Bougies as Aid for Endotracheal Intubation Via Video Laryngoscopy During Continuous Chest Compressions

Chinese Academy of Medical Sciences & Peking Union Medical College

Status: Completed

Conditions: Cardiopulmonary Resuscitation; Simulation; Endotracheal Intubation

Treatments: Device: Stylet; Device: Preloaded bougie; Device: Railroaded bougie

Study type: Interventional

Funder types: Other

Identifiers

NCT05689125

K2562

Details and patient eligibility

About

The goal of this clinical trials is to analyze the effects of using bougies as adjuncts on the performance of endotracheal intubation via video laryngoscopy during cardiopulmonary resuscitation in anesthesia residents. The main question it aims to answer is whether bougie use has a significant effect on first-attempt failure of endotracheal intubation via video laryngoscopy during continuous chest compressions. Participants will perform endotracheal intubation via video laryngoscopy by four methods in a randomized order in a simulated cardiopulmonary resuscitation scenario on a manikin. The four methods are endotracheal intubations assisted by a railroaded bougie, assisted by a preloaded bougie, assisted by a stylet, and with no assistance. Researchers will compare the first-attempt failure rate of the four methods to see if a railroaded bougie method has a significant different first-attempt failure from that of the other three methods.

Enrollment: 65 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Residents who are enrolled in the three-year standardized residency training program in the Department of Anesthesiology, Peking Union Medical College Hospital in February, 2023.

Exclusion criteria

• Residents who refuse to participate and residents who fail the pre-test.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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65 participants in 4 patient groups

Railroaded bougie

Experimental group

Description:

An endotracheal tube is loaded onto a bougie posterior to the placement of the bougie into the trachea.

Treatment:

Device: Railroaded bougie

Preloaded bougie

Other group

Description:

An endotracheal tube is loaded onto a bougie prior to initiating laryngoscopy.

Treatment:

Device: Preloaded bougie

Stylet

Active Comparator group

Description:

A stylet is placed within an endotracheal tube prior to initiating laryngoscopy.

Treatment:

Device: Stylet

Naked endotracheal tube

No Intervention group

Description:

Residents expose the glottis by a video laryngoscope and perform the endotracheal intubation without assistance of stylet or bougie.