Videolaryngoscopy During CPR for Trauma Patients

Konkuk University Medical Center

Status: Completed

Conditions: Cardiopulmonary Arrest; Neck Injury Multiple

Treatments: Procedure: Endotracheal Intubation

Study type: Interventional

Funder types: Other

Identifiers

NCT03252886

TRAUMACPRintu

Details and patient eligibility

About

This is a clinical study based on collected video-clip data of cardiopulmonary resuscitation for patients with suspected neck injury in multiple trauma between 2011 and 2015. The study aimed to compare all possible factors relating to ETI performance during CPR for truma patients between experienced video-laryngoscopy and direct- laryngoscopy users.

Full description

Endotracheal intubation (ETI) is considered to be the best method of airway management during cardiopulmonary resuscitation (CPR). However ETI during CPR is a highly skill-dependent procedure, then it should be attempted only highly trained physicians. Especially, cervical immobilization by neck collar in truamatic patients is a great obstacle to successful ETI during CPR.

Because of technical difficulty in using direct laryngoscopy (DL), various types of videolaryngoscopy (VL) devices have been developed to overcome the problems of DL. VL may be more useful to perform ETI during CPR for trauma patients with cervical immobilization.

This study tried to compare the success rate of endotracheal intubation (ETI), speed of ETI, incidence of complications, and chest compression interruptions during cardiopulmonary resuscitation for trauma patients with suspected neck injury between intubators using the DL and the VL in a real clinical setting.

Enrollment: 30 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Multiple trauma patients with suspected neck injuries
• Arrest Patients

Exclusion criteria

• Case of requesting the do-not attempt resuscitation before ETI
• already intubated case before arrival to hospital
• Cardiac arrest from non-traumatic causes

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

DL user

Active Comparator group

Description:

Experienced emergency physicians who primarily use the direct laryngoscopy (DL) for endotracheal intubation during cardio-pulmonary resuscitation.

Treatment:

Procedure: Endotracheal Intubation

VL user

Active Comparator group

Description:

Experienced emergency physicians who primarily use the videolaryngoscopy (VL) for endotracheal intubation during cardio-pulmonary resuscitation.

Treatment:

Procedure: Endotracheal Intubation