Teleguidance-facilitated Airway Management

Not Applicable

Completed

• Conditions: Telemedicine; Emergencies; Intubation; Difficult or Failed
• Interventions: Device: Teleguidance-facilitated Airway Management

• Registration Number: NCT06497725
• Lead Sponsor: Kocaeli University

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2024-05-01
• Study First Submitted: 2024-06-28
• Primary Completion: 2024-07-01
• Study First Submitted QC: 2024-07-11
• Study First Posted: 2024-07-12
• Status Verified: 2024-08
• Study Completion: 2024-08-01
• Last Update Submitted: 2024-08-13
• Last Update Posted: 2024-08-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 98

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Teleguidance-facilitated Airway Management	Teleguidance-facilitated Airway Management	The airway expert able to remotely access to videolaryngoscopy monitor will provide verbal feedback during the endotracheal intubation.

Primary Outcome Measures

Name	Time	Method
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 Outcome Measures

Name	Time	Method
Operator confidence assessed by Likert Scale.	At the end of the procedure	Self-evaluation of procedure confidence using 7-point Likert Scale
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
Feasibility of intubation assessed by Likert Scale.	At the end of the procedure	Self-evaluation of methods feasibility using 7-point Likert Scale

Trial Locations

Locations (1)

Kocaeli University Medical Faculty Emergency Medicine Department; 🇹🇷 Kocaeli, Turkey