A Modified Rabbit Training Model for Establishing an Emergency Front of Neck Airway in Children

Completed

• Conditions: Emergency Front of Neck Airway in Children
• Interventions: Procedure: eFONA

• Registration Number: NCT04573790
• Lead Sponsor: University Children's Hospital, Zurich

Brief Summary

A "cannot intubate, cannot oxygenate" (CICO) situation is rare in paediatric anaesthesia, but can always occur in children under certain emergency situations. There is a paucity of literature on specific procedures for securing an emergency invasive airway in children under the age of 6 years. A modified emergency Front Of Neck Access (eFONA) technique using a rabbit cadaver model was developed to teach invasive airway protection in a CICO situation in children.

After watching an instructional video of our eFONA technique (tracheotomy, initial intubation with Frova catheter over which an endotracheal tube is inserted), 29 anaesthesiologists will perform two separate attempts on rabbit cadavers. The primary outcome is the success rate and the performance time overall and in subgroups of trained and untrained participants.

Detailed Description

Not available

Study Timeline

• Study Start: 2019-01-04
• Primary Completion: 2019-09-30
• Study Completion: 2019-09-30
• Status Verified: 2020-09
• Study First Submitted: 2020-09-28
• Study First Submitted QC: 2020-09-28
• Last Update Submitted: 2020-09-28
• Study First Posted: 2020-10-05
• Last Update Posted: 2020-10-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 29

Inclusion Criteria

• Anesthesiologists working at the department of Anesthesia at University Children's Hospital Zurich

Exclusion Criteria

• n.a.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Trained in eFONA	eFONA	Trained participants completed our eFONA workshop within the last six month prior to participating in this study
Untrained in eFONA	eFONA	Untrained participants had never taken part in our institutional eFONA workshop

Primary Outcome Measures

Name	Time	Method
Sucess rate	during study period, approx 15min	Correct positioning of the endotracheal tube in to the trachea
Performance time	during study period, max 240 sec	Time needed to complete the surgical tracheotomy

Secondary Outcome Measures

Name	Time	Method
Secondary injuries	during study period, approx 15min	paratracheal placement of the ETT, perforation of the back wall or complete rupture of the trachea

Trial Locations

Locations (1)

University Childrens Hospital, Department of Anaesthesia and Children's Research Centre; 🇨🇭 Zurich, Switzerland