Intubation of a Pediatric Manikin in Difficult Airway by Novice Personnel: A Comparison of Glidescope and Airtraq

Phase 4

Completed

• Conditions: Edema of the Tongue; Intubation; Difficult
• Interventions: Device: Glidescope; Device: Airtraq

• Registration Number: NCT02290249
• Lead Sponsor: Kocaeli University

Brief Summary

Background and aims: Glidescope and Airtraq were designed to facilitate intubation and to improve teaching intubation. The investigators want to find their efficacy in normal airway, tongue edema and face-to-face orotracheal intubation models by novice personal.

Material and Methods: After Kocaeli Human Researches Ethics Committee approval, thirty six medical students who were on the beginning of their third year were enrolled in this study. After watching a video about the intubation of one of these devices, they attempted to intubate an adult manikin in three different airway models in a random order; first in normal airway, second, tongue edema and finally, in an entrapped manikin by face-to-face approach with Glidescope or Airtraq. Intubation attempts, insertion and intubation times, success rates, Cormack-Lehane grades, need of maneuvers of these devices were recorded.

Detailed Description

Trauma victims mostly had to be intubated at the scene of the area with the paramedics. In a suspect of a cervical trauma, patients must be intubated with the least movement. Videolaryngoscopic techniques had several advantages at this condition. We want to investigate which can be used easily by novice personnel.

Study Timeline

• Study First Submitted: 2014-10-31
• Study Start: 2014-11
• Study First Submitted QC: 2014-11-10
• Study First Posted: 2014-11-14
• Primary Completion: 2014-12
• Study Completion: 2015-01
• Status Verified: 2015-03
• Last Update Submitted: 2015-03-31
• Last Update Posted: 2015-04-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 36

Inclusion Criteria

• medical students at their third year,
• novice personnel

Exclusion Criteria

• anesthesists,
• anesthesia residents,
• skilled investigators of tracheal intubation

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
tongue edema	Glidescope	intubation with glidescope or airtraq in tongue edema simulation
tongue edema	Airtraq	intubation with glidescope or airtraq in tongue edema simulation
normal airway	Glidescope	İntubation with glidescope or airtraq in normal airway
face-to-face	Glidescope	intubation with glidescope or airtraq in face-to-face intubation
face-to-face	Airtraq	intubation with glidescope or airtraq in face-to-face intubation
normal airway	Airtraq	İntubation with glidescope or airtraq in normal airway

Primary Outcome Measures

Name	Time	Method
intubation success rates	5 minutes	We recorded the first and total intubation success rates of the intubation with one of these devices

Secondary Outcome Measures

Name	Time	Method
intubation time	5 minutes	from the handling of the device till viewing the endotracheal tube entering the vocal cords
Esophageal intubation	5 minutes	is there an esophageal intubation occurred while inserting the tube or not
need of optimisation maneuvers	5 minutes	do we need an optimization maneuver while intubating or while viewing the glottis or not