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

Face-to-face Intubation With Glidescope or Airtraq

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.

Study Overview

• Status: Completed
• Conditions: Intubation; Difficult; Edema of the Tongue
• Intervention / Treatment: Device: Glidescope; Device: Airtraq

Detailed 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.

• Study Type: Interventional
• Enrollment (Actual): 36
• Phase: Phase 4

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 25 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• medical students at their third year,
• novice personnel

Exclusion Criteria:

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Diagnostic
• Allocation: Randomized
• Interventional Model: Crossover Assignment
• Masking: None (Open Label)

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: normal airway; İntubation with glidescope or airtraq in normal airway	Device: Glidescope; Manikin was intubated by different novice personal with glidescope videolaryngoscope; Device: Airtraq; Pediatric manikin was intubated by novice personal with airtraq
Active Comparator: tongue edema; intubation with glidescope or airtraq in tongue edema simulation	Device: Glidescope; Manikin was intubated by different novice personal with glidescope videolaryngoscope; Device: Airtraq; Pediatric manikin was intubated by novice personal with airtraq
Active Comparator: face-to-face; intubation with glidescope or airtraq in face-to-face intubation	Device: Glidescope; Manikin was intubated by different novice personal with glidescope videolaryngoscope; Device: Airtraq; Pediatric manikin was intubated by novice personal with airtraq

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
intubation success rates	We recorded the first and total intubation success rates of the intubation with one of these devices	5 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
intubation time	from the handling of the device till viewing the endotracheal tube entering the vocal cords	5 minutes
Esophageal intubation	is there an esophageal intubation occurred while inserting the tube or not	5 minutes
need of optimisation maneuvers	do we need an optimization maneuver while intubating or while viewing the glottis or not	5 minutes

Collaborators and Investigators

• Sponsor: Kocaeli University
• Investigators: Principal Investigator: Zehra I ARSLAN, Doctor, Anesthesiology and Reanimation

Study record dates

Study Major Dates

• Study Start: November 1, 2014
• Primary Completion (Actual): December 1, 2014
• Study Completion (Actual): January 1, 2015

Study Registration Dates

• First Submitted: October 31, 2014
• First Submitted That Met QC Criteria: November 10, 2014
• First Posted (Estimate): November 14, 2014

Study Record Updates

• Last Update Posted (Estimate): April 1, 2015
• Last Update Submitted That Met QC Criteria: March 31, 2015
• Last Verified: March 1, 2015

More Information

Terms related to this study

• Other Study ID Numbers: KOU KAEK 2014/145