Endotracheal Intubation During Resuscitation

Study Overview
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Brief Summary
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We hypothesized that the BONFILS is beneficial for intubation of manikins while performing CPR. In the current study we compared the performance of the BONFILS and the Macintosh laryngoscopes with respect to their effectiveness and time to successful ETI during chest compression (CC) using an adult manikin.

Official Title
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Can the Bonfils Intubation Fiberscope Rival the Macintosh Laryngoscope During Resuscitation With Uninterrupted Chest Compression?

Conditions
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Cardiac Arrest

Intervention / Treatment
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* Device: Bonfils
* Device: Macintosh


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 medical personnel (paramedics, nurses, physicians) 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: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Endotracheal intubation without chest compressions<br>Endotracheal intubation of mannikin during resuscitation without chest compressions. | Device: Bonfils<br>* Bonfils Intubation Fiberoscope<br>Device: Macintosh<br>* Direct laryngoscopy using Macintosh Laryngoscope<br>|
| Experimental: Endotracheal intubation with uninterrupted chest compressions<br>Endotracheal intubation of mannikin during resuscitation with uninterrupted chest compressions. In order to simulate the difficulties associated with intubation during uninterrupted chest compressions, CPR was performed by using LUCAS-2 (Physio-Control, Redmond, WA, U.S.). | Device: Bonfils<br>* Bonfils Intubation Fiberoscope<br>Device: Macintosh<br>* Direct laryngoscopy using Macintosh Laryngoscope<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time to intubation | time from insertion of the blade to the first manual ventilation of the manikin´s lungs. If time of intubation is over than 60 seconds, attempt was recognized as failure. | intraoperative | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Success of intubation | effectiveness of the first, second and third intubation attempts and overall effectiveness of intubation by participants using four intubation devices. If the examinee failed at all attempts, the case was excluded from the time calculations. | intraoperative | 
| POGO score | self-reported percentage of glottis opening (POGO) score | 1 day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Intubation, Endotracheal