Pediatric Intubation

Not Applicable

Completed

• Conditions: Intubation; Cardiac Arrest
• Interventions: Device: Macintosh Laryngoscope; Device: TruView PCD Video laryngoscope

• Registration Number: NCT02289872
• Lead Sponsor: International Institute of Rescue Research and Education

Brief Summary

The aim of the study was to compare time and success rates of TruView PCD video laryngoscope and Macintosh laryngoscope for the pediatric emergency intubation with three airway scenarios in a standardized manikin model.

Detailed Description

Not available

Study Timeline

• Study Start: 2014-11
• Study First Submitted: 2014-11-07
• Study First Submitted QC: 2014-11-12
• Study First Posted: 2014-11-13
• Primary Completion: 2014-12
• Study Completion: 2014-12
• Status Verified: 2015-01
• Last Update Submitted: 2015-01-21
• Last Update Posted: 2015-01-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

• give voluntary consent to participate in the study
• inexperienced in pediatric intubation paramedics

Exclusion Criteria

• not meet the above criteria
• participants who had performed intubation in pediatric humans prior the trial or had previously TruView experience

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Scenario A	Macintosh Laryngoscope	The control scenario, where neither chest compression nor cervical stabilization was applied during intubation.
Scenario A	TruView PCD Video laryngoscope	The control scenario, where neither chest compression nor cervical stabilization was applied during intubation.
Scenario B	Macintosh Laryngoscope	The chest compression scenario, where continuous chest compression was applied using chest compression system LUCAS-2 (Physio-Control, Redmond, WA, USA). Chest compression was provided at a rate of 100 min-1 to a depth of 5-6 cm during all intubation procedures.
Scenario C	Macintosh Laryngoscope	The chest compression with cervical stabilization scenario, where both chest compression using Lucas-2 and cervical stabilization were applied. A correctly fitting standard cervical immobilization collar (StifNeck Select, Laerdal, Stavanger, Norway) was applied to the manikin's neck to prevent movement of the cervical spine.
Scenario C	TruView PCD Video laryngoscope	The chest compression with cervical stabilization scenario, where both chest compression using Lucas-2 and cervical stabilization were applied. A correctly fitting standard cervical immobilization collar (StifNeck Select, Laerdal, Stavanger, Norway) was applied to the manikin's neck to prevent movement of the cervical spine.
Scenario B	TruView PCD Video laryngoscope	The chest compression scenario, where continuous chest compression was applied using chest compression system LUCAS-2 (Physio-Control, Redmond, WA, USA). Chest compression was provided at a rate of 100 min-1 to a depth of 5-6 cm during all intubation procedures.

Primary Outcome Measures

Name	Time	Method
Time to intubation	1 day	the time to intubation, defined as the time from insertion of the laryngoscope blade between the teeth to the first manual ventilation of the mannequin's lungs

Secondary Outcome Measures

Name	Time	Method
Success of intubation	1 day	success of the intubation attempt (i.e. tracheal or oesophageal placement of the tube) with was recorded when the success of the ventilation attempt was seen by the manikin's ventilation indicators.
Cormack-Lehan scale	1 day	self reported Cormack-Lehan scale during intubation
Dental compression	1day	dental compression, with was assessed using a visual scale grading the pressure applied on the upper teeth (n=none, mild=1, moderate=2, severe=3).
Ease of intubation (VAS)	1 day	To access subjective opinion about the difficulty of the each intubation method, participants were asked to rate it on a visual analogue scale (VAS) with a score from 1 (extremely easy) to 10 (extremely difficult).

Trial Locations

Locations (1)

International Institute of Rescue Research and Education; 🇵🇱 Warsaw, Masovie, Poland