Pediatric Intubation During Emergency Conditions

Lazarski University

Status: Completed

Conditions: Injuries; Endotracheal Intubation; Cardiac Arrest; Pediatric

Treatments: Device: Macintosh laryngoscope; Device: Miller laryngoscope; Device: McGrath MAC EMS; Device: GlideScope

Study type: Interventional

Funder types: Other

Identifiers

NCT03602183

ETI_2018_PALS

Details and patient eligibility

About

The effectiveness of endotracheal intubation in pre-hospital conditions is insufficient - especially in the context of pediatric patients. Anatomical differences in pediatric patients compared to adults: a relative larger tongue, a larger and more flabby epiglottis - located more cephalously - that make intubation is more difficult than for adults. Also, higher oxygen metabolism requires the immediate response of medical personnel to children in case of need to protect the airways and support breath.

Enrollment: 83 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• paramedics
• give voluntary consent to participate in the study
• none experience in videolaryngoscopy
• less than 1 year experience in medicine

Exclusion criteria

• not meet the above criteria
• wrist or low back diseases

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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83 participants in 4 patient groups

Normal airway scenario

Experimental group

Description:

intubation in normal airway scenario

Treatment:

Device: GlideScope

Device: McGrath MAC EMS

Device: Miller laryngoscope

Device: Macintosh laryngoscope

Tongue edema scenario

Experimental group

Description:

intubation in the tongue edema scenario. Tongue edema was obtain using simulator indicators

Treatment:

Device: GlideScope

Device: McGrath MAC EMS

Device: Miller laryngoscope

Device: Macintosh laryngoscope

Spinal immobilization with normal airway scenario

Experimental group

Description:

intubation in spinal immobilization with normal airway scenario

Treatment:

Device: GlideScope

Device: McGrath MAC EMS

Device: Miller laryngoscope

Device: Macintosh laryngoscope

Spinal immobilization with tongue edema scenario

Experimental group

Description:

endotracheal intubation with immobilized cervical spine and tongue edema scenario

Treatment:

Device: GlideScope

Device: McGrath MAC EMS

Device: Miller laryngoscope

Device: Macintosh laryngoscope