Emergencies, Intubation; Difficult or Failed, Telemedicine
Conditions
Brief summary
The advent of telemedicine has introduced teleguidance as a promising support to enhance endotracheal intubation skills among inexperienced operators. Several studies showed the effectiveness of supervisor assisted ETI using the various VL devices and commercial videoconferencing softwares. However, recent developments in VL technologies introduced the VL integrated videoconferencing features for this purpose. Scoper VL device (Technomedicare Inc, Turkiye) developed a real-time teleconsultation feature for difficult airway scenarios to be assisted by experts during the procedure. However, the literature is very limited about the effectiveness and feasibility of teleguidance-facilitated airway management. This high-fidelity simulation study aims to assess impact of teleguidance-facilitated airway management on the success of ETI performed by inexperienced operators in a mobile ambulance.
Interventions
DEVICETeleguidance-facilitated Airway Management
tele-guidence will be provided by an experienced airway expert
Sponsors
Kocaeli University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* All paramedic students who completed their airway management training
Exclusion criteria
* The trainees who did not consent to participate * The trainees who did not complete the VL training
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of first attempt success (n,%) | Measured at the 60-second mark. | Visualization of the endotracheal tube passing between the vocal cords within the first 60 seconds of the procedure. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intubation duration (seconds) | procedure (Measured at the confirmation of the tube passed between vocal cords.) | Duration between the passage of the endotracheal tube through the lips and its pass between the vocal cords |
| Operator confidence assessed by Likert Scale. | At the end of the procedure | Self-evaluation of procedure confidence using 7-point Likert Scale |
| Feasibility of intubation assessed by Likert Scale. | At the end of the procedure | Self-evaluation of methods feasibility using 7-point Likert Scale |
Countries
Turkey (Türkiye)
Outcome results
None listed