Videolaryngoscopy During CPR for Trauma Patients

Cardiopulmonary Arrest Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03252886
• Other study ID #: TRAUMACPRintu
• Status: Completed
• Phase: N/A
• First received: August 14, 2017
• Last updated: December 16, 2017
• Start date: March 1, 2011
• Est. completion date: March 1, 2015

Study information

• Verified date: December 2017
• Source: Konkuk University Medical Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: March 1, 2015
• Est. primary completion date: March 1, 2015
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

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

Related Conditions & MeSH terms

• Cardiopulmonary Arrest
• Heart Arrest
• Neck Injuries
• Neck Injury Multiple

Intervention

Procedure:
• Endotracheal Intubation
Insertion of endotracheal tube into the trachea and supply oxygen using the Ambu-bagging during cardiopulmonary resuscitation

Locations

Country	Name	City	State
Korea, Republic of	Department of Emergency Medicine, Konkuk University Medical center	Seoul

Sponsors (1)

Lead Sponsor	Collaborator
Konkuk University Medical Center

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	First attempt successful ETI	Successfully insertion of endotracheal tube into trachea at first attempt	within 1 hour after emergency department visit
Secondary	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
Secondary	Occurance of complication	Presence of chest compression interruption, esophageal intubation and dental injuries	within 1 hour after emergency department visit