Intubation During Pediatric Resuscitation

Study Overview
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Brief Summary
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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.

Official Title
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Pediatric Tracheal Intubation Using Four Video-laryngoscopes and the Miller Laryngoscope With and Without Chest Compressions

Conditions
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Cardiac Arrest, Endotracheal Intubation, Pediatric Manikin

Intervention / Treatment
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* Device: Miller Laryngoscope
* Device: The Berci-Kaplan DCI
* Device: The AirTraq
* Device: GlideScope GVL
* Device: The Pentax AWS


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: ETI without chest compressions<br>Endotracheal intubation during pediatric resuscitation without chest compressions. | Device: Miller Laryngoscope<br>* Direct Laryngoscopy<br>Device: The Berci-Kaplan DCI<br>* Videolaryngoscope-1<br>Device: The AirTraq<br>* Videolaryngoscope-2<br>Device: GlideScope GVL<br>* Videolaryngoscope-3<br>Device: The Pentax AWS<br>* Videolaryngoscope-4<br>|
| Experimental: ETI with chest compressions<br>Endotracheal intubation during pediatric resuscitation with chest compressions. Chest compression was performed using LUCAS-2 (Physio-Control). | Device: Miller Laryngoscope<br>* Direct Laryngoscopy<br>Device: The Berci-Kaplan DCI<br>* Videolaryngoscope-1<br>Device: The AirTraq<br>* Videolaryngoscope-2<br>Device: GlideScope GVL<br>* Videolaryngoscope-3<br>Device: The Pentax AWS<br>* Videolaryngoscope-4<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Intubation Time | time in seconds required for a successful intubation attempt with the five different ETI devices | 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Successful intubation | effectiveness of first, second, third intubation attempts and overall effectiveness intubation attempt using all intubation devices | 1 month | 
| POGO score | self reported percentage og glottis opening (POGO) score | 1 month | 
| VAS score | 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). | 1 month | 
| Preferred ETI device | participants were asked which method of ETI they would prefer in a real-life resuscitation. | 1 month | 
| First Pass Attempt | 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. | 1 month | 
| Overall Success | Overall success rate will be defined as the total number of successful placements divided by the total number of patients treated. | intraoperative |