Assessment of Provider Position for Prehospital Tracheal Intubation Using Direct Laryngoscopy: Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 72
- 试验地点
- 1
- 主要终点
- First Pass Success rate
研究概览
简要总结
Endotracheal intubation may be needed in critically ill patients in the prehospital setting, where difficult conditions may be encountered. The patient may be lying on the ground, thus complicating direct laryngoscopy as the operator's visual axis cannot be properly aligned with the patient's oral-pharyngeal-tracheal axis. The posture sitting cross-legged ("Lotus" position) at the head of the patient may allow an easier alignment of the visual axes due to a lower operator's head position and more stability. We compared the impact of the "Lotus" position with free positioning of the operator for direct laryngoscopy on intubation first pass success rate among novice operators.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •All resident doctors with 1 to 6 years of post-graduate experience working in the Emergency Department (ED) at Geneva University Hospitals (Hôpitaux Universitaires de Genève (HUG)) and penultimate year of medical school students (5th year) studying at University of Geneva Faculty of Medicine (UGFM) - Performed less than 10 ETIs prior to take part in the research
排除标准
- •More than 6 years of post-graduate experience
- •Performed more than 10 ETIs prior to take part in the research
研究组 & 干预措施
Free positioning
干预措施: Free positioning (Procedure)
Sitting cross-legged ("Lotus" position)
干预措施: Sitting cross-legged ("Lotus" position) (Procedure)
结局指标
主要结局
First Pass Success rate
时间窗: Periprocedural
In percentage, defined as achieving successful ETI on the initial attempt. An ETI attempt was counted since the laryngoscope blade was inserted at the dental arch, regardless of whether tracheal tube placement was attempted or not. ETI was considered successful when adequate ventilation was confirmed by chest elevation. The number of intubation attempts were limited to three, with a time limit of 60 seconds allowed per attempt.
次要结局
- Time to Intubation(Periprocedural)
- Time to Intubation for the first intubation attempt alone(Periprocedural)
- Number of intubations attempts(Periprocedural)
- Cormack and Lehane (CL) score(Periprocedural)
- Percentage Of Glottis Opening (POGO) score(Periprocedural)
- Subjective assessments(Periprocedural)
研究者
Cédric Cibotto
Principal Investigator
University Hospital, Geneva