Applied Forces During Neonatal Intubation
1 other identifier
interventional
30
1 country
1
Brief Summary
This study will be to compare the forces applied to mannequin airways (at epiglottis and at palate) during direct laryngoscopy and indirect video laryngoscopy with two kinds of blades (straight blade and hyper-angulated blade)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jan 2022
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 28, 2021
CompletedFirst Posted
Study publicly available on registry
January 20, 2022
CompletedStudy Start
First participant enrolled
January 20, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 26, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
January 26, 2022
CompletedFebruary 15, 2022
January 1, 2022
6 days
November 28, 2021
January 31, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
Forces applied to the epiglottis
The peak force (maximum force, expressed as Newton) applied on the epiglottis during intubation will be recorded by sensors positioned on the tip of the laryngoscope's blade.
5 minutes
Secondary Outcomes (3)
Forces applied to the palate
5 minutes
Perceived workload during intubation
20 minutes
Time of intubation
5 minutes
Study Arms (3)
Intubation with traditional laryngoscope
ACTIVE COMPARATORParticipants will be required to intubate the manikin by using a traditional laryngoscope
Intubation with a straight blade video laryngoscope
EXPERIMENTALParticipants will be required to intubate the manikin by using a straight blade video laryngoscope
Intubation with hyper-angulated video laryngoscope
EXPERIMENTALParticipants will be required to intubate the manikin by using a hyper-angulated video laryngoscope
Interventions
Participants will be invited to intubate the mannequin with a traditional laryngoscope
Intubation with a straight blade video laryngoscope
Participants will be asked to intubate the mannequin with a hyper-angulated video laryngoscope
Eligibility Criteria
You may qualify if:
- Level III NICU and PICU consultants, pediatric residents, anesthesiology consultants, and anesthesiology residents will be eligible to participate in the study.
You may not qualify if:
- Refusal to participate.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University Hospital of Padova
Padua, 35128, Italy
Related Publications (4)
Balaban O, Tobias JD. Videolaryngoscopy in Neonates, Infants, and Children. Pediatr Crit Care Med. 2017 May;18(5):477-485. doi: 10.1097/PCC.0000000000001128.
PMID: 28319487RESULTGordon JK, Bertram VE, Cavallin F, Parotto M, Cooper RM. Direct versus indirect laryngoscopy using a Macintosh video laryngoscope: a mannequin study comparing applied forces. Can J Anaesth. 2020 May;67(5):515-520. doi: 10.1007/s12630-020-01583-x. Epub 2020 Mar 9.
PMID: 32152886RESULTPouppirt NR, Nassar R, Napolitano N, Nawab U, Nishisaki A, Nadkarni V, Ades A, Foglia EE. Association Between Video Laryngoscopy and Adverse Tracheal Intubation-Associated Events in the Neonatal Intensive Care Unit. J Pediatr. 2018 Oct;201:281-284.e1. doi: 10.1016/j.jpeds.2018.05.046. Epub 2018 Jul 3.
PMID: 29980290RESULTCavallin F, Sala C, Maglio S, Bua B, Villani PE, Menciassi A, Tognarelli S, Trevisanuto D. Applied forces with direct versus indirect laryngoscopy in neonatal intubation: a randomized crossover mannequin study. Can J Anaesth. 2023 May;70(5):861-868. doi: 10.1007/s12630-023-02402-9. Epub 2023 Feb 14.
PMID: 36788198DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
November 28, 2021
First Posted
January 20, 2022
Study Start
January 20, 2022
Primary Completion
January 26, 2022
Study Completion
January 26, 2022
Last Updated
February 15, 2022
Record last verified: 2022-01
Data Sharing
- IPD Sharing
- Will not share