Intubation on a Paediatric Manikin by Emergency Staff: a Comparison of Airtraq and Glidescope

Study Overview
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Brief Summary
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After Local Human Research Ethics Committee approval, emergency medical staff enrolled in this study. After watching a video about the intubation using Airtraq, Glidescope or direct laryngoscopy, they attempted to intubate a pediatric manikin in three different airway models.

Detailed Description
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After Local Human Research Ethics Committee approval, emergency medical staff enrolled in this study. After watching a video about the intubation using Airtraq , Glidescope or direct laryngoscopy, they attempted to intubate a pediatric manikin in three different airway models; normal airway, tongue edema and an entrapped model by face-to-face approach. Intubation attempts, insertion and intubation times, success rates, Cormack-Lehane grades and the need for maneuvers of these devices were recorded.

Official Title
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Intubation on a Pediatric Manikin by Emergency Medical Staff: a Comparison of Direct Laryngoscopy, Airtraq and Glidescope in Normal, Tongue Edema and Face-to-face Intubation Models

Conditions
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Difficult Intubation

Intervention / Treatment
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* Device: Airtraq
* Device: Glidescope
* Device: direct laryngoscopy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: pediatric Exclusion Criteria: adult

Ages Eligible for Study
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Minimum Age: 2 Years
Maximum Age: 7 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: Diagnostic
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: normal<br>intubation of a normal airway pediatric manikin with direct laryngoscopy, airtraq , glidescope | Device: Airtraq<br>* videolaryngoscope for difficult airway<br>Device: Glidescope<br>* videolaryngoscope for difficult airway<br>Device: direct laryngoscopy<br>* gold standart for intubation<br>|
| Active Comparator: tongue edema<br>intubation of a tongue edema simulated pediatric manikin with diract laryngoscopy, glidescope and airtraq | Device: Airtraq<br>* videolaryngoscope for difficult airway<br>Device: Glidescope<br>* videolaryngoscope for difficult airway<br>Device: direct laryngoscopy<br>* gold standart for intubation<br>|
| Active Comparator: face-to-face intubation<br>intubation of an entrapped pediatric manikin with diract laryngoscopy, glidescope and airtraq | Device: Airtraq<br>* videolaryngoscope for difficult airway<br>Device: Glidescope<br>* videolaryngoscope for difficult airway<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| intubation time | handling of the device till visualization of the tube entering through the vocal cords | 120 seconds | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| need of maneuvers (mender applied or not) | maneuver applied or not | intraoperative | 
| esophageal intubation (eosophageal intubation occured or not) | eosophageal intubation occured or not | intraoperative | 
| intubation attempts (is it increased or not) | the patient intubated at which attempt? | intraoperative | 
| cormack-lehane grade (which one improves the cormack- lehane grade) |  | intraoperative | 
| insertion time | handling of the device till the glottic visualization | 30 seconds | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Airtraq, Glidescope, pediatric, face-to-face