Anesthesiologists Learning to Use Videolaryngoscopes in Children
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Alberta
- Enrollment
- 646
- Locations
- 1
- Primary Endpoint
- Success in Learning to Use a Videolaryngoscope(VLS)
Study Overview
Brief Summary
There are two new instruments on the market that anesthesiologists use when putting a breathing tube into the lungs of patients. The purpose of this study is to see how easily anesthesiologists can learn to use them in children.
Detailed Description
Each anesthesiologist performed 20 timed baseline intubations. They were then randomized to perform 20 timed intubations with one of the two new videolaryngoscopes followed by 20 with the other new videolaryngoscope. The goal was to see how quickly they could become proficient.
Study Design
- Study Type
- Observational
- Observational Model
- Case Crossover
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- — to 17 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Not provided
Exclusion Criteria
- •Children with raised intracranial pressure
- •Children with potential cervical spine injuries
- •Children at risk for regurgitation because of a full stomach
- •Children who were anticipated to have a difficult airway based on their physical appearance or previous experience were excluded.
- •Inclusion Criteria for Anesthesiologist Population:
- •*Anesthesiologists who care for children at Stollery Children's Hospital
- •Exclusion Criteria for Anesthesiologist Population:
Outcomes
Primary Outcomes
Success in Learning to Use a Videolaryngoscope(VLS)
Time Frame: Up to 5 minutes per intubation
Anesthesiologists were to perform 20 intubations with each videolaryngoscopes. #1-10 were for practice. "Rapid Success" was no failed intubation attempts on #11-20 and a median time-to-intubation no more than 50% longer than their baseline median time-to-intubation on #11-15 . "Delayed Success" was achieving these same parameters on #16-20 if they were not achieved on #11-15. Operators who did not achieve either goal were labeled as having "No Success".
Secondary Outcomes
- Cormack & Lehane Score(reported during intubation (up to 5 minutes))
- Time to Intubation, Analyzed by Order of Laryngoscopes Used(4 years)
- Time to Intubation, Stratified by Weight of Patients(4 years)
- Mean Years Since Completion of Anesthesiology Residency(Baseline (assessed as of 2008))
- Number of Intubation Attempts to Reach "Best Obtainable Time to Intubation"(less than 5 minutes per intubation)
Investigators
Joan Robinson
Physician
University of Alberta