Intubation of a Pediatric Manikin in Difficult Airway by Novice Personnel: A Comparison of Glidescope and Airtraq

Kocaeli University

Status and phase: Completed; Phase 4

Conditions: Intubation; Difficult; Edema of the Tongue

Treatments: Device: Airtraq; Device: Glidescope

Study type: Interventional

Funder types: Other

Identifiers

NCT02290249

KOU KAEK 2014/145

Details and patient eligibility

About

Background and aims: Glidescope and Airtraq were designed to facilitate intubation and to improve teaching intubation. The investigators want to find their efficacy in normal airway, tongue edema and face-to-face orotracheal intubation models by novice personal.

Material and Methods: After Kocaeli Human Researches Ethics Committee approval, thirty six medical students who were on the beginning of their third year were enrolled in this study. After watching a video about the intubation of one of these devices, they attempted to intubate an adult manikin in three different airway models in a random order; first in normal airway, second, tongue edema and finally, in an entrapped manikin by face-to-face approach with Glidescope or Airtraq. Intubation attempts, insertion and intubation times, success rates, Cormack-Lehane grades, need of maneuvers of these devices were recorded.

Full description

Trauma victims mostly had to be intubated at the scene of the area with the paramedics. In a suspect of a cervical trauma, patients must be intubated with the least movement. Videolaryngoscopic techniques had several advantages at this condition. We want to investigate which can be used easily by novice personnel.

Enrollment: 36 patients

Sex: All

Ages: 20 to 25 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• medical students at their third year,
• novice personnel

Exclusion criteria

• anesthesists,
• anesthesia residents,
• skilled investigators of tracheal intubation

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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36 participants in 3 patient groups

normal airway

Active Comparator group

Description:

İntubation with glidescope or airtraq in normal airway

Treatment:

Device: Airtraq

Device: Glidescope

tongue edema

Active Comparator group

Description:

intubation with glidescope or airtraq in tongue edema simulation

Treatment:

Device: Airtraq

Device: Glidescope

face-to-face

Active Comparator group

Description:

intubation with glidescope or airtraq in face-to-face intubation

Treatment:

Device: Airtraq

Device: Glidescope