Video Laryngoscopy in Newborn Babies V1
Research type
Research Study
Full title
Comparison between direct laryngoscopy and video laryngoscopy for neonatal intubation. Confidence of staff and number of attempts to successful intubation
IRAS ID
192244
Contact name
David Bartle
Contact email
Sponsor organisation
Royal Devon and Exeter NHS foundation Trust
Clinicaltrials.gov Identifier
Duration of Study in the UK
1 years, 0 months, 1 days
Research summary
Summary of Research
Routinely an intubation device called a laryngoscope is used to visualise a baby’s airway. This has a light on the end to aid the view. A similar device is available with a light and a video camera on the end that gives the view on a screen view as well as the option of direct view. \nWe would like to find out if trainees can learn to intubate (place a tube in a newborn baby’s airway) more effectively and give the team more confidence, using a video assisted guide than they can using the normal intubation tools, looking straight down the throat with a light assisted device. \nIntubation is required if a baby needs more help with their breathing with the use of a ventilator.\nThe video assisted device is the same as the standard device except it has a slightly larger handle and a camera on the tip of it to give a screen view that can be helpful for those supporting the intubation. Patients who require intubation will be allocated either to a video assisted device being used or to a standard device that we use on a day to day basis. The allocation will either be done by a randomly generating computer programme or by concealed envelopes. The allocation to one of these groups will not delay intubation. \nThe aim for this study is to see if intubation is achieved faster with a video than without and if there is more confidence about position of placement of the tube by the team as the procedure is performed.\n
Summary of Results
Small numbers of patients recruited meant there are no statistically significant results, however there is a clear trend to improved successful intubation and fewer attempts at intubation. Furthermore, improved team confidence of tube position at time of placement was felt to be important . With increasing use of LISA, it is important to be confident about tube or catheter placement.
REC name
South West - Central Bristol Research Ethics Committee
REC reference
16/SW/0013
Date of REC Opinion
21 Apr 2016
REC opinion
Further Information Favourable Opinion