Video Analysis of Prehospital Emergency Intubations

NCT03929796 | Completed

• 1 other identifier: 2017-02104
• Study Type: observational
• Target: 422
• Locations: 1 country
• Sites: 1

Brief Summary

The Investigators' knowledge about pre-hospital emergency intubations is still limited. Various factors such as the average and the normal range of intubation time are still unknown. Since its launch Rega videotapes all intubation attempts with the C-MAC videolaryngoscope. The investigators prospectively analysed all routinely recorded intubation videos during one year performed by the Rega crews. The investigators analysed different parameters such as first pass success rate and the time to successfully intubate alongside with others. The goal was to find out more about this difficult procedure, about the problems which regularly occur and on what should be put particular emphasis during training.

Conditions

Intubation; Prehospital; Videolaryngoscopy

Outcome Measures

Primary Outcomes (1)

• First attempt intubation success rate

  Rate of a successful intubation at first attempt

  Starts when the videolaryngoscope is inserted in the patients mouth for the first time and ends when the airway is secured

Secondary Outcomes (13)

• Overall success rate

  Starts when the videolaryngoscope is inserted in the patients mouth for the first time and ends when the airway is secured

• Time intervals during intubation

  Starts when the videolaryngoscope is inserted in the patients mouth for the first time and ends when the airway is secured

• Number of intubation attempts

  Starts when the videolaryngoscope is inserted in the patients mouth for the first time and ends when the airway is secured

• Best C/L(Cormack/ Lehane 1-4) grade and best POGO (percent of glottis Opening 0 - 100 %) score

  Starts when the videolaryngoscope is inserted in the patients mouth for the first time and ends when the airway is secured

• Additional Airway devices used

  Starts when the videolaryngoscope is inserted in the patients mouth for the first time and ends when the airway is secured

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All Patients which underwent Intubation performed by the Rega during 1year (15.02.18-14.02.19) because of medical or Trauma associated reasons (with or without cardiac arrest).

You may qualify if:

• All videos routinely taken from intubations performed during 1 year at the Swiss Air Rescue (Rega) at all 13 helicopter bases

You may not qualify if:

• Patients who were intubated primarily using other devices without a camera
• Intubations that were not recorded (missing data).

Sponsors & Collaborators

• Insel Gruppe AG, University Hospital Bern: lead

Study Sites (1)

Bern University Hospital and University of Bern

Bern, 3011, Switzerland

Location

Related Publications (5)

• Hossfeld B, Frey K, Doerges V, Lampl L, Helm M. Improvement in glottic visualisation by using the C-MAC PM video laryngoscope as a first-line device for out-of-hospital emergency tracheal intubation: An observational study. Eur J Anaesthesiol. 2015 Jun;32(6):425-31. doi: 10.1097/EJA.0000000000000249.

  PMID: 25886716 BACKGROUND

• Carlson JN, Quintero J, Guyette FX, Callaway CW, Menegazzi JJ. Variables associated with successful intubation attempts using video laryngoscopy: a preliminary report in a helicopter emergency medical service. Prehosp Emerg Care. 2012 Apr-Jun;16(2):293-8. doi: 10.3109/10903127.2011.640764. Epub 2011 Dec 22.

  PMID: 22191806 BACKGROUND

• Kim SY, Park SO, Kim JW, Sung J, Lee KR, Lee YH, Hong DY, Baek KJ. How much experience do rescuers require to achieve successful tracheal intubation during cardiopulmonary resuscitation? Resuscitation. 2018 Dec;133:187-192. doi: 10.1016/j.resuscitation.2018.08.032. Epub 2018 Aug 30.

  PMID: 30172693 BACKGROUND

• Gunning M, O'Loughlin E, Fletcher M, Crilly J, Hooper M, Ellis DY. Emergency intubation: a prospective multicentre descriptive audit in an Australian helicopter emergency medical service. Emerg Med J. 2009 Jan;26(1):65-9. doi: 10.1136/emj.2008.059345.

  PMID: 19104110 BACKGROUND

• Smith CM, Yeung J. Airway management in cardiac arrest-Not a question of choice but of quality? Resuscitation. 2018 Dec;133:A5-A6. doi: 10.1016/j.resuscitation.2018.10.009. Epub 2018 Oct 15. No abstract available.

  PMID: 30336234 BACKGROUND

Study Officials

• Lorenz Theiler, Prof.

  Department of Anaesthesiology and Pain Therapy, Bern University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 17, 2019
• First Posted: April 29, 2019
• Study Start: February 15, 2018
• Primary Completion: February 14, 2019
• Study Completion: February 14, 2019
• Last Updated: May 8, 2019

Record last verified: 2019-05

Locations

CH (1)