Acute Post-trauma Stress State, Cardiac Arrest, Drug Toxicity, Respiratory Distress Syndrome, Shock, Trauma, Nervous System
Conditions
Keywords
Emergency intubation, Glide scope Ranger, Pre hospital
Brief summary
The objective of this work is to compare standard intubation with video laryngoscope (Glide scope Ranger ) in French pre hospital multicentric study.
Detailed description
Introduction: In France, patients in critical status brought to hospital by emergency physicians and nurses experimented in tracheal intubation. It is an invasive act allowing a protection of airways and an optimal oxygenation of the patients in distress. The reference technique is the direct laryngoscopy by Macintosh . Corresponding data shows that a video laryngoscope - GLIDESCOPE laryngoscope - improve the conditions of intubation in the surgical unit thanks to a better display(visualization) of the opening. A derived device for pre hospital emergency units (GLIDESCOPE Ranger®) deserves to be compared with the classic laryngoscopy in emergency conditions. Objectives: compare the emergency intubation in Pre hospital meadow by Glide Scope Ranger with regard to the classic method Progress of the study: the patients will be included by emergency physicians working in out of hospital teams of 3 major hospitals of Paris. The patients will be randomized in 2 groups: 1 group classic laryngoscopy (group 1) and a group Glide scope Ranger (group 2). The score IDS will be compared for every group as well as the arisen of a complication during the procedure. The consent will be collected on the place or during the hospitalization.
Interventions
Classical intubation
GLIDESCOPE intubation
Sponsors
Study design
Eligibility
Inclusion criteria
* patients of more than 18 years old * requiring an intubation * by medical out of hospital emergency operators * medical insurance * Consent signed
Exclusion criteria
* Age \<18, pregnant women * Refusal of consent or inability for understanding study * small mouth opening makes it impossible intubate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| IDS score in each group | during the intubation |
Secondary
| Measure | Time frame |
|---|---|
| Dental or throat traumatism | during the intubation |
| Broncho/laryngospasm | during the intubation |
| Hypoxia | per intubation |
| Vomit / regurgitation or inhalation per-procedure | during the intubation |
| Inhalation pneumonia | within 24 hours following the inclusion |
| Failure of intubate | during the intubation |
| Hemodynamic instability | per intubation |