Laryngoscope Versus CMAC for Endotracheal Intubation in Patients Undergoing Emergent Airway Management
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 入组人数
- 198
- 试验地点
- 2
- 主要终点
- Time to Intubation
研究概览
简要总结
Randomized controlled trial of intubation using the C-MAC video laryngoscope versus standard laryngoscopy. Patients who are going to be intubated using standard laryngoscopy will be randomized to have their first intubation attempt done using either standard laryngoscopy or the C-MAC video laryngoscope. Subsequent attempts will be at the discretion of the treating physician.
详细描述
Experimental Design and Methods:
This will be a prospective randomized controlled trial of intubation using the C-MAC video laryngoscope versus standard laryngoscopy for patients requiring emergent intubation in the Emergency Department.
Study Setting and Population:
This study will be performed at an urban county medical center with approximately 97,000 patient visits per year. Adult patients (age >17) requiring intubation will be enrolled.
Study Protocol:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients (age >17) requiring emergent endotracheal intubation in the Emergency Department using direct laryngoscopy
排除标准
- •Physician intends to intubate with a device other than a direct laryngoscope
研究组 & 干预措施
Direct Laryngoscopy
Patients will undergo their first intubation attempt with direct laryngoscopy using the CMAC device without video assistance. The video monitor with be covered with a hood.
干预措施: Direct Laryngoscopy (Procedure)
CMAC
Patients will undergo their first intubation attempt using the CMAC videolaryngoscope using video assistance
干预措施: CMAC videolaryngoscope (Procedure)
结局指标
主要结局
Time to Intubation
时间窗: From the time the first device entered the patients mouth until successful intubation up to 1 hour
The time in seconds from the time at which the intubating device is first placed in the patient's mouth until the time of successful intubation
First Pass Success in Patients Undergoing Emergency Intubation, Intubated With Either Direct Larynogoscopy or Video Laryngoscopy Using a C-MAC Device.
时间窗: During intubation procedure up to 1 hour
An attempt is counted as the intubating device entering the patients mouth until it is removed. Intubation success is defined as the endotracheal tube being placed in the patients lungs as confirmed by auscultation and end tidal carbon dioxide
次要结局
- Aspiration Pneumonia(from the time of hospital admission up to 28 days)
- Incidence of Hypoxia(From the start of the procedure until successful intubation up to 1 hour)
- Failed Intubation(from the start of the procedure until successful intubation up to one hour)
- Length of Stay(From the time of hospital admission until discharge up to 28 days)