Comparison of Two Different Lightwand Intubation Techniques in Cervical Immobilized Patients

Intubation; Difficult or Failed Clinical Trial

Official title:

Comparison of the Intubation Success Rate Between Two Techniques Using Lightwand in Patients Undergoing Spine Surgery: Conventional vs. Face-to-face Technique

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06119360
• Other study ID #: KHNMC 2018-10-011-002
• Status: Completed
• Phase: N/A
• Start date: December 12, 2018
• Est. completion date: August 31, 2019

Study information

• Verified date: November 2023
• Source: Kyung Hee University Hospital at Gangdong
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study compares two different approaches of lightwand intubation techniques in cervical immobilized patients.

Description:

This study compares two approaches in lightwand intubation techniques in cervical immobilized patients. One is a conventional approach that involves scooping movement with mandible protraction. The other is a face-to-face approach that inserts lightwand with a front-facing position. This study is conducted as a randomized, prospective, single-blinded design.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 176
• Est. completion date: August 31, 2019
• Est. primary completion date: February 13, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• adults with American Society of Anesthesiologists physical status 1-3
• patients who received scheduled spine surgery under general anesthesia

Exclusion Criteria:

• patients with body mass index <18.5 kg/m2 or >35.0 kg/m2,
• patients who previously had head and neck surgery,
• patients who are at high risk of aspiration,
• patients with pathologic conditions such as tumors, polyps, or inflammation in the airway,
• patients who cannot sit due to severe spine deformity,
• patients who have compromised cardiopulmonary function patients with clinically significant neurovascular disease

Related Conditions & MeSH terms

• Intubation; Difficult or Failed

Intervention

Procedure:
• Face-to-face approach
A front-facing approach and insert the lightwand following the patient's tongue base curvature without scooping movement
• Conventional approach
Patients were positioned supine and the intubator stood above the patient's head. Opening the mouth and slightly pulling the mandible with one hand, the intubator inserted the lightwand-tracheal tube assembly at midline into the patient's mouth under the ambient light being turned off. To identify the location of the lighted tip, the intubator could move the lightwand back and forth gently, Once the red light of the tip was located at the midline of the patient's neck, the pre-launched tube was inserted smoothly into the patient's airway unless there was no resistance

Locations

Country	Name	City	State
Korea, Republic of	Kyung Hee University Gangdong Hospital	Seoul

Sponsors (1)

Lead Sponsor	Collaborator
Kyung Hee University Hospital at Gangdong

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Immediate intubation related outcomes	Outcomes after tracheal intubation	Immediately after general anesthesia (at the post anesthesia care unit)
Other	24 hours intubation related outcomes	Outcomes after tracheal intubation	24 hours after general anesthesia (at the general ward)
Primary	Initial success rate	Intubation success rate at the first attempt	during intubation
Secondary	Intubation time	Total time to the successful intubation	during intubation