Clincosm LogoSign in Get a demo

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

Sponsor
Hanyang University Seoul Hospital (Other)
Overall Status
Completed
CT.gov ID
NCT02074072
Collaborator
(none)
19
Enrollment
1
Location
3
Arms

Study Details

Study Description

Brief Summary

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.

Condition or Disease Intervention/Treatment Phase
  • Device: 15 degree left-lateral tilt wedges
  • Device: 30 degree left-lateral tilt wedges
 N/A

Detailed 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)

Study Design

Study Type:
Interventional
Actual Enrollment :
19 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
Single (Outcomes Assessor)
Primary Purpose:
Basic Science
Official Title:
Comparison of Glidescope, Pentax-AWS and Macintosh Laryngoscope for Intubation During Chest Compression in 15-30 Degree Left-Lateral Tilt: A Manikin Simulation Study of Maternal Cardiopulmonary Resuscitation
Study Start Date :
Mar 1, 2014
Actual Primary Completion Date :
Mar 1, 2014
Actual Study Completion Date :
Mar 1, 2014

Arms and Interventions

Arm Intervention/Treatment
Experimental: Direct laryngoscope

Macintosh laryngoscope

Device: 15 degree left-lateral tilt wedges
The wedges are made of aluminium
Other Names:
  • Custom-made hard wedges

    • Device: 30 degree left-lateral tilt wedges
    The wedges are made of aluminium
    Other Names:
  • Custom-made hard wedges

    		•
    Experimental: Videolaryngoscope-1

    Glidescope

    Device: 15 degree left-lateral tilt wedges
    The wedges are made of aluminium
    Other Names:
  • Custom-made hard wedges

    • Device: 30 degree left-lateral tilt wedges
    The wedges are made of aluminium
    Other Names:
  • Custom-made hard wedges

    		•
    Experimental: Videolaryngoscope-2

    Airwayscope

    Device: 15 degree left-lateral tilt wedges
    The wedges are made of aluminium
    Other Names:
  • Custom-made hard wedges

    • Device: 30 degree left-lateral tilt wedges
    The wedges are made of aluminium
    Other Names:
  • Custom-made hard wedges

    		•

    Outcome Measures

    Primary Outcome Measures

    1. Time to intubation [1day]

      We will check the times from inserting blade to mouth to exposing vocal cord and from exposing vocal cord to first ambu-bagging.

    2. Success rate of intubation [1day]

      Definition of failed intubation Time to intubation is longer than 90 seconds. Wrong placement of endotracheal tube (For example : Esophageal intubation etc.)

    Secondary Outcome Measures

    1. Laryngeal View during intubation [1day]

      We will record the best laryngeal View during intubation. We will record according to the Cormack-Lehane Grade system.

    2. The preference for laryngoscopes [1day]

      The preference for laryngoscope regardless of tilting degree of wedges The preference for laryngoscope in 15 degree left-lateral tilt situation . The preference for laryngoscope in 30 degree left-lateral tilt situation . (Participants will select only 1 of 3 laryngoscopes and the preference will be displayed as histogram)

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 60 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    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

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Hanyang University Seoul Hospital Seoul Korea, Republic of 133792

    Sponsors and Collaborators

    • Hanyang University Seoul Hospital

    Investigators

    • Principal Investigator: Sang hyun Lee, M.D, Hanyang University Seoul Hospital

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Lee Sang Hyun, clinical fellow, Hanyang University Seoul Hospital
    ClinicalTrials.gov Identifier:
    NCT02074072
    Other Study ID Numbers:
    • HYI-14-004-1
    First Posted:
    Feb 28, 2014
    Last Update Posted:
    Mar 21, 2014
    Last Verified:
    Mar 1, 2014
    Keywords provided by Lee Sang Hyun, clinical fellow, Hanyang University Seoul Hospital
    Endotracheal intubation
    Left lateral tilt wedge
    Maternal Cardiopulmonary Resuscitation
    Manikin Study
    Additional relevant MeSH terms:
    Heart Arrest

    Study Results

    No Results Posted as of Mar 21, 2014