Taipei City Hospital ZhongXing Branch, Emergency Department
试验速览
- 阶段
- 不适用
- 入组人数
- 200
- 试验地点
- 2
- 主要终点
- first pass success rate
研究概览
简要总结
In the previous study on mannekin, the investigators found stylet-assisted lifting of epiglottis is an useful technique on difficult airway (Cormack-Lehane grade IIIa, IIIb) without increasing subjective difficulty. It has no expenses other than the routine intubation process. Recently, the studies have proved that the bougie-assisted laryngoscopy can improve first pass intubation rate in the emergency department. However, bougie is a disposable device and may increased medical expenditure. The investigators will evaluate the safety of bougie and epiglottic lifting technique, as well as the first pass and overall success rate of intubation comparing to traditional video laryngoscopy and direct laryngoscopy.
详细描述
A better strategy of managing Cormack-Lehane Grade III had been investigated by our previous study. The investigators' research results had been accepted and published by the journal BioMeidcal Central Anesthesiology. The investigators will be eager to do the further clinical trial to investigate the impact of this technique clinically. Besides, bougie assisted intubation is a effective, evidenced-proved intervention. The investigators will also like to find out the prognosis differences between these two techniques.
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
- Double (Participant, Investigator)
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
- •all the patients present to the emergency department with airway emergency who need intubation
排除标准
- •age below 18 year-old
研究组 & 干预措施
bougie-assisted intubation
use bougie as guide, intubation with loading endotracheal tube under direct or video laryngoscopy
干预措施: bougie-assisted intubation (Device)
intubation with epiglottic lifting
Lifting of epiglottis with stylet-equipped endotracheal tube to assist intubation under direct or video laryngoscopy
干预措施: stylet-assisted epiglottic lifting (Procedure)
Traditional intubation
intubation under direct or video laryngoscopy without epiglottis lifting nor bougie-assited
结局指标
主要结局
first pass success rate
时间窗: through the intubation period, an average of 90 seconds
first pass sucess rate
duration of intubation
时间窗: through the intubation period, an average of 90 seconds
次要结局
- Immediate complications direct related to intubation process(through the intubation period, an average of 90 seconds)
- Overall success rate(within 48 hours of intubation)
研究者
Hung,Tzu-Yao
Director of emergency department
Taipei City Hospital