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Endotracheal intubation (ETI) is perceived as the optimal method of providing and maintaining a clear and secure airway. The 2010 European Resuscitation Council (ERC) guidelines emphasized the importance of minimal interruption during cardiopulmonary resuscitation (CPR). These guidelines also suggest that skilled operators should be able to secure the airway without interrupting chest compression. The aim of the study was to compare time and success rates of different available video laryngoscopes and the Miller laryngoscope for emergency intubation during simulated pediatric CPR.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Endotracheal intubation without chest compressions | Experimental | Endotracheal intubation of mannikin during resuscitation without chest compressions. |
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| Endotracheal intubation with uninterrupted chest compressions | Experimental | Endotracheal intubation of mannikin during resuscitation with uninterrupted chest compressions. In order to simulate the difficulties associated with intubation during uninterrupted chest compressions, CPR was performed by using LUCAS-2 (Physio-Control, Redmond, WA, U.S.). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| McGRATH® MAC | Device | video-laryngoscopy-1 |
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| Measure | Description | Time Frame |
|---|---|---|
| Time to intubation | time from insertion of the blade to the first manual ventilation of the manikin´s lungs. If time of intubation is over than 60 seconds, attempt was recognized as failure. | intraoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Success of intubation | effectiveness of the first, second and third intubation attempts and overall effectiveness of intubation by participants using four intubation devices. If the examinee failed at all attempts, the case was excluded from the time calculations. | intraoperative |
| Visual Analog scale (VAS) score |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lukasz Czyżewski | Contact | rn.czyzewski@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Lukasz Szarpak | Institute of Cardiology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| International Institute of Rescue Research and Education | Recruiting | Warsaw | Masovia | 04-628 | Poland |
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| AirTraq | Device | video-laryngoscopy-2 |
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| GlideScope | Device | video-laryngoscopy-3 |
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| Miller | Device | Direct laryngoscopy |
|
participants were asked which method they would prefer in a real-life resuscitation |
| 1 day |