Pediatric Intubation During Emergency Conditions

Not Applicable

Completed

• Conditions: Endotracheal Intubation; Cardiac Arrest; Injuries; Pediatric
• Interventions: Device: Macintosh laryngoscope; Device: Miller laryngoscope; Device: McGrath MAC EMS; Device: GlideScope

• Registration Number: NCT03602183
• Lead Sponsor: Lazarski University

Brief Summary

The effectiveness of endotracheal intubation in pre-hospital conditions is insufficient - especially in the context of pediatric patients. Anatomical differences in pediatric patients compared to adults: a relative larger tongue, a larger and more flabby epiglottis - located more cephalously - that make intubation is more difficult than for adults. Also, higher oxygen metabolism requires the immediate response of medical personnel to children in case of need to protect the airways and support breath.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2018-06-29
• Study First Submitted QC: 2018-07-25
• Study First Posted: 2018-07-26
• Study Start: 2018-07-27
• Status Verified: 2019-07
• Primary Completion: 2019-07-20
• Study Completion: 2019-07-20
• Last Update Submitted: 2019-07-29
• Last Update Posted: 2019-07-31

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 83

Inclusion Criteria

• paramedics
• give voluntary consent to participate in the study
• none experience in videolaryngoscopy
• less than 1 year experience in medicine

Exclusion Criteria

• not meet the above criteria
• wrist or low back diseases

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Normal airway scenario	Macintosh laryngoscope	intubation in normal airway scenario
Spinal immobilization with normal airway scenario	Miller laryngoscope	intubation in spinal immobilization with normal airway scenario
Spinal immobilization with tongue edema scenario	McGrath MAC EMS	endotracheal intubation with immobilized cervical spine and tongue edema scenario
Spinal immobilization with normal airway scenario	GlideScope	intubation in spinal immobilization with normal airway scenario
Normal airway scenario	McGrath MAC EMS	intubation in normal airway scenario
Tongue edema scenario	GlideScope	intubation in the tongue edema scenario. Tongue edema was obtain using simulator indicators
Normal airway scenario	Miller laryngoscope	intubation in normal airway scenario
Normal airway scenario	GlideScope	intubation in normal airway scenario
Spinal immobilization with normal airway scenario	McGrath MAC EMS	intubation in spinal immobilization with normal airway scenario
Spinal immobilization with tongue edema scenario	Miller laryngoscope	endotracheal intubation with immobilized cervical spine and tongue edema scenario
Tongue edema scenario	Miller laryngoscope	intubation in the tongue edema scenario. Tongue edema was obtain using simulator indicators
Tongue edema scenario	Macintosh laryngoscope	intubation in the tongue edema scenario. Tongue edema was obtain using simulator indicators
Tongue edema scenario	McGrath MAC EMS	intubation in the tongue edema scenario. Tongue edema was obtain using simulator indicators
Spinal immobilization with normal airway scenario	Macintosh laryngoscope	intubation in spinal immobilization with normal airway scenario
Spinal immobilization with tongue edema scenario	Macintosh laryngoscope	endotracheal intubation with immobilized cervical spine and tongue edema scenario
Spinal immobilization with tongue edema scenario	GlideScope	endotracheal intubation with immobilized cervical spine and tongue edema scenario

Primary Outcome Measures

Name	Time	Method
Intubation time	1 day	time in seconds required for a successful intubation attempt

Secondary Outcome Measures

Name	Time	Method
Success of intubation	1 day	If the oesopharyngeal tube was incorrectly placed or intubation lasted longer than 60 seconds, the airway-management attempt was defined as a failure.
Preferred ETI device	1 day	participants were asked which method of ETI they would prefer in a real-life resuscitation.
Cormack-Lehane grading	1 day	self-reported percentage the vocal cord visualization using the Cormack-Lehane grading, scale developed by Cormack and Lehane, based on four degrees of visibility of the glottis.
POGO score - percentage of glottic opening	1 day	self-reported percentage the vocal cord visualization. A 100% POGO score is a full view of the glottis from the anterior commissure to the interarytenoid notch. A POGO score of 0 means that even the interarytenoid notch is not seen.
Ease of use	1 day	self-reported percentage the vocal cord visualization. A 100% score is a extremely difficult procedure. A Ease of use score of 1% means that procedure is extremely easy

Trial Locations

Locations (1)

Lazarsku University; 🇵🇱 Warsaw, Masovian, Poland