Head and Neck Neoplasm Clinical Trial
Official title:
Flexible Scope Intubation vs.Flexible Scope Intubation and Video Laryngoscopy Combination: A Prospective Randomized Clinical Trial
This trial studies how well flexible intubation scope with or without video laryngoscope works in supporting endotracheal tube placement in patients with head and neck cancer before surgery. Flexible intubation scope and video laryngoscope are devices that have a small camera to help the doctor see the patient's airway on a screen. Both devices may help the doctor who gives anesthesia prevent complications from placing the breathing tube (such as pain or mouth injury).
Status | Recruiting |
Enrollment | 120 |
Est. completion date | December 31, 2024 |
Est. primary completion date | December 31, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Ages = 18 years of age - All surgical patients with known or suspected difficult airways that meet at least three (3) of the Difficult Airway criteria [Mallampati III-IV, Neck circumference > 40 cm, Sternomental distance < 12 cm, Thyromental distance < 6 cm, Mouth opening < 4 cm, BMI = 35 kg/m2, Upper Lip Bite Test - ULBT (class III)] or history of radiation to the head and neck area or oral pathology obstructing the glottic view - American Society of Anesthesiology (ASA) I-IV - Has provided written informed consent Exclusion Criteria: - Active bleeding from nasopharynx or oropharynx - Trismus - Oral pathology obstructing the glottic view - Planned awake or nasal intubation - Neuromuscular Blockade (NMB) contraindicated post-induction - Emergency endotracheal intubation and patients intubated pre and post-surgery - Surgical procedures such as Tracheostomy, Laryngectomy, Esophagectomy - Patient refusal or inability to consent for study participation - American Society of Anesthesiology (ASA) V - Pregnant females |
Country | Name | City | State |
---|---|---|---|
United States | M D Anderson Cancer Center | Houston | Texas |
Lead Sponsor | Collaborator |
---|---|
M.D. Anderson Cancer Center | National Cancer Institute (NCI) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Rates of difficult endotracheal tube (ETT) placement | Estimated rates of difficult ETT will be provided using exact 95% confidence interval (CI) using the method of Clopper-Pearson. | 1 day | |
Secondary | Total time for securing the airway | 1 day | ||
Secondary | Number of attempts required for intubation | 1 day | ||
Secondary | Rate of failure at intubation | 1 day | ||
Secondary | Incidence of desaturation | 1 day | ||
Secondary | Complications of difficult Endotracheal Tube (ETT) placement using a flexible intubation scope (FIS) versus a combination of flexible intubation and video laryngoscopy in difficult airway management. | For complications, researchers will assign a '0' for no complication arising and a '1' for any complications arising. The total score will range from 0 to 3 and will be summarized using frequencies and percentages related to each level of the total score and using the mean score and standard deviation, whichever is more appropriate. | 1 day |
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