NCT07165314

Assessment of Provider Position for Prehospital Tracheal Intubation

Assessment of Provider Position for Prehospital Tracheal Intubation Using Direct Laryngoscopy: Randomized Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 72 (actual)
• Sponsor: University Hospital, Geneva · Academic / Other
• Sex: All
• Age: 18 Years – 50 Years
• Healthy volunteers: Accepted

Summary

Endotracheal intubation may be needed in critically ill patients in the prehospital setting, where difficult conditions may be encountered. The patient may be lying on the ground, thus complicating direct laryngoscopy as the operator's visual axis cannot be properly aligned with the patient's oral-pharyngeal-tracheal axis. The posture sitting cross-legged ("Lotus" position) at the head of the patient may allow an easier alignment of the visual axes due to a lower operator's head position and more stability. We compared the impact of the "Lotus" position with free positioning of the operator for direct laryngoscopy on intubation first pass success rate among novice operators.

Conditions

• Tracheal Intubation

Interventions

Type	Name	Description
PROCEDURE	Free positioning	Participants are not given instructions on how to position for intubation using direct laryngoscopy.
PROCEDURE	Sitting cross-legged ("Lotus" position)	Participants are requested to sit cross-legged for intubation using direct laryngoscopy.

Timeline

• Start date: 2023-09-01
• Primary completion: 2024-04-30
• Completion: 2024-04-30
• First posted: 2025-09-10
• Last updated: 2025-09-10

Locations

1 site across 1 country: Switzerland