Respiratory Distress Syndrome Clinical Trial
Official title:
Comparison Between Direct Laryngoscopy and Video Laryngoscopy for Neonatal Intubation. Confidence of Staff and Number of Attempts to Successful Intubation
Our research questions are
1. Will the use of a video laryngoscope lead to decreased attempts
2. Does this result in more successful intubations and greater confidence in the supervisor
and the team that a successful intubation has been performed.
Neonatal intubation is a technically difficult, but essential, skill to learn, involving
passing a plastic tube through the vocal cords, into the trachea. Current practice involves
using a laryngoscope to directly visualise the cords, however this technique does not allow
the supervisor to witness the tube passing through the cords. Video laryngoscopes have a
camera at the distal end of the blade, allowing an 85% viewing angle as opposed to 15% that
is seen with direct view. In addition, the image is projected onto a screen, allowing all
members of the team to visualise the intubation and therefore provide real time guidance as
well as increased confidence in the outcome of the attempt. Video laryngoscopes are used in
neonates in other specialities, for example Ear Nose and throat or respiratory physicians,
and are becoming routinely used by neonatologists. The research questions are whether using a
video laryngoscope will lead to decreased attempts, which in turn will potentially result in
more successful intubations and greater confidence in the supervisor and the team that a
successful intubation has been performed.
The aim is to recruit 40 babies and randomly allocate the participant to either direct
laryngoscopy or video laryngoscopy for elective intubations. Number of attempts to successful
intubation would be recorded, in addition to confidence of supervisor and the team regarding
the outcome of the attempt.
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