Cardiopulmonary Arrest, Neck Injury Multiple
Conditions
Keywords
intubation, Cardiopulmonary Resuscitation, neck injury
Brief summary
This is a clinical study based on collected video-clip data of cardiopulmonary resuscitation for patients with suspected neck injury in multiple trauma between 2011 and 2015. The study aimed to compare all possible factors relating to ETI performance during CPR for truma patients between experienced video-laryngoscopy and direct- laryngoscopy users.
Detailed description
Endotracheal intubation (ETI) is considered to be the best method of airway management during cardiopulmonary resuscitation (CPR). However ETI during CPR is a highly skill-dependent procedure, then it should be attempted only highly trained physicians. Especially, cervical immobilization by neck collar in truamatic patients is a great obstacle to successful ETI during CPR. Because of technical difficulty in using direct laryngoscopy (DL), various types of videolaryngoscopy (VL) devices have been developed to overcome the problems of DL. VL may be more useful to perform ETI during CPR for trauma patients with cervical immobilization. This study tried to compare the success rate of endotracheal intubation (ETI), speed of ETI, incidence of complications, and chest compression interruptions during cardiopulmonary resuscitation for trauma patients with suspected neck injury between intubators using the DL and the VL in a real clinical setting.
Interventions
PROCEDUREEndotracheal Intubation
Insertion of endotracheal tube into the trachea and supply oxygen using the Ambu-bagging during cardiopulmonary resuscitation
Sponsors
Konkuk University Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Multiple trauma patients with suspected neck injuries * Arrest Patients
Exclusion criteria
* Case of requesting the do-not attempt resuscitation before ETI * already intubated case before arrival to hospital * Cardiac arrest from non-traumatic causes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| First attempt successful ETI | within 1 hour after emergency department visit | Successfully insertion of endotracheal tube into trachea at first attempt |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the time to complete ETI from the beginning | within 1 hour after emergency department visit | the time from the advancement of the blade into the patient's mouth to the delivery of the first successful ventilation using the bag |
| Occurance of complication | within 1 hour after emergency department visit | Presence of chest compression interruption, esophageal intubation and dental injuries |
Countries
South Korea
Outcome results
None listed