Clinical trial NCT03423745: Appropriate Number of Endotracheal Intubation Experience for CPR
Official title: Appropriate Number of Endotracheal Intubation Experience for First Attempt Successful Endotracheal Intubation During Cardiopulmonary Resuscitation
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Cardiopulmonary Arrest
Keywords: intubation
cardiopulmonary resuscitation
number of endotracheal intubation experience
Lead sponsor: Konkuk University Medical Center
Sponsor class: OTHER
First posted: 2018-02-06
Enrollment: 140
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 intubation and clinical data for cardiopulmonary resuscitation patients between 2011.03.01.-2012.02.28.. Aim of this study is to estimate the appropriate number of endotracheal intubation(ETI) experience for successful ETI at first attempt during cardiopulmonary resuscitation.

Detailed description: Endotracheal intubation(ETI) has been considered to be the best method of airway management during cardiopulmonary resuscitation(CPR). However, ETI during CPR requires high skill and experience. Therefore ETI during CPR should be performed by expert in ETI. But the definition of experts in ETI during CPR has not been done yet.

This study tried to estimate the appropriate number of ETI experience for successful ETI at first attempt during cardiopulmonary resuscitation. So the investigators analyze the success rate, speed, trial number, incidence of complications, and hands-off time of ETI using direct laryngoscopy (DL) which is standard device, in real clinical setting. In addition, this study analyze the residency training term, total number of ETI experience using DL at that time.

Eligibility criteria: Inclusion Criteria:

* patients who suffer sudden cardiac arrest

Exclusion Criteria:

* case of requesting the do-not-attempt resuscitation befor ETI
* intubated cases before arrival to emergency department

Primary outcomes:
measure: Successful intubation during CPR
timeFrame: successful endotracheal intubation with in 120 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: Soar J, Nolan JP, Bottiger BW, Perkins GD, Lott C, Carli P, Pellis T, Sandroni C, Skrifvars MB, Smith GB, Sunde K, Deakin CD; Adult advanced life support section Collaborators. European Resuscitation Council Guidelines for Resuscitation 2015: Section 3. Adult advanced life support. Resuscitation. 2015 Oct;95:100-47. doi: 10.1016/j.resuscitation.2015.07.016. No abstract available.
citation: Wang HE, Simeone SJ, Weaver MD, Callaway CW. Interruptions in cardiopulmonary resuscitation from paramedic endotracheal intubation. Ann Emerg Med. 2009 Nov;54(5):645-652.e1. doi: 10.1016/j.annemergmed.2009.05.024. Epub 2009 Jul 2.
citation: Je S, Cho Y, Choi HJ, Kang B, Lim T, Kang H. An application of the learning curve-cumulative summation test to evaluate training for endotracheal intubation in emergency medicine. Emerg Med J. 2015 Apr;32(4):291-4. doi: 10.1136/emermed-2013-202470. Epub 2013 Oct 23.
citation: Mulcaster JT, Mills J, Hung OR, MacQuarrie K, Law JA, Pytka S, Imrie D, Field C. Laryngoscopic intubation: learning and performance. Anesthesiology. 2003 Jan;98(1):23-7. doi: 10.1097/00000542-200301000-00007.