Intubation
Conditions
Brief summary
Comparison of four laryngoscope blades (Miller, Macintosh, Phillips and Wis-Hipple) for infant intubation during resuscitation with and without chest compressions.
Interventions
Sponsors
International Institute of Rescue Research and Education
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* give voluntary consent to participate in the study * paramedics * no clinical experience in infant intubation
Exclusion criteria
* not meet the above criteria * wrist or low back diseases * pregnancy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to intubation | 1 day | time from insertion of the blade to the first manual ventilation of the manikin´s lungs. If time of intubation is over than 60 seconds, attempt was recognized as failure. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cormack-Lehane grading | 1 day | self-reported percentage the vocal cord visualization using the Cormack-Lehane grading (grade 1-4) |
| dental compression | 1 day | pressure applied on the upper teeth (n=none, mild=1, moderate=2, severe=3) |
| Success of intubation | 1 day | effectiveness of the first, second and third intubation attempts and overall effectiveness of intubation by participants using four intubation devices. If the examinee failed at all attempts, the case was excluded from the time calculations. |
| Ease of Use | 1 day | To access subjective opinions about the difficulty of the each intubation method, participants were asked to give a rating on a visual analogue scale (VAS) with a score from 1 (extremely easy) to 10 (extremely difficult). |
| POGO score | 1 day | The POGO score describes how much glottic opening is visible. A POGO score of 100% indicates visualization of the entire glottic opening from the anterior commissure of the vocal cords to the interarytenoid notch. A POGO score of 0% corresponds with no visualization of laryngeal structures. |
Countries
Poland
Outcome results
None listed