Pediatric endotracheal intubation in intensive care unit Intubation, intratracheal Video-laryngoscope Video-laryngoscopic Supervision Pediatrics
Conditions
Interventions
Operator uses C-MAC device to intubate using direct laryngoscopic method (looking at the larynx directly without looking at the screen), while supervisor looks at the screen and provides supervision a
Treatment,Treatment,Treatment
Video-laryngoscopic supervision,Direct laryngoscopic intubation,Video-laryngoscopic intubation
Sponsors
Dr. Suvikrom Law
Eligibility
Sex/Gender
All
Age
28 Days to 18 Years
Inclusion criteria
Inclusion criteria: 1. Patients age 28 days to 18 years who are admitted to PICU, 2. Orotracheal intubation using video-laryngoscopic supervision method, direct laryngoscopic method, or video-laryngoscopic intubation method
Exclusion criteria
Exclusion criteria: 1. Patients who have cardiac arrest before intubation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| First-attempt intubation success rate During intubation Attempt count | — |
Secondary
| Measure | Time frame |
|---|---|
| Immediately recognized esophageal intubation During intubation Esophageal intubation detected by supervisor by looking at the screen,Unrecognized esophageal intubation From intubation to the time of first chest X-ray after intubation One or more of the following: no end-tidal CO2 wave, SpO2 drops, lung and abdomen auscultation, abnormal ventilator waveform, laryngoscopic visualization or chest X-ray shows tube in esophagus,Main bronchus intubation First chest X-ray after intubation Chest X-ray,Shallow endotracheal tube First chest X-ray after intubation Chest X-ray showing tube tip above first rib,Cardiac arrest From the start of sedation until 10 min after intubation Palpation of pulse,Hypotension that requires medication or fluid From the start of sedation until 10 min after intubation Noninvasive BP monitoring or invasive arterial BP monitoring,Hypertension that requires medication From the start of sedation until 10 min after intubation Noninvasive BP monitoring or invasive arterial BP monitoring,Bradycardia (heart rate lower than 60/min) that requires medication From the start of sedation until 10 min after intubation EKG monitor,Arrhythmia From the start of sedation until 10 min after intubation EKG monitor,SpO2 lower than 90% From the start of sedation until 10 min after intubation Pulse oximetry,SpO2 lower than 80% From the start of sedation until 10 min after intubation Pulse oximetry,SpO2 lower than 70% From the start of sedation until 10 min after intubation Pulse oximetry,Vomiting During intubation Direct observation,Pneumothorax From intubation to the time of first chest X-ray after intubation Clinical exam or chest X-ray or ultrasound,Pneumomediastinum First chest X-ray after intubation Chest X-ray,Laryngospasm During intubation Direct observation,Dental, lip, mucosal or airway injury From intubation to 24 hr after intubation Direct observation | — |
Countries
Thailand
Contacts
Public ContactSuvikrom Law
Faculty of Medicine Siriraj Hospital, Mahidol University
Outcome results
None listed