title: Comparison of Coopdech®, CoPilot®, Intubrite®, and Macintosh laryngoscopes for tracheal intubation during pediatric cardiopulmonary resuscitation: a randomized, controlled crossover simulation trial.
abstract: The aim of the study was to compare the intubation times and success rates of various laryngoscopes during resuscitation in pediatric emergency intubation with uninterrupted chest compression on a standardized pediatric manikin model. This was a randomized crossover study with 107 paramedic participants. We compared times to successful intubation, intubation success rates, and glottic visibility using a Cormack-Lehane grade for Macintosh, Intubrite®, Coopdech®, and Copilot® laryngoscopes. One hundred seven paramedics (mean age 31.2 ± 7.5 years) routinely involved in the management of prehospital care participated in this study. Intubation success rates (overall effectiveness), which was the primary study endpoint, were highest for the Coopdech® and CoPilot® devices (100 %) and were lowest for Intubrite® (89.7 %, p < 0.001) and Macintosh (80.4 %, p < 0.001). The secondary study endpoint, time to first effective ventilation, was achieved fastest when using the Coopdech® laryngoscope (21.6 ± 6.2 s) and was significantly slower with all other devices (Intubrite® 25.4 ± 10.5 s, p = 0.006; CoPilot® 25.6 ± 7.4 s, p = 0.007; Macintosh 29.4 ± 8.2 s, p < 0.001).
  
  
  CONCLUSIONS
  We conclude that in child simulations managed by paramedics, the Coopdech® and Copilot® video laryngoscopes performed better than the standard Macintosh or Intubrite® laryngoscopes for endotracheal intubation during child chest compression.
authors.affiliation: Department of Emergency Medicine, Medical University of Warsaw, Lindleya 4 Street, 02-005, Warsaw, Poland. Lukasz.szarpak@gmail.com.
authors.forename: Łukasz
authors.initials: Ł
authors.lastname: Szarpak
authors.affiliation: Department of Nephrologic Nursing, Medical University of Warsaw, Warsaw, Poland. rn.czyzewski@gmail.com.
authors.forename: Łukasz
authors.initials: Ł
authors.lastname: Czyżewski
authors.affiliation: Department of Emergency Medicine, Medical University of Warsaw, Lindleya 4 Street, 02-005, Warsaw, Poland. zetrtrusz@gmail.com.
authors.forename: Zenon
authors.initials: Z
authors.lastname: Truszewski
authors.affiliation: Department of Anesthesiology, Cardinal Wyszynski National Institute of Cardiology, Warsaw, Poland. andrzejkurowski987@gmail.com.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Kurowski
authors.affiliation: Department of Emergency Medicine and Disaster Medicine, Medical University of Lodz, Lodz, Poland. tomasz.gaszynski@umed.lodz.pl.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Gaszyński
mesh_terms: D000328:Adult; D000488:Allied Health Personnel; D016887:Cardiopulmonary Resuscitation; D002983:Clinical Competence / Q000706:statistics & numerical data; D018592:Cross-Over Studies; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D020704:Laryngoscopes; D007828:Laryngoscopy / Q000295:instrumentation*; D008297:Male; D008348:Manikins; D000066908:Simulation Training; D013997:Time Factors
keywords: Intubation; Laryngoscopes; Pediatrics; Randomization; Training