A Modified Rabbit Training Model for Establishing an Emergency Front of Neck Airway in Children

NCT04573790 | Completed

• 1 other identifier: eFONA KISPI
• Study Type: observational
• Target: 29
• Locations: 1 country
• Sites: 1

Brief Summary

A "cannot intubate, cannot oxygenate" (CICO) situation is rare in paediatric anaesthesia, but can always occur in children under certain emergency situations. There is a paucity of literature on specific procedures for securing an emergency invasive airway in children under the age of 6 years. A modified emergency Front Of Neck Access (eFONA) technique using a rabbit cadaver model was developed to teach invasive airway protection in a CICO situation in children. After watching an instructional video of our eFONA technique (tracheotomy, initial intubation with Frova catheter over which an endotracheal tube is inserted), 29 anaesthesiologists will perform two separate attempts on rabbit cadavers. The primary outcome is the success rate and the performance time overall and in subgroups of trained and untrained participants.

Conditions

Emergency Front of Neck Airway in Children

Keywords

Cannot intubate, cannot oxygenate in children; emergency front of neck airway; rabbit cadaver model; emergency tracheotomy

Outcome Measures

Primary Outcomes (2)

• Sucess rate

  Correct positioning of the endotracheal tube in to the trachea

  during study period, approx 15min

• Performance time

  Time needed to complete the surgical tracheotomy

  during study period, max 240 sec

Secondary Outcomes (1)

• Secondary injuries

  during study period, approx 15min

Study Arms (2)

Trained in eFONA

Trained participants completed our eFONA workshop within the last six month prior to participating in this study

Procedure: eFONA

Untrained in eFONA

Untrained participants had never taken part in our institutional eFONA workshop

Procedure: eFONA

Interventions

eFONA PROCEDURE

Surgical Tracheotomy

Trained in eFONA; Untrained in eFONA

Eligibility Criteria

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

Study Population

Anesthesiologists working at the department of Anesthesia at University Children's Hospital Zurich

You may qualify if:

• Anesthesiologists working at the department of Anesthesia at University Children's Hospital Zurich

You may not qualify if:

• n.a.

Sponsors & Collaborators

• University Children's Hospital, Zurich: lead

Study Sites (1)

University Childrens Hospital, Department of Anaesthesia and Children's Research Centre

Zurich, 8032, Switzerland

Location

Study Design

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

Study Record Dates

• First Submitted: September 28, 2020
• First Posted: October 5, 2020
• Study Start: January 4, 2019
• Primary Completion: September 30, 2019
• Study Completion: September 30, 2019
• Last Updated: October 5, 2020

Record last verified: 2020-09

Data Sharing

• IPD Sharing: Will not share

Locations

CH (1)