Uzun Davut D, Eicher Simge, Mohr Stefan, Weigand Markus A, Schmitt Felix C F
Medical Faculty Heidelberg, Department of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany.
Trials. 2025 Feb 27;26(1):75. doi: 10.1186/s13063-025-08785-y.
Tracheal intubation is a core skill in airway management for anesthesiologists as well as for other medical professionals involved in advanced airway procedures. Traditionally, tracheal intubation in hospitals has been performed using a Macintosh blade for direct laryngoscopy (DL). However, recent literature increasingly supports the potential benefits of routine video laryngoscopy (VL). The aim of this study was to assess whether primary training in hyperangulated VL improves the first-pass success rate of tracheal intubation among first-year anesthesiology residents, compared to conventional DL training, in the operating room.
The JuniorDoc-VL Trial is a randomized, controlled, patient-blinded clinical trial of novice anesthesiology residents trained in DL and VL. Thirty residents will be randomly assigned to either the intervention group (VL group) or the control group (DL group) with a 1:1 allocation. The first-pass-success (FPS) rates (primary endpoint) and complication rates (secondary endpoint) will be compared between groups.
We hypothesize that the primary use of hyperangulated video laryngoscopy (VL) in the experimental group will increase first-pass-success rates among inexperienced residents and reduce complication rates associated with advanced airway management in a mixed patient population. This study may provide an opportunity to develop strategies that allow physicians not routinely involved in anesthesia to effectively learn and maintain their skills in tracheal intubation.
ClinicalTrials.gov Registry (NCT06360328). Registered on 09.04.2024.
气管插管是麻醉医生以及参与高级气道操作的其他医学专业人员气道管理的核心技能。传统上，医院内的气管插管一直使用麦金托什喉镜叶片进行直接喉镜检查（DL）。然而，最近的文献越来越支持常规视频喉镜检查（VL）的潜在益处。本研究的目的是评估与传统的DL培训相比，在手术室中对一年级麻醉住院医师进行超角度VL初级培训是否能提高气管插管的首次成功率。
JuniorDoc-VL试验是一项针对接受DL和VL培训的新手麻醉住院医师的随机、对照、患者盲法临床试验。30名住院医师将以1:1的比例随机分配到干预组（VL组）或对照组（DL组）。将比较两组之间的首次成功（FPS）率（主要终点）和并发症发生率（次要终点）。
我们假设在实验组中主要使用超角度视频喉镜检查（VL）将提高无经验住院医师的首次成功率，并降低混合患者群体中与高级气道管理相关的并发症发生率。本研究可能提供一个机会，以制定策略，使不经常参与麻醉的医生能够有效地学习和保持气管插管技能。
ClinicalTrials.gov注册库（NCT06360328）。于2024年4月9日注册。
