Intubation;Difficult Clinical Trial
Official title:
A Randomized Trial on Comparison of Cervical Spine Motion During Tracheal Intubation Using Direct Laryngoscope Versus C-MAC Videolaryngoscope in Simulated Immobilized Cervical Spine
The aim of the study is to compare the effect of the C-MAC videolaryngoscope intubation technique vs. the conventional direct laryngoscope intubation technique on the cervical spine motion during intubation in patients with the simulated cervical immobilization.
Status | Not yet recruiting |
Enrollment | 20 |
Est. completion date | May 2019 |
Est. primary completion date | December 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 20 Years to 80 Years |
Eligibility |
Inclusion Criteria: - Patients with American Society of Anesthesiologists physical status of 1-2 and age of 20-80 years undergoing elective endovascular coiling to secure cerebral aneurysm under general anesthesia in neuroangiographic rooms. Exclusion Criteria: - Patients with C-spine injury, C-spine disease - Patients with past medical history of C-spine surgery or intervention - Patients with the upper airway abnormalities, such as inflammation, abscesses, tumours, polyps, or trauma. - Patients with past medical history of gastro-oesophageal reflux disease and previous airway surgery, a high risk of aspiration, coagulation disorders, or Hunt Hess grade of 3-5. - Body mass index > 30 |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Seoul National University Hospital |
Kim TK, Son JD, Seo H, Lee YS, Bae J, Park HP. A Randomized Crossover Study Comparing Cervical Spine Motion During Intubation Between Two Lightwand Intubation Techniques in Patients With Simulated Cervical Immobilization: Laryngoscope-Assisted Versus Conventional Lightwand Intubation. Anesth Analg. 2017 Aug;125(2):485-490. doi: 10.1213/ANE.0000000000001813. — View Citation
Robitaille A, Williams SR, Tremblay MH, Guilbert F, Thériault M, Drolet P. Cervical spine motion during tracheal intubation with manual in-line stabilization: direct laryngoscopy versus GlideScope videolaryngoscopy. Anesth Analg. 2008 Mar;106(3):935-41, table of contents. doi: 10.1213/ane.0b013e318161769e. — View Citation
Turkstra TP, Craen RA, Pelz DM, Gelb AW. Cervical spine motion: a fluoroscopic comparison during intubation with lighted stylet, GlideScope, and Macintosh laryngoscope. Anesth Analg. 2005 Sep;101(3):910-5, table of contents. Erratum in: Anesth Analg. 2005 Oct;101(4):1011. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Maximum cervical spine motion (degree) | Maximum angles measured at the occiput-C1, C1-C2, C2-C5 segments | During tracheal intubation time, an expected average of 90 seconds | |
Secondary | Intubation time | Check the intubation time (seconds) defines 'from insertion of device to oral cavity of patients to confirm successful intubation' | Within 90 seconds from insertion of device | |
Secondary | Number of intubation trial | Check the number of intubation trial | During tracheal intubation time, an expected average of 1 minutes | |
Secondary | Postoperative complications | Check the postoperative hoarseness, sore throat and numeric rating scale (1-10) we checked sore throat score | During PACU stay time expected up to 1 hr | |
Secondary | Postoperative complications | Check the postoperative hoarseness, sore throat and numeric rating scale (1-10) we checked sore throat score | 24 hr after operation | |
Secondary | Postoperative complications | Blood tinged endotracheal tube ( yes or no) | After extubation, immediate postoperative period |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT03604120 -
Preoxygenation for Difficult Airway Management
|
N/A | |
Completed |
NCT04356547 -
Orotracheal Intubation Using Flexible Fibro Bronchoscope With vs Without Supraglottic Device
|
N/A | |
Completed |
NCT03645174 -
Long Endotracheal Tube vs. Aintree Intubating Catheter for Fiberoptic-guided Intubation in Manikin
|
N/A | |
Completed |
NCT03578601 -
Predictive Parameters for Difficult Tracheal Intubation Identification in Thyroid Surgery
|
||
Completed |
NCT04578119 -
Optimal Intubating Technique Using Videolaryngoscopy in Patients With Semi-rigid Neck Collar
|
N/A | |
Terminated |
NCT03340207 -
Novel Airway Device to Aid Endotracheal Intubations
|
N/A | |
Completed |
NCT04091568 -
Patient Experience Following Awake Fibreoptic Intubation Compared to Asleep Fibreoptic Intubation
|
||
Completed |
NCT03337555 -
A Comparison of McGrath MAC®, Pentax-AWS® and Macintosh Direct Laryngoscopes for Nasotracheal Intubation
|
N/A | |
Completed |
NCT04153357 -
Comparison of Different Video Laryngoscopes in < 1 Year Old Undergoing Neurosurgical Operations: a Prospective Randomized Study
|
N/A | |
Recruiting |
NCT03366311 -
TCHCCT-Zhong-Xing-Emergency-Department-airway
|
N/A | |
Completed |
NCT03719638 -
Comparison of Two Blades of Videolaryngoscope in Simulated Difficult Airway in Children
|
N/A | |
Completed |
NCT03716466 -
Evaluation of Prophylactic Endotracheal Intubation
|
||
Recruiting |
NCT03514745 -
Comparison of Lighted Stylet and GlideScope for Double-lumen Endobronchial Intubation
|
N/A | |
Completed |
NCT03118622 -
Pentax Videolaryngoscopy in Children
|
N/A | |
Completed |
NCT03173443 -
Insertion Time Over Fiberoptic Bronchoscope of Double Lumen Tube and Single Lumen Tube
|
N/A | |
Completed |
NCT03576352 -
Emergency Front of the NecK Access (eFONA) in Children
|
N/A | |
Completed |
NCT04457453 -
Comparison of Direct and Video Laryngoscope During Endotracheal Intubation in Sellick and Trendelenburg Position
|
N/A | |
Not yet recruiting |
NCT04770077 -
Sniper Intubation for Training of Undergraduate Medical Student
|
||
Recruiting |
NCT06448377 -
Initiation of Airway Code: The Role of the Airway Team in Unexpected Difficult Airways
|
||
Completed |
NCT04779528 -
Awake Nasal Fiber-optic Intubation of Severely Obese Patients in Lateral Position
|
N/A |