The Use of the GlideScope Ranger in Pediatric Critical Care Transport

Study Overview
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Brief Summary
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This study seeks to assess the role of the GlideScope Ranger video laryngoscope in facilitating successful neonatal/pediatric intubation by pediatric critical care transport teams. The central hypothesis of this study is that the GlideScope Ranger video laryngoscope reduces the rates of failed intubation attempts by pediatric critical care transport teams. The aims of this project are designed to specifically: (1) Establish competencies for GlideScope Ranger video laryngoscopy-assisted intubation for pediatric and neonatal patients; and (2) Compare the intubation success rates for intubation using GlideScope Ranger video laryngoscopy and using conventional, direct laryngoscopy by pediatric and neonatal critical care transport teams.

Official Title
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The Use of the GlideScope Ranger in Pediatric Critical Care Transport

Conditions
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Respiratory Failure

Intervention / Treatment
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* Device: GlideScope Ranger Intubation
* Device: Direct Laryngoscopy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: age < 18 years Presence of respiratory failure requiring tracheal intubation by the Critical Care Transport Team either at the referring institution or during the transport to the receiving institution Ability of parent or legal guardian to provide written informed consent Exclusion Criteria: Patients 18+ years of age Patient has a functioning tracheostomy Patient does not require orotracheal intubation

Ages Eligible for Study
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Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intubation using GlideScope Ranger<br>The study site has two critical care transport teams per shift and will, at shift change, assign intubation team A to use the GlideScope Ranger for all intubations on that day. | Device: GlideScope Ranger Intubation<br>* Intubation with GlideScope Ranger Video Laryngoscope<br>|
| Active Comparator: intubation using direct laryngoscopy<br>The study site has two critical care transport teams per shift and will, at shift change, assign intubation team B. Team B will do intubations using direct laryngoscopy only that day. | Device: Direct Laryngoscopy<br>* Intubations will be done with direct laryngoscopy.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percent of Participants With Successful 1st Intubation Attempt | Percent of participants with successful 1st intubation attempt by group (GVL vs. DL) | 30 days | 
| Overall Successful Intubation Rate: GlideScope Video Laryngoscopy (GVL) vs. Direct Laryngoscopy (DL). | Overall successful intubation rate defined as all successful intubations (by type) divided by all attempts (by type). | 30 days; no long-term outcome measures were included | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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respiratory failure, intubation, GlideScope, pediatric