Videolaryngoscopy During CPR for Trauma Patients

Not Applicable

Completed

• Conditions: Neck Injury Multiple; Cardiopulmonary Arrest
• Interventions: Procedure: Endotracheal Intubation

• Registration Number: NCT03252886
• Lead Sponsor: Konkuk University Medical Center

Brief Summary

This is a clinical study based on collected video-clip data of cardiopulmonary resuscitation for patients with suspected neck injury in multiple trauma between 2011 and 2015. The study aimed to compare all possible factors relating to ETI performance during CPR for truma patients between experienced video-laryngoscopy and direct- laryngoscopy users.

Detailed Description

Endotracheal intubation (ETI) is considered to be the best method of airway management during cardiopulmonary resuscitation (CPR). However ETI during CPR is a highly skill-dependent procedure, then it should be attempted only highly trained physicians. Especially, cervical immobilization by neck collar in truamatic patients is a great obstacle to successful ETI during CPR.

Because of technical difficulty in using direct laryngoscopy (DL), various types of videolaryngoscopy (VL) devices have been developed to overcome the problems of DL. VL may be more useful to perform ETI during CPR for trauma patients with cervical immobilization.

This study tried to compare the success rate of endotracheal intubation (ETI), speed of ETI, incidence of complications, and chest compression interruptions during cardiopulmonary resuscitation for trauma patients with suspected neck injury between intubators using the DL and the VL in a real clinical setting.

Study Timeline

• Study Start: 2011-03-01
• Primary Completion: 2015-03-01
• Study Completion: 2015-03-01
• Study First Submitted: 2017-08-14
• Study First Submitted QC: 2017-08-14
• Study First Posted: 2017-08-17
• Status Verified: 2017-12
• Last Update Submitted: 2017-12-16
• Last Update Posted: 2017-12-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Multiple trauma patients with suspected neck injuries
• Arrest Patients

Exclusion Criteria

• Case of requesting the do-not attempt resuscitation before ETI
• already intubated case before arrival to hospital
• Cardiac arrest from non-traumatic causes

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
VL user	Endotracheal Intubation	Experienced emergency physicians who primarily use the videolaryngoscopy (VL) for endotracheal intubation during cardio-pulmonary resuscitation.
DL user	Endotracheal Intubation	Experienced emergency physicians who primarily use the direct laryngoscopy (DL) for endotracheal intubation during cardio-pulmonary resuscitation.

Primary Outcome Measures

Name	Time	Method
First attempt successful ETI	within 1 hour after emergency department visit	Successfully insertion of endotracheal tube into trachea at first attempt

Secondary Outcome Measures

Name	Time	Method
Occurance of complication	within 1 hour after emergency department visit	Presence of chest compression interruption, esophageal intubation and dental injuries
the time to complete ETI from the beginning	within 1 hour after emergency department visit	the time from the advancement of the blade into the patient's mouth to the delivery of the first successful ventilation using the bag

Trial Locations

Locations (1)

Department of Emergency Medicine, Konkuk University Medical center; 🇰🇷 Seoul, Korea, Republic of