Cardiopulmonary Arrest, Emergency Medicine, Endotracheal Intubation
Conditions
Keywords
endotracheal intubation, emergency medicine, cardiopulmonary resuscitation, physician
Brief summary
We, therefore conducted a randomized cross over study to evaluate the usefulness of this new device use by experienced anesthesiologists in several airway manikin scenarios. We hypothesized that in the hands of experienced anesthesiologists the new Flexible Tip Bougie catheter would perform comparably to the standard bougie catheter) in the normal airway scenario. In the difficult airway (both tongue edema, manual in-line stabilization, or cervical collar stabilization), we hypothesized that the new Flexible Tip Bougie catheter would prove superior to the standard Bougie stylet.
Interventions
DEVICEthe standard Bougie stylet for difficult intubation
intubation with the standard Bougie stylet for difficult intubation and endotracheal tube 7.0 internal diameter
DEVICEThe new Flexible Tip Bougie catheter
intubation with The new Flexible Tip Bougie catheter and endotracheal tube 7.0 internal diameter
Sponsors
Lazarski University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* physicians * 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 |
|---|---|---|
| time to intubation | 1 day | time from pick up device to the final placement tube in trachea |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| success of intubation | 1 day | A failed intubation attempt was defined as an attempt in which the trachea was not intubated, or which required more than 120 seconds to perform |
| Number of optimalization maneuvers | 1 day | the number of optimization maneuvers required (re-adjustment of head position, second assistant) to aid endotracheal intubation. |
| 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 |
| Dental compression | 1 day | An independent observer scored the severity of dental compressions, which was calculated based on the number of audible teeth clicks (0; 1; ≥2) with the Laerdal airway trainer, and based on a grading of pressure of the teeth (none = 0; mild = 1; moderate/serve ≥2) on the Simman®3G simulator. At the end of each scenario, each participant scored the ease of use of each intubation method on a visual analogue scale (VAS; from 0=Extremely Easy to 100=Extremely Difficult). |
Countries
Poland
Outcome results
None listed