Comparison of Video Laryngoscopy Versus Direct Laryngoscopy for Orotracheal Intubation Among Adults in Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 126
- 主要终点
- First pass success of video laryngoscopy in oro tracheal intubation
研究概览
简要总结
This is an open-label, single center, prospective, randomized, comparative, intervention study.
The goal of this study is to compare the success rate of video laryngoscopy vs direct laryngoscopy for first pass oro tracheal intubation. The other question it aims to answer are:
- To assess the adverse events during video laryngoscopy
- To assess the adverse events during direct Laryngoscopy
- To compare the first pass success rate of DL vs VL according to demographic profile (age and sex)
详细描述
All consecutive patients presenting in Emergency medicine room requiring intubation, will be recruited in this study after taking informed written consent from the patients' family, excluding those falling in exclusion criteria. Direct laryngoscopy will be done by Mackintosh Laryngoscope with blade no 3 or 4. Video Laryngoscopy will be done by Mcgrath Mac Video Laryngoscope in respective groups. Intubations will be done by ER physicians and Emergency fellows of Emergency department. The total number of required sample size will be calculated and the obtained number will be divided in a group of 21 with block of 6 each. After randomizing the group and the block from a computerized software, a total of 21 envelope will be prepared in a consecutive manner and the patient will be intubated as per the pre decided blocks. All the patients in emergency who require intubation and falling into the inclusion criteria will be assessed. Informed written consent will be taken from the patient's family explaining that they will be a part of study and either of the laryngoscopy method will be used in them. Informed consent will be taken by one of the investigators, (ER physicians and emergency medicine fellow) who will be performing intubations in them.Inclusion criteria-
- Age 18 years
- Patient requiring orotracheal intubation
- Those who give written informed consent
Exclusion criteria-
- Pregnancy
- Intubations done by medical officers
Randomization-
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18 years
- •Patient requiring orotracheal intubation
- •Those who give written informed consent
排除标准
- •Intubations done by medical officers
结局指标
主要结局
First pass success of video laryngoscopy in oro tracheal intubation
时间窗: 1 year
success of oro tracheal intubation during VL
First pass success of direct laryngoscopy in oro tracheal intubation
时间窗: 1 year
success of oro tracheal intubation during DL
次要结局
- Better visualization of Cormack-Lehane grading between two methods(1 year)
- Complications rates between two methods.(1 year)
- Use of alternative methods for ventilation or oxygenation between two methods(1 year)
研究者
Rony Maharjan
Doctor, Lecturer, Department of General practice and Emergency medicine, Priniciple Investigator
Patan Academy of Health Sciences