Clinical trial NCT04114721: Learning Curve of VL for Intubation During CPR
Official title: Learning Curve of Video-laryngoscope (VL) for First Attempt Successful Endotracheal Intubation During Cardiopulmonary Resuscitation (CPR)
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Cardiopulmonary Arrest
Keywords: intubation
cardiopulmonary resuscitation
Learning curve
videolaryngoscope
Lead sponsor: Konkuk University Medical Center
Sponsor class: OTHER
First posted: 2019-10-03
Enrollment: 250
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: emergency physicians in an urban ED at a tertiary training hospital in Seoul, Republic of Korea

Brief summary: This is a clinical study based on analysis of video-clip data of endotracheal intubation (ETI) using videolaryngoscope (VL) and clinical data for cardiopulmonary resuscitation patients between 2012.03.01.-2015.02.28.

The purpose of this study is to evaluate the appropriate numbers of VL usages for successful ETI at first attempt during cardiopulmonary resuscitation.

Detailed description: Direct layngoscope (DL) is a basic tool for endotracheal intubation(ETI) during cardiopulmonary resuscitation(CPR). ETI during CPR has higher risks of failure or delayed success with frequent attempts, misplacement of the tube, and prolonged interruptions of chest compressions. The main problems associated with ETI relate to the inherently technical difficulty in using DL. VL have various advantages of fast learning curve and overall success comparing with the DL in non-arrest patients, but there was no known data of learnig curve of successful ETI during CPR.

This study tried to estimate the the appropriate numbers of VL usage for successful ETI at first attempt during CPR. So the investigators analyze the success rate, speed, trial number, incidence of complications, and hands-off time of ETI using VL which in real clinical setting. In addition, this study analyze the residency training term, total number of of VL usage using VL at that time.

Eligibility criteria: Inclusion Criteria:

* patients who suffer sudden cardiac arrest and physician tried ti intubate using viseolaryngoscope.

Exclusion Criteria:

* case of requesting the do-not-attempt resuscitation befor ETI
* intubated cases before arrival to emergency department
* physician tried ti intubate using direct-laryngoscope

Primary outcomes:
measure: YES or No of successful intubation without complication
timeFrame: successful endotracheal intubation with in 60 seconds
Secondary outcomes:
Other outcomes:
Locations:
city: Seoul
country: Korea, Republic of
facility: Department of Emergency Medicine, Konkuk University Medical center
Study officials:
affiliation: Department of Emergency Medicine, Konkuk University Medical center
name: Sang O Park, M.D., PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Dagli R, Canturk M, Celik F, Erbesler ZA, Gurler M. [The role of videolaryngoscope in endotracheal intubation training programs]. Braz J Anesthesiol. 2018 Sep-Oct;68(5):447-454. doi: 10.1016/j.bjan.2018.02.008. Epub 2018 Jul 17.
citation: Bernhard M, Benger JR. Airway management during cardiopulmonary resuscitation. Curr Opin Crit Care. 2015 Jun;21(3):183-7. doi: 10.1097/MCC.0000000000000201.
citation: Buis ML, Maissan IM, Hoeks SE, Klimek M, Stolker RJ. Defining the learning curve for endotracheal intubation using direct laryngoscopy: A systematic review. Resuscitation. 2016 Feb;99:63-71. doi: 10.1016/j.resuscitation.2015.11.005. Epub 2015 Dec 19.
citation: Park SO, Baek KJ, Hong DY, Kim SC, Lee KR. Feasibility of the video-laryngoscope (GlideScope(R)) for endotracheal intubation during uninterrupted chest compressions in actual advanced life support: a clinical observational study in an urban emergency department. Resuscitation. 2013 Sep;84(9):1233-7. doi: 10.1016/j.resuscitation.2013.03.026. Epub 2013 Mar 26.