Intubation During Pediatric Resuscitation

Not Applicable

• Conditions: Pediatric Manikin; Endotracheal Intubation; Cardiac Arrest
• Interventions: Device: Miller Laryngoscope; Device: The Berci-Kaplan DCI; Device: The AirTraq; Device: GlideScope GVL; Device: The Pentax AWS

• Registration Number: NCT02277015
• Lead Sponsor: International Institute of Rescue Research and Education

Brief Summary

The European Resuscitation Council (ERC) 2010 cardiopulmonary resuscitation (CPR) guidelines suggest that intubators should be able to secure the airway without interrupting chest compression. We examine the performance of the Berci-Kaplan DCI (BERCI), the GlideScope (GVL), the AirTraq, the Pentax AWS (Pentax) and the Miller laryngoscope (MIL) for endotracheal intubation (ETI) during pediatric resuscitation with and without chest compressions.

Detailed Description

Not available

Study Timeline

• Status Verified: 2014-10
• Study Start: 2014-10
• Study First Submitted: 2014-10-26
• Study First Submitted QC: 2014-10-27
• Study First Posted: 2014-10-28
• Primary Completion: 2014-11
• Study Completion: 2014-11
• Last Update Submitted: 2014-11-11
• Last Update Posted: 2014-11-13

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 94

Inclusion Criteria

• give voluntary consent to participate in the study
• minimum 1 year of work experience in emergency medicine
• experienced emergency medicine personnel (physicians, nurses, paramedics)

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
ETI without chest compressions	GlideScope GVL	Endotracheal intubation during pediatric resuscitation without chest compressions.
ETI without chest compressions	The Berci-Kaplan DCI	Endotracheal intubation during pediatric resuscitation without chest compressions.
ETI without chest compressions	The AirTraq	Endotracheal intubation during pediatric resuscitation without chest compressions.
ETI with chest compressions	Miller Laryngoscope	Endotracheal intubation during pediatric resuscitation with chest compressions. Chest compression was performed using LUCAS-2 (Physio-Control).
ETI with chest compressions	The Pentax AWS	Endotracheal intubation during pediatric resuscitation with chest compressions. Chest compression was performed using LUCAS-2 (Physio-Control).
ETI without chest compressions	Miller Laryngoscope	Endotracheal intubation during pediatric resuscitation without chest compressions.
ETI with chest compressions	The Berci-Kaplan DCI	Endotracheal intubation during pediatric resuscitation with chest compressions. Chest compression was performed using LUCAS-2 (Physio-Control).
ETI with chest compressions	GlideScope GVL	Endotracheal intubation during pediatric resuscitation with chest compressions. Chest compression was performed using LUCAS-2 (Physio-Control).
ETI without chest compressions	The Pentax AWS	Endotracheal intubation during pediatric resuscitation without chest compressions.
ETI with chest compressions	The AirTraq	Endotracheal intubation during pediatric resuscitation with chest compressions. Chest compression was performed using LUCAS-2 (Physio-Control).

Primary Outcome Measures

Name	Time	Method
Intubation Time	1 month	time in seconds required for a successful intubation attempt with the five different ETI devices

Secondary Outcome Measures

Name	Time	Method
Overall Success	intraoperative	Overall success rate will be defined as the total number of successful placements divided by the total number of patients treated.
Successful intubation	1 month	effectiveness of first, second, third intubation attempts and overall effectiveness intubation attempt using all intubation devices
First Pass Attempt	1 month	Endotracheal Intubation (ETI) attempt will be defined as tip of the laryngoscope blade passing the patient's lips. First attempt success rate will be defined as the number of successful placements occurring on the first attempt to place the endotracheal tube.
POGO score	1 month	self reported percentage og glottis opening (POGO) score
VAS score	1 month	To assess subjective opinion about the difficulty of the procedure, participants were asked to rate it on a visual analogue scale (VAS) with a score from 1 (very easy) to 5 (very difficult).
Preferred ETI device	1 month	participants were asked which method of ETI they would prefer in a real-life resuscitation.

Trial Locations

Locations (1)

International Institute of Rescue Research and Education; 🇵🇱 Warsaw, Masovia, Poland