Infection, Projection, Tracheal Intubation
Conditions
Keywords
SARS-CoV-2, COVID-19, tracheal intubation, laryngoscope, personal protective equipment
Brief summary
The current COVID-19 pandemic, this is especially since the transmission of SARS-CoV-2 is thought to occur mainly through respiratory droplets generated by coughing and sneezing, by direct contact with contaminated surfaces and because in a large number of patients COVID-19 disease may be asymptomatic. As recommended by the CDC for aerosol-generating procedures (AGP), medical personnel should be equipped with full personal protective equipment (PPE) for AGP. Therefore, it is reasonable to search for the most effective methods of intubation in those conditions.
Interventions
DEVICEThe standard Macintosh laryngoscope
intubation with the standard Macintosh laryngoscope and endotracheal tube 7.0 internal diameter with standard tube stylet
DEVICEThe Vie Scope laryngoscope
intubation with the Vie Scope laryngoscope with bougie stylet and endotracheal tube 7.0 internal diameter
Sponsors
Poznan University of Medical Sciences
Wroclaw Medical University
Medical University of Bialystok
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
* paramedic * consent voluntary participation in the study * none experience in Vie Scope * none experience in intubation with personal protective equipment
Exclusion criteria
* refusal to participate in the study
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 |
| Procedure 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 |
| the degree of visibility of the glottis | 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. |
| Cormack - Lehane grade | 1 day | self-reported percentage the vocal cord visualization using the Cormack-Lehane grading (grade 1-4) |
Countries
Poland
Outcome results
None listed