Intubation, Manikin, Neonate, Training
Conditions
Brief summary
This study will be to compare the forces applied to mannequin airways (at epiglottis and at palate) during direct laryngoscopy and indirect video laryngoscopy with two kinds of blades (straight blade and hyper-angulated blade)
Detailed description
This is a randomized controlled crossover trial of intubation with three laryngoscope devices in a neonatal manikin model. Level III NICU and PICU consultants, pediatric residents, anesthesiology consultants, and anesthesiology residents will be eligible to participate in the study. Participants in the ABC arm will be assigned to perform the intubation with a traditional laryngoscope (A), followed by the intubation with a straight blade video laryngoscope (B) and by the intubation with hyper-angulated video laryngoscope (C). Participants in different arms will be assigned to perform the intubations in different sequences (BCA/CAB/ACB/BAC/CBA). The primary outcome measure will be the forces applied to mannequin oro-tracheal tissues during intubation with the three kinds of tools. The secondary outcome measures will be the perceived workload during intubation and intubation time with the traditional laryngoscope and the video laryngoscope.
Interventions
PROCEDUREIntubation with traditional laryngoscope
Participants will be invited to intubate the mannequin with a traditional laryngoscope
PROCEDUREIntubation with a straight blade video laryngoscope
Intubation with a straight blade video laryngoscope
PROCEDUREIntubation with a hyper-angulated video laryngoscope
Participants will be asked to intubate the mannequin with a hyper-angulated video laryngoscope
Sponsors
University Hospital Padova
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Level III NICU and PICU consultants, pediatric residents, anesthesiology consultants, and anesthesiology residents will be eligible to participate in the study.
Exclusion criteria
* Refusal to participate.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Forces applied to the epiglottis | 5 minutes | The peak force (maximum force, expressed as Newton) applied on the epiglottis during intubation will be recorded by sensors positioned on the tip of the laryngoscope's blade. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Forces applied to the palate | 5 minutes | The peak force (maximum force, expressed as Newton) applied on the palate during intubation will be recorded by sensors positioned on the posterior side of the laryngoscope's blade. |
| Perceived workload during intubation | 20 minutes | Participants will be asked to report their perceived workload during intubation by using a validated tool |
| Time of intubation | 5 minutes | Time elapsed frmo insertion of the laryngoscope in the mouth to his removal |
Countries
Italy
Outcome results
None listed