Maslanka M, Szarpak L, Ahuja S, Ruetzler K, and Smereka J. Novel airway device Vie Scope in several pediatric airway scenario: A randomized simulation pilot trial. Medicine (Baltimore) 2020; 99(28):e21084.
CONTEXT: Endotracheal intubation of pediatric patients is challenging, especially in the pre-hospital emergency setting and if performed by less experienced providers. Securing an airway should be achieved with a single intubation attempt, as each intubation attempt contributes to morbidity and mortality. A new airway device, the VieScope, was recently introduced into clinical market, but efficacy to reduced intubation attempts remains unclear thus far.
OBJECTIVE: We aimed to compare endotracheal intubation by paramedics using the Vie Scope in different pediatric airway simulation conditions.
METHODS: We conducted a randomized, cross-over simulation study. Following a theoretical and practical training session, paramedics performed endotracheal intubation in 3 different pediatric emergency scenarios: normal airway; tongue edema; cardiopulmonary resuscitation using the VieScope. Overall intubation success rate was the primary outcome. Secondary outcomes included number of intubation attempts, time to intubation, Cormack-Lehane grade, POGO score, and ease of use (using 1-100 scale).
RESULTS: Fifty-five paramedics with at least 2 years of clinical experience and without any previous experience with the VieScope participated in this study. The overall intubation success rate was 100% in all 3 scenarios. The median intubation time was 27 (24-34) versus 27 (25-37) versus 29 (25-40) s for scenarios A, B, and C, respectively. In scenario A, all paramedics performed successful intubation with 1 single intubation attempt, whereas 2% of the paramedics had to perform 2 intubation attempts in scenario B and 9% in scenario C.
CONCLUSIONS: Results of this simulation study indicate preliminary evidence, that the VieScope enables adequate endotracheal intubation in the pediatric setting. Further clinical studies are needed to confirm these results.
Medical Subject Headings
Allied Health Personnel; Cardiopulmonary Resuscitation; Cross-Over Studies; Equipment Design; Female; Humans; Intubation, Intratracheal; Laryngoscopes; Male; Manikins; Pediatrics; Pilot Projects