Development and Preliminary Validation of Intelligent Video Laryngoscope for Emergency Use (MEASURE-ILD)
Development of an Intelligent Video Laryngoscope and Preliminary Verification for Emergency Application
The investigators are developing a video laryngoscope equipped with artificial intelligence technology to enable automatic identification of key airway anatomical structures and real-time guidance during intubation, with the aim of improving the success rate and efficiency of endotracheal intubation in emergency settings.
Visão geral do estudo
Status
Intervenção / Tratamento
Tipo de estudo
Inscrição (Estimado)
Estágio
- Não aplicável
Contactos e Locais
Contato de estudo
- Nome: Jintao Wei wei
- Número de telefone: 19560480512
- E-mail: weijintao@zju.edu.cn
Locais de estudo
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Zhejiang
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Hangzhou, Zhejiang, China
- Recrutamento
- Second Affiliated Hospital, Zhejiang University, School of Medicine
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Contato:
- Jintao Wei
- Número de telefone: +86 19560480512
- E-mail: weijintao@zju.edu.cn
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Shaoxing, Zhejiang, China, 312000
- Recrutamento
- Shaoxing Central Hospital
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Contato:
- dongzhi liu
- E-mail: weijintao@zju.edu.cn
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion Criteria:
- Patient inclusion criteria: Adult patients in critical condition requiring endotracheal intubation via laryngoscopy (age ≥ 18 years).
Exclusion Criteria:
- pregnant women, prisoners, recent history of airway surgery, oral or pharyngeal malformations, inability to perform randomization due to the need for emergency endotracheal intubation, or when the investigator deemed it necessary or contraindicated to use AIVL, VL, or DL during the first intubation attempt.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
|
Comparador Ativo: Video Laryngoscope(VL)
Participants randomized to this arm (n=60) will undergo the first endotracheal intubation attempt using a conventional video laryngoscope (VL), without AI-assisted anatomical identification or intubation guidance. |
A conventional video laryngoscope will be used for the first endotracheal intubation attempt. The device displays the airway image without AI-assisted identification of anatomical structures or real-time AI intubation guidance. |
|
Experimental: AI-assisted Video Laryngoscope (AIVL)
Participants randomized to this arm (n=60) will undergo the first endotracheal intubation attempt using an AI-assisted video laryngoscope (AIVL), which provides real-time identification of airway anatomical structures and intubation guidance. Operators will receive standardized training on the device controls, guidance interface, and image display before use. Operators may decide whether to follow the AI guidance. |
When using the AIVL for the first attempt at laryngoscopy intubation, the operator shall receive pre-procedural training, which primarily covers the functional buttons, the prompt interface, and image display. |
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
First-pass intubation success rate
Prazo: The time from enrollment to completion of intubation (usually within 10 minutes).
|
Proportion of participants with successful endotracheal tube placement on the first laryngoscopic attempt, confirmed by end-tidal carbon dioxide monitoring. |
The time from enrollment to completion of intubation (usually within 10 minutes).
|
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Intubation time
Prazo: The time from enrollment to completion of intubation (usually within 10 minutes).
|
Time in seconds from insertion of the laryngoscope into the oral cavity until the endotracheal tube passes through the glottis. |
The time from enrollment to completion of intubation (usually within 10 minutes).
|
|
Severe complications occurring within 2 minutes after intubation were defined as severe hypoxemia (peripheral SpO₂ <80%), severe hypotension (systolic blood pressure <65 mmHg), initiation of vasoactive agents, cardiac arrest, or death.
Prazo: From enrollment to the 2 minutes after intubation
|
From enrollment to the 2 minutes after intubation
|
|
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AI recall
Prazo: The time from enrollment to completion of intubation (usually within 10 minutes).
|
True-positive anatomical detections divided by true-positive plus false-negative detections, assessed against reference annotations. |
The time from enrollment to completion of intubation (usually within 10 minutes).
|
|
Duration of mechanical ventilation
Prazo: From enrollment to the end of treatment at 8 weeks
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Duration of mechanical ventilation, measured in days. |
From enrollment to the end of treatment at 8 weeks
|
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28-day all-cause mortality
Prazo: From enrollment through day 28.
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Proportion of participants who die from any cause within 28 days after enrollment. |
From enrollment through day 28.
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ICU length of stay
Prazo: From enrollment through the end of treatment, up to 8 weeks.
|
Duration of intensive care unit stay, measured in days. |
From enrollment through the end of treatment, up to 8 weeks.
|
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Total hospital length of stay
Prazo: From enrollment through the end of treatment, up to 8 weeks.
|
Total duration of hospitalization, measured in days. |
From enrollment through the end of treatment, up to 8 weeks.
|
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AI precision
Prazo: Video acquired from enrollment to completion of intubation, usually within 10 minutes.
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True-positive anatomical detections divided by true-positive plus false-positive detections, assessed against reference annotations. |
Video acquired from enrollment to completion of intubation, usually within 10 minutes.
|
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AI specificity
Prazo: Video acquired from enrollment to completion of intubation, usually within 10 minutes.
|
True-negative assessments divided by true-negative plus false-positive assessments, assessed against reference annotations. |
Video acquired from enrollment to completion of intubation, usually within 10 minutes.
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AI F1 score
Prazo: Video acquired from enrollment to completion of intubation, usually within 10 minutes.
|
Harmonic mean of precision and recall: 2 x precision x recall / (precision + recall). |
Video acquired from enrollment to completion of intubation, usually within 10 minutes.
|
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Mean average precision (mAP)
Prazo: Video acquired from enrollment to completion of intubation, usually within 10 minutes.
|
Mean of average precision across the evaluated anatomical classes against reference annotations. |
Video acquired from enrollment to completion of intubation, usually within 10 minutes.
|
Colaboradores e Investigadores
Colaboradores
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Estimado)
Conclusão Primária (Estimado)
Conclusão do estudo (Estimado)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Outros números de identificação do estudo
- 2026-0142
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