Endotracheal Intubation, Pediatric, Cardiac Arrest, Injuries
Conditions
Keywords
difficult airway, endotracheal intubation, chest compression, physician
Brief summary
The effectiveness of endotracheal intubation in pre-hospital conditions is insufficient - especially in the context of pediatric patients. Anatomical differences in pediatric patients compared to adults: a relative larger tongue, a larger and more flabby epiglottis - located more cephalously - that make intubation is more difficult than for adults. Also, higher oxygen metabolism requires the immediate response of medical personnel to children in case of need to protect the airways and support breath.
Interventions
DEVICEMacintosh laryngoscope
intubation will be performed using standard direct laryngoscopy - Macintosh laryngoscope
DEVICEMiller laryngoscope
intubation will be performed using Miller laryngoscope
DEVICEMcGrath MAC EMS
intubation will be performed using McGrath MAC EMS video - laryngoscope
DEVICEGlideScope
intubation will be performed using GlideScope video - laryngoscope
Sponsors
Wroclaw Medical University
The Cleveland Clinic
Medical University of Vienna
Lazarski University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* paramedics * give voluntary consent to participate in the study * none experience in videolaryngoscopy * less than 1 year experience in medicine
Exclusion criteria
* not meet the above criteria * wrist or low back diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intubation time | 1 day | time in seconds required for a successful intubation attempt |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Success of intubation | 1 day | If the oesopharyngeal tube was incorrectly placed or intubation lasted longer than 60 seconds, the airway-management attempt was defined as a failure. |
| Cormack-Lehane grading | 1 day | self-reported percentage the vocal cord visualization using the Cormack-Lehane grading, scale developed by Cormack and Lehane, based on four degrees of visibility of the glottis. |
| POGO score - percentage of glottic opening | 1 day | self-reported percentage the vocal cord visualization. A 100% POGO score is a full view of the glottis from the anterior commissure to the interarytenoid notch. A POGO score of 0 means that even the interarytenoid notch is not seen. |
| Preferred ETI device | 1 day | participants were asked which method of ETI they would prefer in a real-life resuscitation. |
| Ease of use | 1 day | self-reported percentage the vocal cord visualization. A 100% score is a extremely difficult procedure. A Ease of use score of 1% means that procedure is extremely easy |
Countries
Poland
Outcome results
None listed