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Not yet recruitingNCT06474572IntTabUpdated Jun 25, 2024

Applied Forces During Neonatal Intubation at Different Heights of the Resuscitation Table

An interventional study of Direct laryngoscope and table at xiphoid level and Videolaryngoscope and table at xiphoid level in Neonatal Disease and Intubation, sponsored by University Hospital Padova. Not yet recruiting. Open to participants aged 25 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-06-25.

Sponsored by University Hospital Padova · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jun 2024, 2 years 5 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
25 Years to 65 Years
Sex
All
01

Study summary

The study aims to compare the applied forces during intubation of a newborn manikin with direct and video laryngoscope at different heights of the resuscitation table. Furthermore, the success at the first attempt, the intubation time and participants' opinion on the procedures were investigated.

This is an unblinded, randomized, controlled, crossover trial on the applied forces during intubation of a newborn manikin with direct and video laryngoscope at different heights of the resuscitation table.

Read the detailed description

Background: Endotracheal intubation is an important life-saving procedure for critically ill neonates. Some procedure-related aspects may affect the quality of the intubation. Optimizing the relative height between patient and operator may improve intubation procedures.

Objectives: To compare the applied forces during intubation of a newborn manikin with direct and video laryngoscope at different heights of the resuscitation table. Furthermore, the success at the first attempt, the intubation time, and participants' opinions on the procedures were investigated.

Methods: This is an unblinded, randomized, controlled, crossover trial on the applied forces during intubation of a newborn manikin with direct and video laryngoscope at different heights of the resuscitation table. Participants will be Level III NICU/PICU consultants, and pediatric residents. Randomization will be performed using a computer-generated random assignment list. The primary outcome measure will be the forces applied on the neonatal manikin during the intubation. The secondary outcome measures will be the success of the first attempt, the total time of intubation, and participants' opinions about the procedure.

02

Conditions studied

  • Neonatal Disease
  • Intubation

Keywords

  • Neonate
  • Intubation
  • Direct laryngoscopy
  • Video laryngoscopy
  • Forces
  • Simulation
03

In context

Infant, Newborn, Diseases

140 studies on the registry are indexed under Infant, Newborn, Diseases; 29 are open to participants now.

This study's planned enrollment of 32 is below the median of 92 across 86 interventional studies indexed under Infant, Newborn, Diseases.

Browse Infant, Newborn, Diseases studies →

Lead sponsor

University Hospital Padova is the lead sponsor of 41 studies on the registry; 10 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
25 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Level III NICU and PICU consultants, and pediatric residents

Exclusion criteria

Exclusion Criteria:

  • Refusal to participate
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
32 participants (estimated)

Study arms

  • Active comparator
    Direct laryngoscope and table at xiphoid level

    Participants will be required to intubate the manikin with a direct laryngoscope and table at xiphoid level

    Device: Direct laryngoscope and table at xiphoid level

  • Active comparator
    Videolaryngoscope and table at xiphoid level

    Participants will be required to intubate the manikin with a video laryngoscope and table at xiphoid level

    Device: Videolaryngoscope and table at xiphoid level

  • Active comparator
    Direct laryngoscope and table at umbilical level

    Participants will be required to intubate the manikin with a direct laryngoscope and table at umbilical level

    Device: Direct laryngoscope and table at umbilical level

  • Experimental
    Videolaryngoscope and table at umbilical level

    Participants will be required to intubate the manikin with a video laryngoscope and table at umbilical level

    Device: Videolaryngoscope and table at umbilical level

Interventions

  • DeviceDirect laryngoscope and table at xiphoid level

    Participants will be required to intubate the manikin with a direct laryngoscope and table at xiphoid level

  • DeviceVideolaryngoscope and table at xiphoid level

    Participants will be required to intubate the manikin with a video laryngoscope and table at xiphoid level

  • DeviceDirect laryngoscope and table at umbilical level

    Participants will be required to intubate the manikin with a direct laryngoscope and table at umbilical level

  • DeviceVideolaryngoscope and table at umbilical level

    Participants will be required to intubate the manikin with a videolaryngoscope and table at umbilical level

06

What researchers measure

Primary outcomes

  1. Magnitide of applied forces (Newton)

    Magnitude of forces (measured in Newton) applied to the epiglottis and the palate of the neonatal manikin during the intubation

    Time frame: 3 minutes

Secondary outcomes

  1. Percentage of participants achieving the intubation success at the first attempt

    The success of the first attempt will be defined as the achievement of the correct positioning of the endotracheal tube in the trachea as assessed by the external observer

    Time frame: 30 seconds

  2. Total time of intubation

    Time of device positioning will be calculated as the sum of the time of device positioning in all attempts, as the procedure will be repeated in case of incorrect positioning

    Time frame: 3 minutes

  3. Participant's opinions about the procedure

    Participants will report: their preference about table height and device; perceived difficulty using a Likert scale (1= not difficult, 5=very difficult)

    Time frame: 12 hours

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Evans P, Shults J, Weinberg DD, Napolitano N, Ades A, Johnston L, Levit O, Brei B, Krick J, Sawyer T, Glass K, Wile M, Hollenberg J, Rumpel J, Moussa A, Verreault A, Abou Mehrem A, Howlett A, McKanna J, Nishisaki A, Foglia EE. Intubation Competence During Neonatal Fellowship Training. Pediatrics. 2021 Jul;148(1):e2020036145. doi: 10.1542/peds.2020-036145. Epub 2021 Jun 25. PubMed 34172556 ↗
  • Pouppirt 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. PubMed 29980290 ↗
  • Geraghty LE, Dunne EA, Ni Chathasaigh CM, Vellinga A, Adams NC, O'Currain EM, McCarthy LK, O'Donnell CPF. Video versus Direct Laryngoscopy for Urgent Intubation of Newborn Infants. N Engl J Med. 2024 May 30;390(20):1885-1894. doi: 10.1056/NEJMoa2402785. Epub 2024 May 5. PubMed 38709215 ↗
  • Xue FS, Li RP, Liu GP. Dynamic optimization of height relation between anaesthetist's chest and patient's face during tracheal intubation. Br J Anaesth. 2015 Feb;114(2):348-9. doi: 10.1093/bja/aeu479. No abstract available. PubMed 25596228 ↗
  • Gordon 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. PubMed 32152886 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 25, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06474572
Lead sponsor
University Hospital Padova
Responsible party
Daniele Trevisanuto (Associate Professor, University Hospital Padova) — Principal investigator
First posted
Jun 25, 2024
Start date
Jun 2024 (estimated)
Primary completion
Jun 2024 (estimated)
Completion
Jun 2024 (estimated)
Last update
Jun 25, 2024

Study contacts

Daniele Trevisanuto, MD
Contact
daniele.trevisanuto@unipd.it
0498211489

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jun 2024. You cannot join it, but the record below documents what was studied.

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