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The safety and efficacy of a video-laryngoscope as a primary intubation tool in urgent endotracheal intubation of critically-ill patients has not been well-described in the literature. This study will answer whether using a VL will impact on the efficacy and safety of intubation compared with a traditional direct laryngoscopy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Direct laryngoscopy | Active Comparator | Intubation will be done using direct laryngoscopy |
|
| Video laryngoscopy | Active Comparator | Intubation will be done using video laryngoscopy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Direct laryngoscopy | Procedure |
|
| |
| Video laryngoscopy (Glidescope) |
| Measure | Description | Time Frame |
|---|---|---|
| First Pass Success Rate | From begining of intubation to verification. Less then 5 minutes approximatly |
| Measure | Description | Time Frame |
|---|---|---|
| Severe Desaturation | sat <80% | For 10 minutes post intubation |
| Hypotension | SBP<70 | For 10 minutes post intubation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Michael Silverberg, MD | Beth Israel Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beth Isreal Medical Center | New York | New York | 10003 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Direct Laryngoscopy | Intubation will be done using direct laryngoscopy Direct laryngoscopy |
| FG001 | Video Laryngoscopy | Intubation will be done using video laryngoscopy Video laryngoscopy (Glidescope) |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Direct Laryngoscopy | Intubation will be done using direct laryngoscopy Direct laryngoscopy |
| BG001 | Video Laryngoscopy | Intubation will be done using video laryngoscopy Video laryngoscopy (Glidescope) |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | First Pass Success Rate | Posted | Number | percentage of first pass success | From begining of intubation to verification. Less then 5 minutes approximatly |
|
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Direct Laryngoscopy | Intubation will be done using direct laryngoscopy Direct laryngoscopy |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Michael Silverberg | Beth Israel Medical center | 2124202377 | msilverberg2@chpnet.org |
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| ID | Term |
|---|---|
| D012131 | Respiratory Insufficiency |
| ID | Term |
|---|---|
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
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| Device |
|
|
| Cardiac Arrest | For 1 hour post intubation |
| Complications of Intubation | Complications of intubation including aspiration, vomiting, esophageal intubation,and dental injury. | For 10 minutes post intubation |
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
|
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| Secondary | Severe Desaturation | sat <80% | Posted | Number | percentage of patients with desaturation | For 10 minutes post intubation |
|
|
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| Secondary | Hypotension | SBP<70 | Posted | Number | percentage of hypotension | For 10 minutes post intubation |
|
|
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| Secondary | Cardiac Arrest | Posted | Number | percentage of cardiac arrest | For 1 hour post intubation |
|
|
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| Secondary | Complications of Intubation | Complications of intubation including aspiration, vomiting, esophageal intubation,and dental injury. | Posted | Number | percentage of other complications | For 10 minutes post intubation |
|
|
|
| 0 |
| 60 |
| 0 |
| 60 |
| EG001 | Video Laryngoscopy | Intubation will be done using video laryngoscopy Video laryngoscopy (Glidescope) | 0 | 57 | 0 | 57 |
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