Bougies as Aid for Endotracheal Intubation Via Video Laryngoscopy During Continuous Chest Compressions
- Conditions
- Endotracheal IntubationSimulationCardiopulmonary Resuscitation
- Interventions
- Device: Preloaded bougieDevice: StyletDevice: Railroaded bougie
- Registration Number
- NCT05689125
- Lead Sponsor
- Peking Union Medical College Hospital
- Brief Summary
The goal of this clinical trials is to analyze the effects of using bougies as adjuncts on the performance of endotracheal intubation via video laryngoscopy during cardiopulmonary resuscitation in anesthesia residents. The main question it aims to answer is whether bougie use has a significant effect on first-attempt failure of endotracheal intubation via video laryngoscopy during continuous chest compressions. Participants will perform endotracheal intubation via video laryngoscopy by four methods in a randomized order in a simulated cardiopulmonary resuscitation scenario on a manikin. The four methods are endotracheal intubations assisted by a railroaded bougie, assisted by a preloaded bougie, assisted by a stylet, and with no assistance. Researchers will compare the first-attempt failure rate of the four methods to see if a railroaded bougie method has a significant different first-attempt failure from that of the other three methods.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 65
- Residents who are enrolled in the three-year standardized residency training program in the Department of Anesthesiology, Peking Union Medical College Hospital in February, 2023.
- Residents who refuse to participate and residents who fail the pre-test.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Preloaded bougie Preloaded bougie An endotracheal tube is loaded onto a bougie prior to initiating laryngoscopy. Stylet Stylet A stylet is placed within an endotracheal tube prior to initiating laryngoscopy. Railroaded bougie Railroaded bougie An endotracheal tube is loaded onto a bougie posterior to the placement of the bougie into the trachea.
- Primary Outcome Measures
Name Time Method Failure on the first attempt At the completion of the intubation An attempt is terminated and defined as a failure when a resident tries for one minute but is still unable to start ventilation, or when a resident feels unable to succeed and decides to give up, or when a resident withdraws a laryngoscope blade, a bougie, or a tube out of the month after the initial insertion. This outcome will be measured based on videos of endotracheal intubation procedures recorded by a camera placed on the right side of the manikin.
- Secondary Outcome Measures
Name Time Method Overall intubation duration At the completion of the intubation Duration of the first attempt if it succeeds or the sum of the duration of both attempts if the first attempt fails. This outcome will be measured based on videos of endotracheal intubation procedures recorded by a camera placed on the right side of the manikin.
Failure on two attempts At the completion of the intubation If the first attempt of a method fails, the resident will be given a second opportunity of the same method. This outcome will be measured based on videos of endotracheal intubation procedures recorded by a camera placed on the right side of the manikin.
Duration of the first attempt At the completion of the intubation The time elapsed between the insertion of a laryngoscope blade into the month and either the start of ventilation in a successful attempt or the termination of a failed attempt. This outcome will be measured based on videos of endotracheal intubation procedures recorded by a camera placed on the right side of the manikin.
Self-reported intubation difficulty At the completion of the intubation 0-10 ranking scale with 0 representing "the easiest" and 10 "the most difficult" rated by the residents.
Trial Locations
- Locations (1)
Peking Union Medical College Hospital
🇨🇳Beijing, Beijing, China