GlideScope Versus Direct Laryngoscope for Emergency Intubation

Oral Intubation Clinical Trial

Official title:

GlideScope vs. Direct Laryngoscope for Emergency Intubation

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01235065
• Other study ID #: HP-00042451
• Status: Completed
• Phase: N/A
• Start date: July 2008
• Est. completion date: November 16, 2016

Study information

• Verified date: June 2018
• Source: University of Maryland, Baltimore
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to assess if the GlideScope video laryngoscope is superior to the Macintosh direct laryngoscope for definitive airway management in acutely-injured patients.

Description:

On admission to the emergency department following traumatic injury, many patients require placement of an artificial airway to support their breathing, provide oxygen and protect their airway. This procedure is accomplished through a number of different techniques and few studies have compared these techniques in order to establish the best method. We will compare an older technique using a metal handle and blade that allows for direct visualization of the vocal cords (direct laryngoscopy) to a newer technique that employs a fiberoptic bundle imbedded in a handle that allows indirect visualization of the vocal cords during placement of the artificial airway. The newer technique has the theoretical advantage of being more useful in patients with abnormal airways which are frequently encountered in trauma patients. Since both techniques are currently employed routinely in our institution, we will randomize all trauma admission to have an initial attempt with one of the two techniques in order to perform a randomized, unblinded trial.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 623
• Est. completion date: November 16, 2016
• Est. primary completion date: November 16, 2016
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• require emergency intubation

Exclusion Criteria:

• age < 18
• require surgical airway on initial assessment
• have known or strongly suspected spinal cord injury

Related Conditions & MeSH terms

• Emergencies
• Oral Intubation

Intervention

Device:
• type of laryngoscope
Patients who require emergency rapid sequence intubation are randomized to intubation with either the direct laryngoscope or the video laryngoscope

Locations

Country	Name	City	State
United States	R Adams Cowley Shock Trauma Center	Baltimore	Maryland

Sponsors (1)

Lead Sponsor	Collaborator
University of Maryland, Baltimore

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of Participants Who Survived to Hospital Discharge	Assessment of whether or not the patient was discharged alive from the study center	2 weeks, on average
Secondary	Length of Time to Perform the Intubation Procedure	How long (seconds) it takes the provider to perform the intubation procedure.	Up to 100 seconds