Videolaryngoscopy During CPR for Trauma Patients

The Efficacy of Videolaryngoscopy During Cardiac-pulmonary Resuscitation (CPR) for Trauma Patients With Suspect Neck Injuries

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.

Study Overview

• Status: Completed
• Conditions: Cardiopulmonary Arrest; Neck Injury Multiple
• Intervention / Treatment: Procedure: Endotracheal Intubation

Detailed 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.

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Korea, Republic of
  • Seoul, Korea, Republic of, 143-729
    • Department of Emergency Medicine, Konkuk University Medical center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: DL user; Experienced emergency physicians who primarily use the direct laryngoscopy (DL) for endotracheal intubation during cardio-pulmonary resuscitation.	Procedure: Endotracheal Intubation; Insertion of endotracheal tube into the trachea and supply oxygen using the Ambu-bagging during cardiopulmonary resuscitation
Active Comparator: VL user; Experienced emergency physicians who primarily use the videolaryngoscopy (VL) for endotracheal intubation during cardio-pulmonary resuscitation.	Procedure: Endotracheal Intubation; Insertion of endotracheal tube into the trachea and supply oxygen using the Ambu-bagging during cardiopulmonary resuscitation

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
First attempt successful ETI	Successfully insertion of endotracheal tube into trachea at first attempt	within 1 hour after emergency department visit

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
the time to complete ETI from the beginning	the time from the advancement of the blade into the patient's mouth to the delivery of the first successful ventilation using the bag	within 1 hour after emergency department visit
Occurance of complication	Presence of chest compression interruption, esophageal intubation and dental injuries	within 1 hour after emergency department visit

Collaborators and Investigators

• Sponsor: Konkuk University Medical Center
• Investigators: Principal Investigator: Sang O Park, M.D,Ph.D, School of Medicine, Konkuk University

Study record dates

Study Major Dates

• Study Start (Actual): March 1, 2011
• Primary Completion (Actual): March 1, 2015
• Study Completion (Actual): March 1, 2015

Study Registration Dates

• First Submitted: August 14, 2017
• First Submitted That Met QC Criteria: August 14, 2017
• First Posted (Actual): August 17, 2017

Study Record Updates

• Last Update Posted (Actual): December 19, 2017
• Last Update Submitted That Met QC Criteria: December 16, 2017
• Last Verified: December 1, 2017

More Information

Terms related to this study

• Keywords: intubation; Cardiopulmonary Resuscitation; neck injury
• Additional Relevant MeSH Terms: Heart Diseases; Cardiovascular Diseases; Wounds and Injuries; Heart Arrest; Neck Injuries
• Other Study ID Numbers: TRAUMACPRintu

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No