Retrospective Data Analysis With the Aim to Determine the Success Rate of Endotracheal Intubation in the First Attempt in the Zug Rescue Service With Various Airway Devices Already in Everyday Use

NCT06653166 | Active Not Recruiting

• 2 other identifiers: AWARE2024-02051
• Study Type: observational
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

Airway management is a critical procedure in emergency medicine, especially endotracheal intubation, which can be life-saving. Various techniques, such as video laryngoscopes and conventional laryngoscopes, are used, with success depending on first-pass success. The aim of this retrospective data analysis is to determine the success rate of endotracheal intubation in the first attempt in the Zug Rescue Service between 01/20 and 01/25 with various airway management devices already used in everyday life. The individual complications should secondary with regard to frequency and category as well as possible risk factors. risk factors. The aim is to examine the data on airway management of patients who had to be intubated due to a critical illness (e.g. impaired oxygenation or ventilation, reduced vigilance, cardiovascular arrest, etc.). The data is continuously collected and evaluated by the RDZ as part of quality assurance.

Conditions

Respiratory Insufficiency; Intubation; Airway Management; Prehospital Airway Management in Patients With Cardiac Arrest; Prehospital Emergency Medical Services; Videolaryngoscopy

Outcome Measures

Primary Outcomes (6)

• Success rate (first pass success) with Video laryngoscope with Macintosh blade "C-MAC" used in the Zug rescue service

  January 2020 to January 2025

• Success rate (first pass success) with the hyperangulated video laryngoscope "D-BLADE" in the Zug rescue service

  January 2020 to January 2025

• Success rate (first pass success) with Conventional laryngoscope in the Zug rescue service

  January 2020 to January 2025

• Success rate (first pass success) with Surgical airway protection in the Zug rescue service

  January 2020 to January 2025

• Success rate (first pass success) with the Bougie/tube introducer in the Zug rescue service

  January 2020 to January 2025

• Success rate (first pass success) with the Stylet/guide rod in the Zug rescue service

  January 2020 to January 2025

Secondary Outcomes (8)

• Incidence of mechanical damage

  January 2020 to January 2025

• Incidence of airways retrospectively assessed as definitively difficult

  January 2020 to January 2025

• Portion of Medical/non-medical occupational patients

  January 2020 to January 2025

• Incidence of drop in saturation SpO2 <90%

  January 2020 to January 2025

• Correlation of succes rate and years of clinical experience of the intubator

  January 2020 to January 2025

Study Arms (4)

videolaryngocopy with bougie (S Guide)

Device: bougie (S Guide); Device: videolaryngoscopy

conventional laryngoscopy with bougie (S Guide)

Device: bougie (S Guide)

videolaryngoscopy with introducer

Device: videolaryngoscopy

conventional laryngoscopy with introducer

Interventions

bougie (S Guide) DEVICE

bougie (S Guide)

conventional laryngoscopy with bougie (S Guide); videolaryngocopy with bougie (S Guide)

videolaryngoscopy DEVICE

videolaryngoscopy hyperangulated or Macintosh

videolaryngocopy with bougie (S Guide); videolaryngoscopy with introducer

Eligibility Criteria

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

Study Population

The aim is to examine the data on airway management in the Zug Rescue Service who had to be intubated due to a critical illness (e.g. oxygenation or ventilation disorder, reduced vigilance, cardiovascular arrest, etc.). The data is continuously collected and evaluated by the RDZ as part of quality assurance.

You may qualify if:

• All adult patients who have had their airway secured by endotracheal intubation by RDZ staff

You may not qualify if:

• Existence of a documented refusal.
• Age \< 18 years.

Sponsors & Collaborators

• Rettungsdienst Zug: lead

Study Sites (1)

Rettungsdienst Zug

Zug, 6300, Switzerland

Location

Related Publications (1)

• Brinkmann F, Cajoeri G, Sahli SD, Buehler PK, Scherr BF. Airway management analysis in the rescue environment of the emergency service Zug: a retrospective real-world evaluation. Scand J Trauma Resusc Emerg Med. 2025 Oct 22;33(1):171. doi: 10.1186/s13049-025-01489-x.

  PMID: 41126289 DERIVED

MeSH Terms

Conditions

Respiratory Insufficiency

Condition Hierarchy (Ancestors)

Respiration Disorders; Respiratory Tract Diseases

Study Officials

• Benedikt Florian Scherr, MD

  Rettungsdienst Zug

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: October 18, 2024
• First Posted: October 22, 2024
• Study Start: December 1, 2024
• Primary Completion: May 1, 2025
• Study Completion: July 1, 2025
• Last Updated: April 3, 2025

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

CH (1)