Evaluation and Comparison of a Modified Skalpell-Bougie-technique for Cricothyreotomie: Comparison of a Conventional and a Realistic Self-modified Model
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- evaluation of realistic applicability
研究概览
简要总结
According to the recently published german guidelines for the prehospital airway management regular training for cricothyroidotomy is recommended.
Even though participants prefer animal or cadaver trainingmodels, it is not possible to perform this comprehensive for a large number of participants due to organizational requirements like food hygiene, limited shelf-life and preparation time and expense.
Therefore the investigators modified an available for purchase cricothyroidotomy trainer (the AirSim Combo X) with everyday suitable and cost-effective utensils.
As a control group the investigators used a conventional simple plastic model.
详细描述
Obesity is an important risk factor for a cannot intubate cannot ventilate situation. Obese patients are more likely to require a cricothyroidotomy, due to failure rates of routine airway management. Relevant landmarks can be difficult to palpate. And the greater depth of the soft tissues overlying the larynx. Due to this reasons the investigators modified the adult intubation manikin AirSim Combo X with a drunk baby diaper to simulate the neck of an obese patient.
As a further modification the investigators prepared freezer bags filled with faked blood to simulate a possible bleeding.
35 medial doctors of the department of anesthesiology and 35 paramedics are going to perform two cricothyroidotomies in each model.
For the one time participants use the ScalpelCric Set and for the other time participants use the ScalpelCric Set plus a speculum.
Primary endpoint is the evaluation of reality of the two different manikins.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
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
- •written informed consent
- •german language in speaking and writing
- •capability of giving consent
排除标准
- •participants unwilling or unable to give informed consent
结局指标
主要结局
evaluation of realistic applicability
时间窗: 12 minutes
using Likert scale (1=very realistic, 2= realistic, 3= not very realistic, 4=unrealistic)
次要结局
- Time from initial handling equipment to a successful placement of the tracheal cannula(300 seconds)
研究者
Nina Pirlich, Dr. med.
Principle Investigator
Johannes Gutenberg University Mainz