Prehospital Intubation of COVID-19 Patient With Personal Protective Equipment

Lazarski University

Status: Completed

Conditions: Influenza; Safety Issues; Cardiac Arrest; Intubation Complication; Intubation; Difficult or Failed

Treatments: Procedure: Vie Scope laryngoscopy; Procedure: Direct laryngoscopy

Study type: Interventional

Funder types: Other

Identifiers

NCT04365608

INT_EMS_PPE_1

Details and patient eligibility

About

The safety and efficacy of a laryngoscopy as a primary intubation tool in urgent endotracheal intubation of cardiac arrest patients with suspected/confirmed COVID-19 has not been well-described in the literature. This study will answer whether using a Vie Scope laryngoscope will impact on the efficacy and safety of intubation compared with a traditional direct laryngoscopy.

Full description

Intubation will be carried out in full personal protective equipment conditions of the operator

Enrollment: 90 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All adult patients requiring out-of-hospital intubation

Exclusion criteria

• Patient under 18 years old
• Patients with criteria predictive of impossible intubation under direct laryngoscopy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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90 participants in 2 patient groups

Direct laryngoscopy

Active Comparator group

Description:

Intubation will be done using direct laryngoscopy. The standard intubation procedure is to use a styletted tube and no sedation. When standard laryngoscopy-assisted intubation is not possible, an alternate procedure will be used based on the guidelines on difficult airway management.

Treatment:

Procedure: Direct laryngoscopy

Vie Scope laryngoscopy

Active Comparator group

Description:

Intubation will be done using Vie Scope laryngoscopy

Treatment:

Procedure: Vie Scope laryngoscopy