Compare Outcomes of CPR Between the Video-laryngoscopy (VL) Users and the Direct-laryngoscopy (DL) Users

Not Applicable

Completed

• Conditions: Cardiopulmonary Arrest
• Interventions: Procedure: Endotracheal Intubation

• Registration Number: NCT03256019
• Lead Sponsor: Konkuk University Medical Center

Brief Summary

This is a clinical study based on the analysis of video-clip data of cardiopulmonary resuscitation (CPR) and clinical data for out of hospital cardiac arrest patients between 2011 and 2015. Aim of study is to compare the endotracheal intubation performance and CPR outcomes between videolaryngoscopy (VL) and direct laryngoscopy (DL) users.

Detailed Description

Endotracheal intubation (ETI) has been 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. Because of technical difficulty in using direct laryngoscopy (DL), various types of videolaryngoscopy (VL) devices using micro-camera technology have been designed to overcome the problems of DL.

This study tried to compare the recovery of spontaneous circulation (ROSC) and survival discharge between use of standard device (DL) and VL in a real clinical setting. In addition, this study also compare the first pass success rate of ETI,speed of ETI, incidences of complications, and chest compression interruptions during cardiopulmonary resuscitation between both device users.

Study Timeline

• Study Start: 2011-03-01
• Primary Completion: 2016-03-01
• Study Completion: 2016-03-01
• Study First Submitted: 2017-08-17
• Study First Submitted QC: 2017-08-17
• Study First Posted: 2017-08-21
• Status Verified: 2017-12
• Last Update Submitted: 2017-12-17
• Last Update Posted: 2017-12-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 600

Inclusion Criteria

• Patients who suffer sudden out-of hospital cardiac arrest

Exclusion Criteria

• Cardiac arrests from multiple trauma
• Cases of requesting the do-not attempt resuscitation before ETI
• Intubated cases before arrival to emergency department

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

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

Primary Outcome Measures

Name	Time	Method
Survival with good neurologic outcome	6 months after emergency department visit	Survived patients who were conscious and able to perform independent activities of daily life (CPC1 or CPC2)

Secondary Outcome Measures

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