Diseases of the respiratory system
Conditions
Interventions
Intubation in 50 children older than 1 year using videolaryngoscope as the first device and training of second year pediatric residents in the use of videolaryngoscope using intubation heads to simula
Device
E07.230.220.525
I02.903.847
Sponsors
Instituto da Criança do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
Instituto da Criança do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
Eligibility
Age
1 Years to 18 Years
Inclusion criteria
Inclusion criteria: Children intubated in the emergency department; both genders; age between 1 and 18 years old
Exclusion criteria
Exclusion criteria: Children younger than one year; adolescents older than 18 years;another device other than laryngoscope or videolaryngoscope used
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Outcome Expected 1: Intubation success in the first pass, measured by intubation check done after first laryngoscopy, described at intubation resgistration form, filled in after each intubation. Expected 25% increment in success rate with videolaryngoscope;Outcome Found 1: 68% first pass success with videolaryngoscope versus 37,6% with direct laryngoscopy, p<0,05. | — |
Secondary
| Measure | Time frame |
|---|---|
| Expected outcome 2; Intubation success in up to three atempts, measured by intubation check done after first,second or third laryngoscopy, described at intubation resgistration form, filled in after each intubation. ;Outcome expected 3: Presence of tracheal intubation associated events, verified through the presence of; cardiorespiratory arrest (death); cardiorespiratory arrest (survival); oesophageal intubation with late recognition; aspiration vomiting; hypotension requiring intervention; laryngospasm; malignant hyperthermia; pneumothorax or pneumomediastinum; selective intubation; immediate recognition esophageal intubation, vomiting without aspiration; hypertension that demands medication; epistaxis, tooth or lip trauma, medication error; arrhythmia; including bradycardia; and pain or agitation that delays the procedure, described in the intubation registration form, filled in after each intubation. ;Outocme expected 4: dessaturation, measured by pulse oxymetry below 90% described in the intubation resistration form, filled in after each intubation. | — |
Countries
Brazil
Contacts
Public ContactThomaz Bittencourt Couto
Instituto da Criança do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
Outcome results
None listed