Cardiac Arrest, Influenza, Intubation Complication, Intubation; Difficult or Failed, Safety Issues
Conditions
Keywords
endotracheal intubation, cardiac arrest, personal protective equipment, laryngoscope, Vie Scope, COVID-19, SARS-CoV-2, emergency medicine
Brief summary
The safety and efficacy of a laryngoscopy as a primary intubation tool in urgent endotracheal intubation of cardiac arrest patients with suspected/confirmed COVID-19 has not been well-described in the literature. This study will answer whether using a Vie Scope laryngoscope will impact on the efficacy and safety of intubation compared with a traditional direct laryngoscopy.
Detailed description
Intubation will be carried out in full personal protective equipment conditions of the operator
Interventions
PROCEDUREDirect laryngoscopy
standard laryngoscope with Macintosh blade
PROCEDUREVie Scope laryngoscopy
Vie Scope with dedicated bougie stylet
Sponsors
Poznan University of Medical Sciences
Wroclaw Medical University
Medical University of Bialystok
Lazarski University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All adult patients requiring out-of-hospital intubation
Exclusion criteria
* Patient under 18 years old * Patients with criteria predictive of impossible intubation under direct laryngoscopy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intubation success rate during at the first laryngoscopy | 10 min | Definition of failed intubation: Time to intubation is longer than 120 seconds or wrong placement of endotracheal tube (For example : Esophageal intubation etc.) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Complications related to tracheal intubation | 10 min | Complications related to tracheal intubation during advanced Cardiopulmonary Resuscitation (CPR): failure, esophageal intubation, mainstem intubation, vomiting, pulmonary aspiration, dental trauma, extubation |
| Time to completion of tracheal intubation (TI) procedure | 10 min | Time to completion of tracheal intubation (TI) procedure measured from the instant that the laryngoscope blade touches the patient to the moment that the tracheal tube cuff is inflated |
| Intubation difficulty Scale score | 10 min | Intubation difficulty assessed by Intubation difficulty Scale score |
| Laryngeal View during intubation | 10 min | We will record the best laryngeal View during intubation. We will record according to the Cormack-Lehane Grade system. |
| POGO score | 10 min | self-reported percentage of glottis opening (POGO) score |
| Duration of the interruption of chest compression during ETI procedure | 10 min | Duration of the interruption of chest compression during ETI procedure |
Countries
Poland
Outcome results
None listed