Pediatric Intubation During Resuscitation

Not Applicable

• Conditions: Resuscitation; Intubation
• Interventions: Device: Shikani Optical Stylet; Device: Endoeye Flexible Intubation (LF-V)

• Registration Number: NCT02277405
• Lead Sponsor: International Institute of Rescue Research and Education

Brief Summary

The aim of the study was to compare time and success rates of four intubation devices in a cardiopulmonary scenario with and without chest compressions with a standardized pediatric manikin model.

Detailed Description

Emergency airway management during resuscitation is a critical skill in emergency medicine. According to the European Resuscitation Council (ERC) guidelines for resuscitation 2010 , endotracheal intubation (ETI) is considered the gold standard during resuscitation.

Study Timeline

• Status Verified: 2014-10
• Study Start: 2014-10
• Study First Submitted: 2014-10-27
• Study First Submitted QC: 2014-10-27
• Last Update Submitted: 2014-10-27
• Study First Posted: 2014-10-29
• Last Update Posted: 2014-10-29
• Primary Completion: 2014-11
• Study Completion: 2014-11

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 150

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
Intubation with uninterrupted chest compressions	Endoeye Flexible Intubation (LF-V)	Endotracheal intubation of pediatric mannikin during resuscitation with uninterrupted chest compressions. In order to simulate the difficulties associated with intubation during uninterrupted chest compressions, CPR was performed by using LUCAS-2 (Physio-Control, Redmond, WA, U.S.).
Intubation without chest compressions	Shikani Optical Stylet	Endotracheal intubation of pediatric mannikin during resuscitation without chest compressions.
Intubation with uninterrupted chest compressions	Shikani Optical Stylet	Endotracheal intubation of pediatric mannikin during resuscitation with uninterrupted chest compressions. In order to simulate the difficulties associated with intubation during uninterrupted chest compressions, CPR was performed by using LUCAS-2 (Physio-Control, Redmond, WA, U.S.).
Intubation without chest compressions	Endoeye Flexible Intubation (LF-V)	Endotracheal intubation of pediatric mannikin during resuscitation without chest compressions.

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
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.
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