Videolaryngoscopy During CPR for Trauma Patients

Konkuk University Medical Center30 enrolled

Overview

This is a clinical study based on collected video-clip data of cardiopulmonary resuscitation for patients with suspected neck injury in multiple trauma between 2011 and 2015. The study aimed to compare all possible factors relating to ETI performance during CPR for truma patients between experienced video-laryngoscopy and direct- laryngoscopy users.

Endotracheal intubation (ETI) is considered to be the best method of airway management during cardiopulmonary resuscitation (CPR). However ETI during CPR is a highly skill-dependent procedure, then it should be attempted only highly trained physicians. Especially, cervical immobilization by neck collar in truamatic patients is a great obstacle to successful ETI during CPR. Because of technical difficulty in using direct laryngoscopy (DL), various types of videolaryngoscopy (VL) devices have been developed to overcome the problems of DL. VL may be more useful to perform ETI during CPR for trauma patients with cervical immobilization. This study tried to compare the success rate of endotracheal intubation (ETI), speed of ETI, incidence of complications, and chest compression interruptions during cardiopulmonary resuscitation for trauma patients with suspected neck injury between intubators using the DL and the VL in a real clinical setting.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Cardiopulmonary Arrest Neck Injury Multiple

Interventions

Endotracheal IntubationPROCEDURE

Insertion of endotracheal tube into the trachea and supply oxygen using the Ambu-bagging during cardiopulmonary resuscitation

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Multiple trauma patients with suspected neck injuries * Arrest Patients Exclusion Criteria: * Case of requesting the do-not attempt resuscitation before ETI * already intubated case before arrival to hospital * Cardiac arrest from non-traumatic causes

Locations (1)

Department of Emergency Medicine, Konkuk University Medical center

Seoul, South Korea

Outcomes

Primary Outcomes

First attempt successful ETI

Successfully insertion of endotracheal tube into trachea at first attempt

Time frame: within 1 hour after emergency department visit

Secondary Outcomes

the time to complete ETI from the beginning

the time from the advancement of the blade into the patient's mouth to the delivery of the first successful ventilation using the bag

Time frame: within 1 hour after emergency department visit

Occurance of complication

Presence of chest compression interruption, esophageal intubation and dental injuries

Time frame: within 1 hour after emergency department visit

Data from ClinicalTrials.gov

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