Airway management in the community and by para-medical staff is widely accepted as poor. Good airway management is fundamental to a safe outcome. Respiratory Airway management
Conditions
Interventions
Two different airway devices are being tested. The most common in use is the facemask. A new device (Tulip airway) works better in manikins. Ventilation parameters are measured using both devices in u
Sponsors
North West London Hospitals NHS Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: All users must have had BLS training within the last year. All patients must be 18-70 years old, ASA 1 or 2, scheduled surgery with no risk factors for regurgitation.
Exclusion criteria
Exclusion criteria: 1. Risk of regurgitation 2. Vomiting 3. ASA status greater than 2
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Parameters measured are tidal volume, peak inspiratory pressure, end-tidal carbon dioxide. Three breaths are recorded. After anaesthesia is induced in the patient, the depth of anaesthesia is deepened until the patient has total jaw relaxation. The consultant anaesthetist doing the study confirms that the airway is manageable and that the patient can be ventilated and ventilates the patient 3 times and measures the ventilatory parameters of tidal volume, airway pressure and end tidal carbon dioxide. The inexperienced user then ventilates the patient using both devices in a randomised order. The first 3 breaths that are achieved with each device are measured using the same end-points as the consultant. The inexperienced user is given 60 seconds to achieve ventilation. The study is abandoned if there is patient compromise. The exact time points are 3 breaths within 60 seconds oaf attempting ventilation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Ease of use and airway preference by the inexperienced user is assessed. | — |
Countries
United Kingdom
Contacts
Public ContactPeter Neville Robinson
Outcome results
None listed