Different Techniques for Emergency Cricothyroidotomy

NCT01107561 | Completed

• 1 other identifier: Pro00011192
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

This educational study will examine two different techniques for training emergency residents and staff on achieving a surgical airway (called a cricothyroidotomy).

Conditions

Intubation, Intratracheal

Keywords

cricothyroidotomy; intubation; airway; emergency medicine; education

Outcome Measures

Primary Outcomes (1)

• Time to complete airway access

  Measured in seconds as the time taken for insertion of the tube and connection of the bagging device.

  Within the 5 minutes permitted for each procedure

Secondary Outcomes (4)

• Success

  Within 5 minutes of the start of the procedure

• Number of attempts

  Within the 5 minutes permitted for each procedure

• Complications

  Within the 5 minutes permitted for each procedure

• Perceived difficulty

  Prior to end of the educational session

Study Arms (2)

Seldinger technique

EXPERIMENTAL

Involves blind needle insertion through the skin into the cricoid membrane followed by insertion of the guide-wire and subsequent insertion of the tube over the guidewire.

Other: Seldinger technique

Surgical airway approach

ACTIVE COMPARATOR

The classical open or surgical technique involves a vertical skin incision with blunt dissection and identification of the anatomy followed by incision of the cricoid membrane and tube insertion.

Device: Surgical Airway Approach

Interventions

Seldinger technique OTHER

Involves blind needle insertion through the skin into the cricoid membrane followed by insertion of the guide-wire and subsequent insertion of the tube over the guidewire

Also known as: Neddle approach

Seldinger technique

Surgical Airway Approach DEVICE

The classical open or surgical technique involves a vertical skin incision with blunt dissection and identification of the anatomy followed by incision of the cricoid membrane and tube insertion.

Also known as: Open approach

Surgical airway approach

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• All staff and residents presenting to a airway lab for Informed verbal consent.

You may not qualify if:

• Non-physicians

Sponsors & Collaborators

• University of Alberta: lead
• Canadian Association of Emergency Physicians: collaborator

Study Sites (1)

Department of Emergency Medicine

Edmonton, Alberta, Canada

Location

Study Officials

• Sandy Dong, MD, MSc

  University of Alberta

  PRINCIPAL INVESTIGATOR

• Warren Thirsk, MD, FRCPC

  University of Alberta

  PRINCIPAL INVESTIGATOR

• Brian H Rowe, MD, MSc

  University of Alberta

  STUDY DIRECTOR

• Cristina Villa-Roel, MD, MSc

  University of Alberta

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 12, 2010
• First Posted: April 21, 2010
• Study Start: April 1, 2010
• Primary Completion: May 1, 2010
• Study Completion: July 1, 2010
• Last Updated: October 14, 2011

Record last verified: 2011-10

Locations

CA (1)