Direct Versus Video Laryngoscope (DEVICE) Airway Trial

We propose a multicenter, non-blinded, parallel-group, randomized clinical trial (RCT) evaluating the effect of video versus direct laryngoscope use on successful first attempt tracheal intubations. Adult patients in participating EDs and ICUs who require tracheal intubation and who meet eligibility criteria will be enrolled and randomly assigned to either a video or direct laryngoscope for the first intubation attempt. The video laryngoscope group operators will use the video screen on the first attempt. All other decisions regarding airway management will remain at the discretion of the treating physician. An independent observer will prospectively collect all data at the time of intubation. We will supplement this prospective data collection with review of the medical record to determine the effect of the assigned interventions on study outcomesWe propose a multicenter, non-blinded, parallel-group, randomized clinical trial (RCT) evaluating the effect of video versus direct laryngoscope use on successful first attempt tracheal intubations. Adult patients in participating EDs and ICUs who require tracheal intubation and who meet eligibility criteria will be enrolled and randomly assigned to either a video or direct laryngoscope for the first intubation attempt. The video laryngoscope group operators will use the video screen on the first attempt. All other decisions regarding airway management will remain at the discretion of the treating physician. An independent observer will prospectively collect all data at the time of intubation. We will supplement this prospective data collection with review of the medical record to determine the effect of the assigned interventions on study outcomes.