Pre Hospital Evaluation of Video Laryngoscopy (EVE)

Pre Hospital Evaluation of Video Laryngoscopy : a Comparative Study of Macintosh and GLIDESCOPE Ranger®

The objective of this work is to compare standard intubation with video laryngoscope (Glide scope Ranger ) in French pre hospital multicentric study.

Introduction: In France, patients in critical status brought to hospital by emergency physicians and nurses experimented in tracheal intubation. It is an invasive act allowing a protection of airways and an optimal oxygenation of the patients in distress. The reference technique is the direct laryngoscopy by Macintosh . Corresponding data shows that a video laryngoscope - GLIDESCOPE laryngoscope - improve the conditions of intubation in the surgical unit thanks to a better display(visualization) of the opening. A derived device for pre hospital emergency units (GLIDESCOPE Ranger®) deserves to be compared with the classic laryngoscopy in emergency conditions. Objectives: compare the emergency intubation in Pre hospital meadow by Glide Scope Ranger with regard to the classic method Progress of the study: the patients will be included by emergency physicians working in out of hospital teams of 3 major hospitals of Paris. The patients will be randomized in 2 groups: 1 group classic laryngoscopy (group 1) and a group Glide scope Ranger (group 2). The score IDS will be compared for every group as well as the arisen of a complication during the procedure. The consent will be collected on the place or during the hospitalization.

Cardiac Arrest, Respiratory Distress Syndrome, Shock, Acute Post-trauma Stress State, Drug Toxicity, Trauma, Nervous System

Inclusion Criteria: patients of more than 18 years old requiring an intubation by medical out of hospital emergency operators medical insurance Consent signed Exclusion Criteria: Age <18, pregnant women Refusal of consent or inability for understanding study small mouth opening makes it impossible intubate