Video Laryngoscope Versus USB Borescope in Difficult Intubation

Intubation; Difficult or Failed Clinical Trial

Official title:

Video Laryngoscope Versus a USB Borescope Aided Endotracheal Intubation in Adults With Anticipated Difficult Airway

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05158088
• Other study ID #: N-15-2021/MSc
• Status: Completed
• Phase: N/A
• Start date: December 20, 2021
• Est. completion date: April 1, 2022

Study information

• Verified date: April 2022
• Source: Cairo University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Video Laryngoscope Versus a USB Borescope Aided Endotracheal Intubation in Adults With Anticipated Difficult Airway

Description:

For patients allocated to the USB-borescope technique, a proper size endotracheal tube will be placed over the USB-borescope (with an external diameter of 5.5 mm) which will be coated externally with water-soluble lubricant. The proper size laryngoscope blade will be inserted. The USB-borescope will be placed through the oral cavity and will be advanced while tracking it on a mobile phone, it will be advanced to the glottic opening. If needed, rotation of USB-borescope and/or external laryngeal manipulation will be used to align it with the vocal cord.

For patients allocated to the intubation over Video Laryngoscope technique, video laryngoscope (Insighters insight is3) proper size blade will be placed and introduction of the Video Laryngoscope till viewing the glottis opening then insertion of a proper sized endotracheal tube

Recruitment information / eligibility

• Status: Completed
• Enrollment: 120
• Est. completion date: April 1, 2022
• Est. primary completion date: March 28, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• 1.American Society of Anesthesiologist ASA physical status I-II patients. 2.Both genders. 3.Age18-60 years old 4.BMI <35 5.patients with El-Ganzouri score more than or equal to 4

Exclusion Criteria:

• Presence of pulmonary diseases

• Uncontrolled hypertension

• Ischemic heart disease

• Cervical spine fracture

• Limited mouth opening

• known to have tumors or polyps in the upper airway

• History of difficult intubation or difficult bag-mask ventilation

• Patients with difficult bag-mask ventilation after induction of anesthesia

Related Conditions & MeSH terms

• Intubation; Difficult or Failed

Intervention

Device:
• Borescope
Endotracheal intubation using borescope
• Video laryngoscope
Endotracheal intubation using video laryngoscope

Locations

Country	Name	City	State
Egypt	Faculty of Medicine	Cairo

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Time of intubation	in seconds	5 minutes
Secondary	Blood pressure before intubation, every 5 minutes after intubation till 15 minutes after intubation	Systolic, diastolic, and mean arterial blood pressures	15 minutes
Secondary	Heart rate Heart rate	Heart rate before intubation, every 5 minutes after intubation till 15 minutes after intubation	15 minutes
Secondary	The degree of view clarity	Cormack-Lehane grading	1 minute
Secondary	Incidence of complications	Incidence of complications as bleeding, failure	48 hours
Secondary	Number of trials for correct endotracheal intubation	Number of trial till successful intubation	2 minutes