The Use of the GlideScope Ranger in Pediatric Critical Care Transport

NCT ID: NCT01054183

Last Updated: 2015-02-23

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-07-31

Study Completion Date

2011-12-31

Brief Summary

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This study seeks to assess the role of the GlideScope Ranger video laryngoscope in facilitating successful neonatal/pediatric intubation by pediatric critical care transport teams. The central hypothesis of this study is that the GlideScope Ranger video laryngoscope reduces the rates of failed intubation attempts by pediatric critical care transport teams. The aims of this project are designed to specifically: (1) Establish competencies for GlideScope Ranger video laryngoscopy-assisted intubation for pediatric and neonatal patients; and (2) Compare the intubation success rates for intubation using GlideScope Ranger video laryngoscopy and using conventional, direct laryngoscopy by pediatric and neonatal critical care transport teams.

Detailed Description

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Conditions

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Respiratory Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intubation using GlideScope Ranger

The study site has two critical care transport teams per shift and will, at shift change, assign intubation team A to use the GlideScope Ranger for all intubations on that day.

Group Type EXPERIMENTAL

GlideScope Ranger Intubation

Intervention Type DEVICE

Intubation with GlideScope Ranger Video Laryngoscope

intubation using direct laryngoscopy

The study site has two critical care transport teams per shift and will, at shift change, assign intubation team B. Team B will do intubations using direct laryngoscopy only that day.

Group Type ACTIVE_COMPARATOR

Direct Laryngoscopy

Intervention Type DEVICE

Intubations will be done with direct laryngoscopy.

Interventions

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GlideScope Ranger Intubation

Intubation with GlideScope Ranger Video Laryngoscope

Intervention Type DEVICE

Direct Laryngoscopy

Intubations will be done with direct laryngoscopy.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* age \< 18 years
* Presence of respiratory failure requiring tracheal intubation by the Critical Care Transport Team either at the referring institution or during the transport to the receiving institution
* Ability of parent or legal guardian to provide written informed consent

Exclusion Criteria

* Patients 18+ years of age
* Patient has a functioning tracheostomy
* Patient does not require orotracheal intubation
Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Akron Children's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael T Bigham, M.D.

Role: PRINCIPAL_INVESTIGATOR

Akron Children's Hospital

Locations

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Akron Children's Hospital

Akron, Ohio, United States

Site Status

Countries

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United States

References

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Cooper RM. The GlideScope videolaryngoscope. Anaesthesia. 2005 Oct;60(10):1042. doi: 10.1111/j.1365-2044.2005.04384.x. No abstract available.

Reference Type BACKGROUND
PMID: 16179054 (View on PubMed)

Lim TJ, Lim Y, Liu EH. Evaluation of ease of intubation with the GlideScope or Macintosh laryngoscope by anaesthetists in simulated easy and difficult laryngoscopy. Anaesthesia. 2005 Feb;60(2):180-3. doi: 10.1111/j.1365-2044.2004.04038.x.

Reference Type BACKGROUND
PMID: 15644017 (View on PubMed)

Malik MA, O'Donoghue C, Carney J, Maharaj CH, Harte BH, Laffey JG. Comparison of the Glidescope, the Pentax AWS, and the Truview EVO2 with the Macintosh laryngoscope in experienced anaesthetists: a manikin study. Br J Anaesth. 2009 Jan;102(1):128-34. doi: 10.1093/bja/aen342.

Reference Type BACKGROUND
PMID: 19059923 (View on PubMed)

Rai MR, Dering A, Verghese C. The Glidescope system: a clinical assessment of performance. Anaesthesia. 2005 Jan;60(1):60-4. doi: 10.1111/j.1365-2044.2004.04013.x.

Reference Type BACKGROUND
PMID: 15601274 (View on PubMed)

Kim JT, Na HS, Bae JY, Kim DW, Kim HS, Kim CS, Kim SD. GlideScope video laryngoscope: a randomized clinical trial in 203 paediatric patients. Br J Anaesth. 2008 Oct;101(4):531-4. doi: 10.1093/bja/aen234. Epub 2008 Aug 8.

Reference Type BACKGROUND
PMID: 18689807 (View on PubMed)

Milne AD, Dower AM, Hackmann T. Airway management using the pediatric GlideScope in a child with Goldenhar syndrome and atypical plasma cholinesterase. Paediatr Anaesth. 2007 May;17(5):484-7. doi: 10.1111/j.1460-9592.2006.02149.x.

Reference Type BACKGROUND
PMID: 17474957 (View on PubMed)

Taub PJ, Silver L, Gooden CK. Use of the GlideScope for airway management in patients with craniofacial anomalies. Plast Reconstr Surg. 2008 Apr;121(4):237e-238e. doi: 10.1097/01.prs.0000305397.19883.a7. No abstract available.

Reference Type BACKGROUND
PMID: 18349622 (View on PubMed)

Trevisanuto D, Fornaro E, Verghese C. The GlideScope video laryngoscope: initial experience in five neonates. Can J Anaesth. 2006 Apr;53(4):423-4. doi: 10.1007/BF03022520. No abstract available.

Reference Type BACKGROUND
PMID: 16575049 (View on PubMed)

Nichols, D.G. and M.C. Rogers, Rogers' textbook of pediatric intensive care. 4th ed. 2008, Philadelpia: Lippincott Williams & Wilkins. No PMID Available.

Reference Type BACKGROUND

04/14/2009 [cited 2009 June]; Available from: http://www.aap.org/sections/transmed/DatabaseTM.pdf

Reference Type BACKGROUND

Other Identifiers

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090903

Identifier Type: -

Identifier Source: org_study_id

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