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A randomized controlled study to evaluate different Techniques and Approachs for the Exchange of a tracheal tube or supraglottic airway device in a Simulator
Exchanging a tracheal tube (ETT) in the high-risk difficult airway patient carries the risk of hypoxemia and the potential of a lost airway. Maintaining continuous airway access during the exchange by incorporating an airway exchange catheter (AEC) or similar device may reliably lessen exchange risk, especially in the known or suspected difficult airway patient, by providing a conduit to facilitate ETT passage into the trachea. We evaluated some approven / etablished techniques in a Simulator based study design.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Prone Position | Experimental | Evaluation of Techniques for tracheal tube Exchange in prone position |
|
| Laryngeal tube | Experimental | Evaluation of Techniques for tracheal tube Exchange in patients with laryngeal tube (LT) |
|
| Endotracheal tube Leackage | Experimental | Evaluation of Techniques for tracheal tube Exchange in critical care patients with a endotracheal tube and a high leackage |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Prone Position | Device | In a randomized order we evaluate techniques for securing the airway in paralyzed patients in prone position |
|
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of Strategies for Securing the Airway | Evaluation of Strategies for securing the Airway in patients in the OR and Critical Care Medicine. Participants are confronted with three airway scenarios and perform in a Simulator different airway management strategies. | through study completion, an average of 10 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Time for intervention | time for Exchange the Primary airway device | through study completion, an average of 10 minutes |
| Anaesthesia Experience | individual anaesthesia experience |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marc Kriege, MD | University Medical Center of Johannes Gutenberg-University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Anesthesiology,Prof. C. Werner, Universitätsmedizin of the JG University | Mainz | Rhineland-Palatinate | D55131 | Germany |
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| Laryngeal tube | Device | In a randomized order we evaluate techniques for securing the airway in patients with a failed laryngeal tube |
|
| Endotracheal tube Leackage | Device | In a randomized order we evaluate techniques for securing the airway in paralyzed patients with a endotracheal tube and a cuff leackage |
|
| through study completion, an average of 10 minutes |
| IDS | after the Scenario we calculate the Intubation difficult score (IDS) | through study completion, an average of 10 minutes |