Teleguidance-facilitated Airway Management

NCT06497725 | Completed

• 1 other identifier: GOKAEK-2024/07.13
• Study Type: interventional
• Target: 98
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Telemedicine; Intubation; Difficult or Failed; Emergencies

Outcome Measures

Primary Outcomes (1)

• 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.

Secondary Outcomes (3)

• Intubation duration (seconds)

  procedure (Measured at the confirmation of the tube passed between vocal cords.)

• Operator confidence assessed by Likert Scale.

  At the end of the procedure

• Feasibility of intubation assessed by Likert Scale.

  At the end of the procedure

Study Arms (2)

Teleguidance-facilitated Airway Management

EXPERIMENTAL

The airway expert able to remotely access to videolaryngoscopy monitor will provide verbal feedback during the endotracheal intubation.

Device: Teleguidance-facilitated Airway Management

Standard Airway Management

NO INTERVENTION

Operator will use standard videolaryngoscopy without expert feedback during the endotracheal intubation.

Interventions

Teleguidance-facilitated Airway Management DEVICE

tele-guidence will be provided by an experienced airway expert

Teleguidance-facilitated Airway Management

Eligibility Criteria

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

You may qualify if:

• All paramedic students who completed their airway management training

You may not qualify if:

• The trainees who did not consent to participate
• The trainees who did not complete the VL training

Sponsors & Collaborators

• Kocaeli University: lead

Study Sites (1)

Kocaeli University Medical Faculty Emergency Medicine Department

Kocaeli, 41730, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Emergencies

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Ibrahim Ozturan

  Kocaeli University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: June 28, 2024
• First Posted: July 12, 2024
• Study Start: May 1, 2024
• Primary Completion: July 1, 2024
• Study Completion: August 1, 2024
• Last Updated: August 14, 2024

Record last verified: 2024-08

Locations

TU (1)