Prehospital Intubation of COVID-19 Patient With Personal Protective Equipment

Lazarski University90 enrolled

Overview

The safety and efficacy of a laryngoscopy as a primary intubation tool in urgent endotracheal intubation of cardiac arrest patients with suspected/confirmed COVID-19 has not been well-described in the literature. This study will answer whether using a Vie Scope laryngoscope will impact on the efficacy and safety of intubation compared with a traditional direct laryngoscopy.

Intubation will be carried out in full personal protective equipment conditions of the operator

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Intubation Complication Intubation; Difficult or Failed Cardiac Arrest Influenza Safety Issues

Interventions

Direct laryngoscopyPROCEDURE

standard laryngoscope with Macintosh blade

Vie Scope laryngoscopyPROCEDURE

Vie Scope with dedicated bougie stylet

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * All adult patients requiring out-of-hospital intubation Exclusion Criteria: * Patient under 18 years old * Patients with criteria predictive of impossible intubation under direct laryngoscopy

Locations (2)

Emergency Medical Service

Poznan, Poland

Emergency Medical Service

Warsaw, Poland

Outcomes

Primary Outcomes

Intubation success rate during at the first laryngoscopy

Definition of failed intubation: Time to intubation is longer than 120 seconds or wrong placement of endotracheal tube (For example : Esophageal intubation etc.)

Time frame: 10 min

Secondary Outcomes

Intubation difficulty Scale score

Intubation difficulty assessed by Intubation difficulty Scale score

Time frame: 10 min

Complications related to tracheal intubation

Complications related to tracheal intubation during advanced Cardiopulmonary Resuscitation (CPR): failure, esophageal intubation, mainstem intubation, vomiting, pulmonary aspiration, dental trauma, extubation

Time frame: 10 min

Time to completion of tracheal intubation (TI) procedure

Time to completion of tracheal intubation (TI) procedure measured from the instant that the laryngoscope blade touches the patient to the moment that the tracheal tube cuff is inflated

Time frame: 10 min

Duration of the interruption of chest compression during ETI procedure

Time frame: 10 min

Laryngeal View during intubation

We will record the best laryngeal View during intubation. We will record according to the Cormack-Lehane Grade system.

Time frame: 10 min

POGO score

self-reported percentage of glottis opening (POGO) score

Time frame: 10 min

Data from ClinicalTrials.gov

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