Endotracheal Intubation Using Three Laryngoscopes in Maternal Cardiac Arrest: a Manikin Simulation Study

Hanyang University Seoul Hospital

Status: Completed

Conditions: Cardiac Arrest

Treatments: Device: 15 degree left-lateral tilt wedges; Device: 30 degree left-lateral tilt wedges

Study type: Interventional

Funder types: Other

Identifiers

NCT02074072

HYI-14-004-1

Details and patient eligibility

About

European Resuscitation Council (ERC) Guidelines for Resuscitation 2010 emphasize high quality chest compressions .They propose minor changes for pregnant women: manual left deviation of the uterus or a left-lateral incline of 15-30to alleviate pressure on the inferior vena cava. We will examine the performance of the Glidescope (GVL), the Pentax-AWS Airwayscope(AWS) and Macintosh laryngoscope (McL) for airway management during chest compressions on 15 and 30 degree left-lateral tilt (15 &30 LLT) custom-made hard wedges.

Full description

Materials

1. Sim Mom manikin (Laerdal, Stavanger, Norway)
2. Stryker ST104-747(Transport stretcher®, 760 x 2110 mm, 228 kg, Stryker Co., Kalamazoo, Michigan, US)
3. LUCAS Chest Compression System( LUCAS Chest Compression System, Physio-Control/Jolife AB)
4. Backboard(450 ×600 ×10 mm, 3 kg Lifeline Plastic, Sung Shim Medical Co., Bucheon, Korea)

Enrollment: 19 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Experience of intubation > 50 times
• Postgraduates year 1,2,3,4 and Emergency physicians in emergency department

Exclusion criteria

• Wrist or Low back disease

Trial design

Primary purpose: Basic Science

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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19 participants in 3 patient groups

Direct laryngoscope

Experimental group

Description:

Macintosh laryngoscope

Treatment:

Device: 30 degree left-lateral tilt wedges

Device: 15 degree left-lateral tilt wedges

Videolaryngoscope-1

Experimental group

Description:

Glidescope

Treatment:

Device: 30 degree left-lateral tilt wedges

Device: 15 degree left-lateral tilt wedges

Videolaryngoscope-2

Experimental group

Description:

Airwayscope

Treatment:

Device: 30 degree left-lateral tilt wedges

Device: 15 degree left-lateral tilt wedges