Pediatric Intubation by Nurses

Study Overview
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Brief Summary
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The purpose of this study was to compare the Pentax AWS, Intubrite and AirTraq to Miller laryngoscope during pediatric resuscitation with and without chest compressions.

Detailed Description
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Endotracheal intubation (ETI) is a life-saving procedure performed daily in emergency medicine. The European Resuscitation Council (ERC) 2010 cardiopulmonary resuscitation (CPR) guidelines suggest that intubators should be able to secure the airway without interrupting chest compression. However, ETI with uninterrupted chest compression in patients can be a very difficult skill to acquire.

Official Title
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Comparison of Pentax-AWS Airwayscope, Intubrite, AirTraq and Miller Laryngoscope for Tracheal Intubation by Nurses During Chest Compression in a Pediatric Manikin: A Randomised Crossover Trial.

Conditions
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Intubation, Cardiac Arrest

Intervention / Treatment
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* Device: AWS
* Device: Intubrite
* Device: AirTraq
* Device: MIL


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 - nurses 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: Child ETI withoutchest compressions<br>Endotracheal intubation of pediatric mannikin during resuscitation without chest compressions. | Device: AWS<br>* Video-laryngoscopy 1<br>* Other names: Pentax AWS;Device: Intubrite<br>* Video-laryngoscopy 2<br>* Other names: Intubrite Video Laryngoscope System VLS 6600;Device: AirTraq<br>* Optical-laryngoscopy<br>* Other names: AirTraq Optical Laryngoscope;Device: MIL<br>* Direct-laryngoscopy<br>* Other names: Miller Laryngoscope;|
| Experimental: Child ETI with 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: AWS<br>* Video-laryngoscopy 1<br>* Other names: Pentax AWS;Device: Intubrite<br>* Video-laryngoscopy 2<br>* Other names: Intubrite Video Laryngoscope System VLS 6600;Device: AirTraq<br>* Optical-laryngoscopy<br>* Other names: AirTraq Optical Laryngoscope;Device: MIL<br>* Direct-laryngoscopy<br>* Other names: Miller Laryngoscope;|

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. | 1 day | 

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. | 1 day | 
| VAS score | participants were asked which method they would prefer in a real-life resuscitation. | 1 day | 
| Cormack-Lehan scale | self reported Cormack-Lehan scale during intubation | 1day |