Pediatric Endotracheal Intubation During Resuscitation

Not Applicable

• Conditions: Cardiopulmonary; Pediatric
• Interventions: Device: McGRATH® MAC; Device: AirTraq; Device: GlideScope; Device: Miller

• Registration Number: NCT02286297
• Lead Sponsor: International Institute of Rescue Research and Education

Brief Summary

Endotracheal intubation (ETI) is perceived as the optimal method of providing and maintaining a clear and secure airway. The 2010 European Resuscitation Council (ERC) guidelines emphasized the importance of minimal interruption during cardiopulmonary resuscitation (CPR). These guidelines also suggest that skilled operators should be able to secure the airway without interrupting chest compression. The aim of the study was to compare time and success rates of different available video laryngoscopes and the Miller laryngoscope for emergency intubation during simulated pediatric CPR.

Detailed Description

Not available

Study Timeline

• Status Verified: 2014-11
• Study Start: 2014-11
• Primary Completion: 2014-11
• Study Completion: 2014-11
• Study First Submitted: 2014-11-05
• Study First Submitted QC: 2014-11-06
• Last Update Submitted: 2014-11-06
• Study First Posted: 2014-11-07
• Last Update Posted: 2014-11-07

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• give voluntary consent to participate in the study
• 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
Endotracheal intubation without chest compressions	McGRATH® MAC	Endotracheal intubation of mannikin during resuscitation without chest compressions.
Endotracheal intubation without chest compressions	AirTraq	Endotracheal intubation of mannikin during resuscitation without chest compressions.
Endotracheal intubation with uninterrupted chest compressions	Miller	Endotracheal intubation of 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.).
Endotracheal intubation without chest compressions	GlideScope	Endotracheal intubation of mannikin during resuscitation without chest compressions.
Endotracheal intubation without chest compressions	Miller	Endotracheal intubation of mannikin during resuscitation without chest compressions.
Endotracheal intubation with uninterrupted chest compressions	AirTraq	Endotracheal intubation of 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.).
Endotracheal intubation with uninterrupted chest compressions	GlideScope	Endotracheal intubation of 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.).
Endotracheal intubation with uninterrupted chest compressions	McGRATH® MAC	Endotracheal intubation of 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.).

Primary Outcome Measures

Name	Time	Method
Time to intubation	intraoperative	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	intraoperative	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.
Visual Analog scale (VAS) score	1 day	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