Pre Hospital Evaluation of Video Laryngoscopy

Study Overview
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Brief Summary
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The objective of this work is to compare standard intubation with video laryngoscope (Glide scope Ranger ) in French pre hospital multicentric study.

Detailed Description
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Introduction: In France, patients in critical status brought to hospital by emergency physicians and nurses experimented in tracheal intubation. It is an invasive act allowing a protection of airways and an optimal oxygenation of the patients in distress. The reference technique is the direct laryngoscopy by Macintosh . Corresponding data shows that a video laryngoscope - GLIDESCOPE laryngoscope - improve the conditions of intubation in the surgical unit thanks to a better display(visualization) of the opening. A derived device for pre hospital emergency units (GLIDESCOPE Ranger®) deserves to be compared with the classic laryngoscopy in emergency conditions. Objectives: compare the emergency intubation in Pre hospital meadow by Glide Scope Ranger with regard to the classic method Progress of the study: the patients will be included by emergency physicians working in out of hospital teams of 3 major hospitals of Paris. The patients will be randomized in 2 groups: 1 group classic laryngoscopy (group 1) and a group Glide scope Ranger (group 2). The score IDS will be compared for every group as well as the arisen of a complication during the procedure. The consent will be collected on the place or during the hospitalization.

Official Title
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Pre Hospital Evaluation of Video Laryngoscopy : a Comparative Study of Macintosh and GLIDESCOPE Ranger®

Conditions
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Cardiac Arrest, Respiratory Distress Syndrome, Shock, Acute Post-trauma Stress State, Drug Toxicity, Trauma, Nervous System

Intervention / Treatment
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* Device: Classical intubation
* Device: GLIDESCOPE


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients of more than 18 years old requiring an intubation by medical out of hospital emergency operators medical insurance Consent signed Exclusion Criteria: Age <18, pregnant women Refusal of consent or inability for understanding study small mouth opening makes it impossible intubate

Ages Eligible for Study
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Minimum Age: 18 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: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: 1: Classical intubation<br> | Device: Classical intubation<br>* Classical intubation<br>|
| Experimental: 2: Glidescope intubation<br> | Device: GLIDESCOPE<br>* GLIDESCOPE intubation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| IDS score in each group |  | during the intubation | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Vomit / regurgitation or inhalation per-procedure |  | during the intubation | 
| Dental or throat traumatism |  | during the intubation | 
| Broncho/laryngospasm |  | during the intubation | 
| Hypoxia |  | per intubation | 
| Hemodynamic instability |  | per intubation | 
| Inhalation pneumonia |  | within 24 hours following the inclusion | 
| Failure of intubate |  | during the intubation | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Emergency intubation, Glide scope Ranger, Pre hospital