Endotracheal Intubation in Prehospital Scenario

Not Applicable

Completed

• Conditions: Endotracheal Intubation
• Interventions: Device: C-MAC laryngoscope; Device: Macintosh laryngoscope

• Registration Number: NCT02681835
• Lead Sponsor: Medical University of Warsaw

Brief Summary

We therefore designed this randomized crossover study to compare C-MAC with Macintosh laryngoscope in emergency intubation performed by paramedics according to three different intubator positions.

Detailed Description

Not available

Study Timeline

• Study Start: 2016-02
• Study First Submitted: 2016-02-10
• Study First Submitted QC: 2016-02-11
• Study First Posted: 2016-02-12
• Status Verified: 2016-03
• Primary Completion: 2016-03
• Study Completion: 2016-03
• Last Update Submitted: 2016-03-08
• Last Update Posted: 2016-03-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 78

Inclusion Criteria

• give voluntary consent to participate in the study
• maximum 1 year of work experience in medicine
• minimum 50 clinical intubations
• paramedics

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
Position 2	Macintosh laryngoscope	Intubator is behind head of the victim, lies on the left side
Position 1	C-MAC laryngoscope	Standard position during intubation. Intubator is behind head of the victim, propped up on both elbows
Position 3	C-MAC laryngoscope	Intubator stands astride the victims, intubated using the face-to-face
Position 1	Macintosh laryngoscope	Standard position during intubation. Intubator is behind head of the victim, propped up on both elbows
Position 2	C-MAC laryngoscope	Intubator is behind head of the victim, lies on the left side
Position 3	Macintosh laryngoscope	Intubator stands astride the victims, intubated using the face-to-face

Primary Outcome Measures

Name	Time	Method
Time required for successful intubation	1 day

Secondary Outcome Measures

Name	Time	Method
cumulative success ratios related to time	1 day	cumulative success ratio was counted as percentage of successful intubations in time intervals in all scenarios
Cormack&Lehane grade	1 day	glottic view during intubation rate using Cormack\&Lehane grade
Dental Compression	1 day	the severity of the potential dental trauma was calculated based on previously described modified grading scale (Svoldelli, 2009)
Ease of intubation	1 day	To access subjective opinion about the difficulty of each intubation method, participants were asked to rate it on a visual analog scale (VAS) with a score from 1 (extremely easy) to 10 (extremely difficult).
success rate of intubation attempt	1 day	success rate of first, second and third intubation attempt

Trial Locations

Locations (1)

Medical University of Warsaw, Department of Emergency Medicine; 🇵🇱 Warsaw, Masovia, Poland