Endotracheal Intubation Devices

Not Applicable

• Conditions: Intubation
• Interventions: Device: The Miller Laryngoscope; Device: The Bonfils intubation fibrescope; Device: The GlideScope Ranger; Device: The Supraglottic Airway Laryngopharyngeal Tube (SALT)

• Registration Number: NCT02277652
• Lead Sponsor: International Institute of Rescue Research and Education

Brief Summary

The purpose of this study was to compare the four different intubation devices in 6 different scenarios.

Detailed Description

Not available

Study Timeline

• Study Start: 2014-10
• Study First Submitted: 2014-10-26
• Study First Submitted QC: 2014-10-26
• Study First Posted: 2014-10-29
• Status Verified: 2014-11
• Primary Completion: 2014-11
• Study Completion: 2014-11
• Last Update Submitted: 2014-11-11
• Last Update Posted: 2014-11-13

Recruitment & Eligibility

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

Inclusion Criteria

• give voluntary consent to participate in the study
• minimum 1 year of work experience in emergency medicine
• experienced emergency medical personnel (paramedics, nurses, physicians)

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
Scenario 2: Neutral position	The Miller Laryngoscope	ETI performed in neutral mannikin head position
Scenario 3: Sniffing position	The Miller Laryngoscope	ETI performed in sniffing mannikin head position
Scenario 3: Sniffing position	The GlideScope Ranger	ETI performed in sniffing mannikin head position
Scenario 3: Sniffing position	The Supraglottic Airway Laryngopharyngeal Tube (SALT)	ETI performed in sniffing mannikin head position
Scenario 6: Immobilized cervical spine	The Miller Laryngoscope	ETI performed during mannikin immobilized cervical spine scenario
Scenario 5: Swollen tongue	The Supraglottic Airway Laryngopharyngeal Tube (SALT)	ETI performed during mannikin swollen tongue scenario
Scenario 1: Uninterrupted chest compressions	The Miller Laryngoscope	Endotracheal intubation (ETI) during pediatric manikin with uninterrupted chest compressions. Chest compression was performed using LUCAS-2 (Physio-Control, USA).
Scenario 2: Neutral position	The Bonfils intubation fibrescope	ETI performed in neutral mannikin head position
Scenario 3: Sniffing position	The Bonfils intubation fibrescope	ETI performed in sniffing mannikin head position
Scenario 4: Pharyngeal swelling	The GlideScope Ranger	ETI performed during mannikin pharyngeal swelling scenario
Scenario 5: Swollen tongue	The Miller Laryngoscope	ETI performed during mannikin swollen tongue scenario
Scenario 1: Uninterrupted chest compressions	The Bonfils intubation fibrescope	Endotracheal intubation (ETI) during pediatric manikin with uninterrupted chest compressions. Chest compression was performed using LUCAS-2 (Physio-Control, USA).
Scenario 2: Neutral position	The Supraglottic Airway Laryngopharyngeal Tube (SALT)	ETI performed in neutral mannikin head position
Scenario 4: Pharyngeal swelling	The Bonfils intubation fibrescope	ETI performed during mannikin pharyngeal swelling scenario
Scenario 1: Uninterrupted chest compressions	The GlideScope Ranger	Endotracheal intubation (ETI) during pediatric manikin with uninterrupted chest compressions. Chest compression was performed using LUCAS-2 (Physio-Control, USA).
Scenario 1: Uninterrupted chest compressions	The Supraglottic Airway Laryngopharyngeal Tube (SALT)	Endotracheal intubation (ETI) during pediatric manikin with uninterrupted chest compressions. Chest compression was performed using LUCAS-2 (Physio-Control, USA).
Scenario 2: Neutral position	The GlideScope Ranger	ETI performed in neutral mannikin head position
Scenario 6: Immobilized cervical spine	The Bonfils intubation fibrescope	ETI performed during mannikin immobilized cervical spine scenario
Scenario 4: Pharyngeal swelling	The Miller Laryngoscope	ETI performed during mannikin pharyngeal swelling scenario
Scenario 4: Pharyngeal swelling	The Supraglottic Airway Laryngopharyngeal Tube (SALT)	ETI performed during mannikin pharyngeal swelling scenario
Scenario 6: Immobilized cervical spine	The Supraglottic Airway Laryngopharyngeal Tube (SALT)	ETI performed during mannikin immobilized cervical spine scenario
Scenario 5: Swollen tongue	The Bonfils intubation fibrescope	ETI performed during mannikin swollen tongue scenario
Scenario 5: Swollen tongue	The GlideScope Ranger	ETI performed during mannikin swollen tongue scenario
Scenario 6: Immobilized cervical spine	The GlideScope Ranger	ETI performed during mannikin immobilized cervical spine scenario

Primary Outcome Measures

Name	Time	Method
Time to intubation	1 month	time from insertion of the blade to the first manual ventilation of the manikin´s lungs. If time of intubation is over than 60 seconds, attempt was recognized as failure.

Secondary Outcome Measures

Name	Time	Method
Cormack-Lehane grading	1 month	self-reported percentage the vocal cord visualization using the Cormack-Lehane grading (grade 1-4)
Success of intubation	1 month	effectiveness of the first, second and third intubation attempts and overall effectiveness of intubation by participants using four intubation devices. If the examinee failed at all attempts, the case was excluded from the time calculations.
POGO score	1 month	self-reported percentage of glottis opening (POGO) score
VAS score	1 month	participants were asked which method they would prefer in a real-life resuscitation.

Trial Locations

Locations (1)

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