Supraglottic Airway Devices in Pediatric Difficult Airway Situations

Study Overview
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Brief Summary
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The purpose of the study is to compare three supraglottic airway devices (Combitube, Easytube, laryngeal mask airway) to endotracheal intubation in a simulated difficult airway scenario in a pediatric manikin.

Detailed Description
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Supraglottic airway devices (SAD) have been designed for the cannot intubate, cannot ventilate scenario in prehospital as well as intrahospital settings and are utilized in medical emergency services and emergency departments all over the world, not only for anticipated and unanticipated difficult airway situations but also as an airway device used by non-anesthesiologists or in situations where only limited practice is possible. Securing an airway in a pediatric emergency situation is crucial. Unfortunately, pediatricians usually lack the required skills and regular practice to perform endotracheal intubation (ETI, which is the gold standard for securing an airway) quickly and safely. SADs would pose a safe and feasible alternative to ETI. However, no studies on this topic are available. The investigators therefore wanted to evaluate three different SADs (Combitube, Easytube, laryngeal mask airway) in simulated difficult airway situations in a pediatric manikin in comparison to ETI.

Official Title
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Comparison of Three Different Supraglottic Airway Devices and Endotracheal Intubation in Pediatric Difficult Airway Situations in a Manikin

Conditions
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Airway Morbidity, Emergencies

Intervention / Treatment
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* Device: Combitube, Easytube, Laryngeal masks


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: pediatricians residents interns written informed consent form Exclusion Criteria: none

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 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
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Combitube, Easytube, Laryngeal masks<br>Combitube, Easytube, Laryngeal mask airway are intubated in pediatric airway manikins by probands in randomized order. | Device: Combitube, Easytube, Laryngeal masks<br>* Supraglottic airway device<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time to successful ventilation |  | 1 min | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Success rate |  | 1 min | 
| Rating of the device (questionnaire) | questionnaire, ratings from 1 (best) to 5 (worst) | 1 min | 
| Re-assessment of success rate after 3 months |  | 3 months | 
| Re-assessment of time to successful ventilation after 3 months |  | 3 months |