Videolaryngoscopy During CPR for Trauma Patients

Study Overview
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Brief Summary
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This is a clinical study based on collected video-clip data of cardiopulmonary resuscitation for patients with suspected neck injury in multiple trauma between 2011 and 2015. The study aimed to compare all possible factors relating to ETI performance during CPR for truma patients between experienced video-laryngoscopy and direct- laryngoscopy users.

Detailed Description
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Endotracheal intubation (ETI) is considered to be the best method of airway management during cardiopulmonary resuscitation (CPR). However ETI during CPR is a highly skill-dependent procedure, then it should be attempted only highly trained physicians. Especially, cervical immobilization by neck collar in truamatic patients is a great obstacle to successful ETI during CPR. Because of technical difficulty in using direct laryngoscopy (DL), various types of videolaryngoscopy (VL) devices have been developed to overcome the problems of DL. VL may be more useful to perform ETI during CPR for trauma patients with cervical immobilization. This study tried to compare the success rate of endotracheal intubation (ETI), speed of ETI, incidence of complications, and chest compression interruptions during cardiopulmonary resuscitation for trauma patients with suspected neck injury between intubators using the DL and the VL in a real clinical setting.

Official Title
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The Efficacy of Videolaryngoscopy During Cardiac-pulmonary Resuscitation (CPR) for Trauma Patients With Suspect Neck Injuries

Conditions
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Cardiopulmonary Arrest, Neck Injury Multiple

Intervention / Treatment
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* Procedure: Endotracheal Intubation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Multiple trauma patients with suspected neck injuries Arrest Patients Exclusion Criteria: Case of requesting the do-not attempt resuscitation before ETI already intubated case before arrival to hospital Cardiac arrest from non-traumatic causes

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: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: DL user<br>Experienced emergency physicians who primarily use the direct laryngoscopy (DL) for endotracheal intubation during cardio-pulmonary resuscitation. | Procedure: Endotracheal Intubation<br>* Insertion of endotracheal tube into the trachea and supply oxygen using the Ambu-bagging during cardiopulmonary resuscitation<br>|
| Active Comparator: VL user<br>Experienced emergency physicians who primarily use the videolaryngoscopy (VL) for endotracheal intubation during cardio-pulmonary resuscitation. | Procedure: Endotracheal Intubation<br>* Insertion of endotracheal tube into the trachea and supply oxygen using the Ambu-bagging during cardiopulmonary resuscitation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| First attempt successful ETI | Successfully insertion of endotracheal tube into trachea at first attempt | within 1 hour after emergency department visit | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the time to complete ETI from the beginning | the time from the advancement of the blade into the patient's mouth to the delivery of the first successful ventilation using the bag | within 1 hour after emergency department visit | 
| Occurance of complication | Presence of chest compression interruption, esophageal intubation and dental injuries | within 1 hour after emergency department visit | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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neck injury, intubation, Cardiopulmonary Resuscitation