Pediatric Intubation During Emergency Conditions

Lazarski University83 enrolled

Overview

The effectiveness of endotracheal intubation in pre-hospital conditions is insufficient - especially in the context of pediatric patients. Anatomical differences in pediatric patients compared to adults: a relative larger tongue, a larger and more flabby epiglottis - located more cephalously - that make intubation is more difficult than for adults. Also, higher oxygen metabolism requires the immediate response of medical personnel to children in case of need to protect the airways and support breath.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Endotracheal Intubation Pediatric Cardiac Arrest Injuries

Interventions

Macintosh laryngoscopeDEVICE

intubation will be performed using standard direct laryngoscopy - Macintosh laryngoscope

Miller laryngoscopeDEVICE

intubation will be performed using Miller laryngoscope

McGrath MAC EMSDEVICE

intubation will be performed using McGrath MAC EMS video - laryngoscope

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * paramedics * give voluntary consent to participate in the study * none experience in videolaryngoscopy * less than 1 year experience in medicine Exclusion Criteria: * not meet the above criteria * wrist or low back diseases

Locations (1)

Lazarsku University

Warsaw, Masovian Voivodeship, Poland

Outcomes

Primary Outcomes

Intubation time

time in seconds required for a successful intubation attempt

Time frame: 1 day

Secondary Outcomes

Success of intubation

If the oesopharyngeal tube was incorrectly placed or intubation lasted longer than 60 seconds, the airway-management attempt was defined as a failure.

Time frame: 1 day

Cormack-Lehane grading

self-reported percentage the vocal cord visualization using the Cormack-Lehane grading, scale developed by Cormack and Lehane, based on four degrees of visibility of the glottis.

Time frame: 1 day

POGO score - percentage of glottic opening

self-reported percentage the vocal cord visualization. A 100% POGO score is a full view of the glottis from the anterior commissure to the interarytenoid notch. A POGO score of 0 means that even the interarytenoid notch is not seen.

Time frame: 1 day

Preferred ETI device

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

Time frame: 1 day

Ease of use

self-reported percentage the vocal cord visualization. A 100% score is a extremely difficult procedure. A Ease of use score of 1% means that procedure is extremely easy

Time frame: 1 day

Data from ClinicalTrials.gov

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