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Intubation speed by experts in a simulated model of cardiac arrest with continuous cardiopulmonary resuscitation (CPR)

Intubation speed by experts in a simulated model of cardiac arrest with continuous cardiopulmonary resuscitation (CPR)

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12618001616268
Enrollment
24
Registered
2018-10-02
Start date
2018-08-28
Completion date
2018-08-31
Last updated
2018-10-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Intubation speed by ‘experts’ in a simulated model of cardiac arrest with continuous chest compressions. This study will examine the ability of intubating specialists to follow current guidelines and intubate during continuous CPR, which is rarely seen in clinical practice. This is a manikin based study, with practicing anaesthetists as participants for an ideal model. Participants will use either a direct or videolaryngoscope to intubate, and will then use the alternate device in this crossover study.

Interventions

A prospective, randomised, cross over trial. Method: 1. Participants will be recruited by volunteering. It will be promoted through an internal email to Anaesthetics staff members of the Hunter New England Area Health Service and at Departmental meetings 2. The participants will be initially randomised to either a traditional ‘direct’ laryngoscope with size four mac-blade, or a McGrath® videolaryngoscope with size four blade using a random binary number generator (0,1). The binary outcome will

A prospective, randomised, cross over trial. Method: 1. Participants will be recruited by volunteering. It will be promoted through an internal email to Anaesthetics staff members of the Hunter New England Area Health Service and at Departmental meetings 2. The participants will be initially randomised to either a traditional ‘direct’ laryngoscope with size four mac-blade, or a McGrath® videolaryngoscope with size four blade using a random binary number generator (0,1). The binary outcome will be concealed in individual opaque envelopes. 3. Participants will enter the room with a high fidelity manikin undergoing continuous compressions via a Lucas II mechanical compression device. 4. The participant will be asked to hold the mask and self-inflating bag and when ready, attempt intubation with the randomly allocated device. 5. All participants will be required to intubate the manikin with a size 7 endotracheal tube (ETT), and bougie whilst the manikin is receiving continuous compressions. 6. A study author will record the time taken to successfully intubate and attempts made. 7. The participants will then be asked to do steps 3-5 using the alternate laryngoscope with a washout period of no less than 30seconds 8. The participants will be asked to complete a post-procedure questionnaire Fidelity will be assessed by the post-task questionnaire, to be completed by candidates.

Sponsors

Department of Anaesthesia and Pain Management, John Hunter Hospital
Lead SponsorHospital

Study design

Allocation
Randomised controlled trial
Intervention model
Crossover
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

Inclusion criteria: 1. Participants must be advanced trainees in anaesthesia (minimum two years of anaesthetic training) or higher (FANZCA) 2. Participants must have experience in both direct and video assisted laryngoscopy

Exclusion criteria

Exclusion criteria 1. Not an advanced trainee in anaesthesia or FANZCA. 2. Has participated in the study previously (one attempt per candidate only)

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026