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The advent of telemedicine has introduced teleguidance as a promising support to enhance endotracheal intubation skills among inexperienced operators. Several studies showed the effectiveness of supervisor assisted ETI using the various VL devices and commercial videoconferencing softwares. However, recent developments in VL technologies introduced the VL integrated videoconferencing features for this purpose. Scoper VL device (Technomedicare Inc, Turkiye) developed a real-time teleconsultation feature for difficult airway scenarios to be assisted by experts during the procedure. However, the literature is very limited about the effectiveness and feasibility of teleguidance-facilitated airway management.
This high-fidelity simulation study aims to assess impact of teleguidance-facilitated airway management on the success of ETI performed by inexperienced operators in a mobile ambulance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Teleguidance-facilitated Airway Management | Experimental | The airway expert able to remotely access to videolaryngoscopy monitor will provide verbal feedback during the endotracheal intubation. |
|
| Standard Airway Management | No Intervention | Operator will use standard videolaryngoscopy without expert feedback during the endotracheal intubation. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Teleguidance-facilitated Airway Management | Device | tele-guidence will be provided by an experienced airway expert |
|
| Measure | Description | Time Frame |
|---|---|---|
| Rate of first attempt success (n,%) | Visualization of the endotracheal tube passing between the vocal cords within the first 60 seconds of the procedure. | Measured at the 60-second mark. |
| Measure | Description | Time Frame |
|---|---|---|
| Intubation duration (seconds) | Duration between the passage of the endotracheal tube through the lips and its pass between the vocal cords | procedure (Measured at the confirmation of the tube passed between vocal cords.) |
| Operator confidence assessed by Likert Scale. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ibrahim Ozturan | Kocaeli University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kocaeli University Medical Faculty Emergency Medicine Department | Kocaeli | 41730 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Self-evaluation of procedure confidence using 7-point Likert Scale |
| At the end of the procedure |
| Feasibility of intubation assessed by Likert Scale. | Self-evaluation of methods feasibility using 7-point Likert Scale | At the end of the procedure |