary

Interventions

Eligibility

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

Medical Language ↔ Plain English

Inclusion Criteria: * give voluntary consent to participate in the study * paramedics, nurses, physicians Exclusion Criteria: * not meet the above criteria * wrist or low back diseases

Outcomes

Primary Outcomes

Time to intubation

time from insertion of the blade to the first manual ventilation of the manikin´s lungs. If time of intubation is over than 60 seconds, attempt was recognized as failure.

Time frame: intraoperative

Secondary Outcomes

Success of intubation

effectiveness of the first, second and third intubation attempts and overall effectiveness of intubation by participants using four intubation devices. If the examinee failed at all attempts, the case was excluded from the time calculations.

Time frame: intraoperative

Visual Analog scale (VAS) score

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

Time frame: 1 day