Comparison of Efficiency Between I-gel Blind Intubation and I-gel Bronchoscopic Intubation During Resuscitation

Study Overview
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Brief Summary
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The investigators will compare conventional intubation using Macintosh laryngoscope, blind endotracheal intubation using i-gel for conduit and bronchoscopic intubation using Ambu-aScope and i-gel. All situation assumed as cardiac arrest. i.e, someone give chest compressions continuously without interruption. Moreover the investigators will compare the type of endotracheal tube. Reinforced tube has more soft tube tip, so the investigators think it is more acceptable for intubation using i-gel as conduit.

Official Title
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Comparison of Efficiency Between I-gel-Assisted Blind Intubation and I-gel-assisted Bronchoscopic Intubation During Cardiopulmonary Resuscitation: Randomized Simulation Study

Conditions
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Heart Arrest

Intervention / Treatment
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* Device: Conventional endotracheal tube
* Device: Reinforced endotracheal tube


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: emergency physician work at emergency department more than 1 year. 50 or more experience of endotracheal intubation Exclusion Criteria: having backache or wrist pain

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: Supportive Care
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intubation using laryngoscope<br>Intubation using Macintosh laryngoscope. we will check procedure time according to kind of endotracheal tube, separately. Two kinds of endotracheal tube will be used Conventional endotracheal tube Reinforced endotracheal tube | Device: Conventional endotracheal tube<br>* Conventional endotracheal tube<br>Device: Reinforced endotracheal tube<br>* Reinforced endotracheal tube<br>|
| Experimental: i-gel blind intubation<br>i-gel blind intubation means that blind endotracheal intubation will be performed after i-gel insertion. i-gel will be used as a conduit. we will check procedure time according to kind of endotracheal tube, separately. Two kinds of endotracheal tube will be used Conventional endotracheal tube Reinforced endotracheal tube | Device: Conventional endotracheal tube<br>* Conventional endotracheal tube<br>Device: Reinforced endotracheal tube<br>* Reinforced endotracheal tube<br>|
| Experimental: i-gel bronchoscopic intubation<br>i-gel bronchoscopic intubation means that bronchoscopic endotracheal intubation will be performed after i-gel insertion. i-gel will be used as a conduit. we will check procedure time according to kind of endotracheal tube, separately. Two kinds of endotracheal tube will be used Conventional endotracheal tube Reinforced endotracheal tube | Device: Conventional endotracheal tube<br>* Conventional endotracheal tube<br>Device: Reinforced endotracheal tube<br>* Reinforced endotracheal tube<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| intubation time | 1st intubation attempt, an expected average time is 1 min. | 1 Day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| success rate for intubation | the rate for successful 1st intubation | 1 Day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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intubation, cardiopulmonary resuscitation, manikins