Pediatric Intubation by Nurses

Not Applicable

• Conditions: Intubation; Cardiac Arrest
• Interventions: Device: AWS; Device: Intubrite; Device: AirTraq; Device: MIL

• Registration Number: NCT02294916
• Lead Sponsor: International Institute of Rescue Research and Education

Brief Summary

The purpose of this study was to compare the Pentax AWS, Intubrite and AirTraq to Miller laryngoscope during pediatric resuscitation with and without chest compressions.

Detailed Description

Endotracheal intubation (ETI) is a life-saving procedure performed daily in emergency medicine. The European Resuscitation Council (ERC) 2010 cardiopulmonary resuscitation (CPR) guidelines suggest that intubators should be able to secure the airway without interrupting chest compression. However, ETI with uninterrupted chest compression in patients can be a very difficult skill to acquire.

Study Timeline

• Status Verified: 2014-11
• Study Start: 2014-11
• Study First Submitted: 2014-11-16
• Study First Submitted QC: 2014-11-16
• Last Update Submitted: 2014-11-16
• Study First Posted: 2014-11-19
• Last Update Posted: 2014-11-19
• Primary Completion: 2014-12
• Study Completion: 2014-12

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 - nurses

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
Child ETI withoutchest compressions	Intubrite	Endotracheal intubation of pediatric mannikin during resuscitation without chest compressions.
Child ETI withoutchest compressions	AirTraq	Endotracheal intubation of pediatric mannikin during resuscitation without chest compressions.
Child ETI with chest compressions	Intubrite	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.).
Child ETI withoutchest compressions	MIL	Endotracheal intubation of pediatric mannikin during resuscitation without chest compressions.
Child ETI with 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.).
Child ETI with chest compressions	MIL	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.).
Child ETI withoutchest compressions	AWS	Endotracheal intubation of pediatric mannikin during resuscitation without chest compressions.
Child ETI with chest compressions	AWS	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	1 day	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 day	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.
Cormack-Lehan scale	1day	self reported Cormack-Lehan scale during intubation
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