Intubation; Difficult Clinical Trial
Official title:
RIFL (Rigid and Flexing Laryngoscope) vs. Fiberoptic Bronchoscope: A Comparison of the Ease of Use During Intubation on Difficult Airways
We will conduct a randomized trial comparing the success rate and time to intubation using the RIFL vs. the fiberoptic bronchoscope, as the latter is commonly held to be the gold standard of difficult airway devices. Specifically, we wish to compare the of intubation between the two devices in patients with potentially difficult airways as defined by an oropharyngeal class 3-4, BMI greater than 35, or in patients with a history of difficult intubation using direct laryngoscopy.
Patients who require general anesthesia with endotracheal intubation will be identified the
night prior to their surgery based upon the examination documented in their preoperative
history and physical. If their body mass index achieves a calculated score of 35 or greater
or they have an oropharyngeal class 4 airway then they will qualify to participate.
After written informed consent is obtained, The intubation method would be randomized as one
of two groups: intubation via use of the fiberoptic bronchoscope or the RIFL. The intubation
attempt will be terminated if the SpO2 <90, HR<50, there is traumatic injury, or time >
100sec. If terminated, the patient will be mask ventilated and the attending
anesthesiologist would determine the subsequent technique that will be used for airway
management.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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