Comparing bougie-assisted intubation to standard intubation in emergency settings
Official title: Bougie Versus Endotracheal Tube Alone on First-attempt Intubation Success in Prehospital Emergency Intubation in Patients Without Predictors of Difficult Intubation (BETA Trial)
Run by Nantes University Hospital · NCT06307392 · Data updated 2026-11-12
This study tests if using a bougie with an endotracheal tube during emergency intubation helps patients have a safer and more successful experience compared to using the tube alone.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 710 (estimated) |
| Sponsor | Nantes University Hospital Academic / other |
| Locations | 10 sites (Nantes, Loire Atlantique and 9 other locations) |
| Status | Recruiting |
| Started | March 26, 2024 |
| Main results expected | March 26, 2027 |
| Study ends | March 31, 2027 |
| Registry record updated | January 23, 2026 |
| Trial ID | NCT06307392 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients requiring emergency prehospital endotracheal intubation managed by a physician-staffed mobile intensive care unit.
✕Probably not a fit
Patients with predictors of difficult intubation or those with a 'not to be resuscitated' indication may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This trial investigates the effectiveness of using a bougie alongside an endotracheal tube during the first attempt at intubation in prehospital emergency situations. It aims to address the challenges faced in emergency intubation, such as the risk of complications and the lower success rates compared to in-hospital settings. By comparing two approaches—intubation with a bougie versus intubation with an endotracheal tube alone—the study seeks to improve the safety and efficiency of airway management in critical care. The trial is conducted by a physician-staffed mobile intensive care unit, focusing on patients requiring emergency intubation.
Why it matters
Potential benefit: If successful, this study could enhance the success rate of first-attempt intubations in emergency settings, reducing complications and improving patient outcomes.
How similar studies have gone: Previous studies have indicated that the use of assistive devices like bougies may improve intubation success rates, suggesting potential for success in this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Managed by a physician staffed mobile intensive care unit (MICU). * With an indication of emergency prehospital endotracheal intubation. Exclusion Criteria: * Pregnant women * Patients with a "not to be resuscitated" indication. * Patients with predictors of difficult intubation (that can be collected in the prehospital setting, including previous history of face, neck, throat surgery or pathology, limited mandibular protrusion, cervical spine trauma, facial trauma, ear-nose-throat malignancy, head or neck burns, history of previous difficult airways) for whom the use of a bougie is indicated on first intubation attempt. * Patients under guardianship, trusteeship or safeguard of justice and patients with no health insurance.
Where it's running
-
Nantes University Hospital
Nantes, Loire Atlantique, France Recruiting -
CHU de Besançon
Besançon, France Recruiting -
CHU de Bordeaux
Bordeaux, France Recruiting -
CHU de Clermont-Ferrand
Clermont-Ferrand, France Recruiting -
CHD La Roche sur Yon
La Roche-sur-Yon, France Recruiting -
CHU de Nancy
Nancy, France Recruiting
Show 4 more locations
-
CHU de Poitiers
Poitiers, France Recruiting -
CHU de Rennes
Rennes, France Recruiting -
CH de Lorient
Lorient, France Not yet recruiting -
CHU de Lyon
Lyon, France Not yet recruiting
Study contacts
- Principal investigator: Quentin LE BASTARD, MD — Nantes University Hospital
- Study coordinator: Quentin LE BASTARD, MD
- Email: quentin.lebastard@chu-nantes.fr
- Phone: 0240087839
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.