Learning Curve of VL for Intubation During CPR

Cardiopulmonary Arrest Clinical Trial

Official title:

Learning Curve of Video-laryngoscope (VL) for First Attempt Successful Endotracheal Intubation During Cardiopulmonary Resuscitation (CPR)

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04114721
• Other study ID #: CPRintuexperience_VL
• Status: Completed
• Start date: March 2012
• Est. completion date: February 2015

Study information

• Verified date: October 2019
• Source: Konkuk University Medical Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

This is a clinical study based on analysis of video-clip data of endotracheal intubation (ETI) using videolaryngoscope (VL) and clinical data for cardiopulmonary resuscitation patients between 2012.03.01.-2015.02.28.

The purpose of this study is to evaluate the appropriate numbers of VL usages for successful ETI at first attempt during cardiopulmonary resuscitation.

Description:

Direct layngoscope (DL) is a basic tool for endotracheal intubation(ETI) during cardiopulmonary resuscitation(CPR). ETI during CPR has higher risks of failure or delayed success with frequent attempts, misplacement of the tube, and prolonged interruptions of chest compressions. The main problems associated with ETI relate to the inherently technical difficulty in using DL. VL have various advantages of fast learning curve and overall success comparing with the DL in non-arrest patients, but there was no known data of learnig curve of successful ETI during CPR.

This study tried to estimate the the appropriate numbers of VL usage for successful ETI at first attempt during CPR. So the investigators analyze the success rate, speed, trial number, incidence of complications, and hands-off time of ETI using VL which in real clinical setting. In addition, this study analyze the residency training term, total number of of VL usage using VL at that time.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 250
• Est. completion date: February 2015
• Est. primary completion date: February 2015
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• patients who suffer sudden cardiac arrest and physician tried ti intubate using viseolaryngoscope.

Exclusion Criteria:

• case of requesting the do-not-attempt resuscitation befor ETI

• intubated cases before arrival to emergency department

• physician tried ti intubate using direct-laryngoscope

Related Conditions & MeSH terms

• Cardiopulmonary Arrest
• Heart Arrest

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, 

References & Publications (4)

Bernhard M, Benger JR. Airway management during cardiopulmonary resuscitation. Curr Opin Crit Care. 2015 Jun;21(3):183-7. doi: 10.1097/MCC.0000000000000201. Review. — View Citation

Buis ML, Maissan IM, Hoeks SE, Klimek M, Stolker RJ. Defining the learning curve for endotracheal intubation using direct laryngoscopy: A systematic review. Resuscitation. 2016 Feb;99:63-71. doi: 10.1016/j.resuscitation.2015.11.005. Epub 2015 Dec 19. Review. — View Citation

Dagli R, Canturk M, Celik F, Erbesler ZA, Gurler M. [The role of videolaryngoscope in endotracheal intubation training programs]. Rev Bras Anestesiol. 2018 Sep - Oct;68(5):447-454. doi: 10.1016/j.bjan.2018.02.008. Epub 2018 Jul 17. Portuguese. — View Citation

Park SO, Baek KJ, Hong DY, Kim SC, Lee KR. Feasibility of the video-laryngoscope (GlideScope®) for endotracheal intubation during uninterrupted chest compressions in actual advanced life support: a clinical observational study in an urban emergency depart — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	YES or No of successful intubation without complication	endotracheal intubation, hands-off time < 10 seconds, first trial	successful endotracheal intubation with in 60 seconds