McGrath vs. C-MAC Video Laryngoscopy Comparison in Endotracheal Tube Insertion

Intubation; Difficult or Failed Clinical Trial

Official title:

Effectiveness Comparison Between McGrath and C-MAC Video Laryngoscope in Endotracheal Tube Insertion

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04936516
• Other study ID #: UNUD-CTR-FK110621-001
• Status: Completed
• Phase: N/A
• Start date: August 1, 2021
• Est. completion date: October 14, 2021

Study information

• Verified date: October 2021
• Source: Udayana University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Tracheal intubation is commonly performed using a standard Macintosh blade, but recently there has been advanced technology using video laryngoscopy (VL).In this modern era, there are various types of available VL to make it easier for anesthesiologists to perform intubation, especially in patients with difficult airway anatomy.

Various studies showed different results regarding the effectiveness of both C-MAC® and McGrath®, by assessing the comparison of the effectiveness, valuable information will be obtained for further consideration by experts in choosing the best tools in the future.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 68
• Est. completion date: October 14, 2021
• Est. primary completion date: September 30, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

1. Elective surgery patients without neck and face trauma

2. Undergo surgery requiring general anesthesia with endotracheal intubation

3. Patients with physical status ASA I-III

4. Patients aged 18-65 years

5. Nutritional status (BMI < 35 Kg/m2)

Exclusion Criteria:

1. Patients refusal to be included in the study

2. Patients with cervical spine instability

3. Anatomical and structural abnormalities of the maxillary teeth

4. Thyromental distance <6 cm and inter-incisor distance <3.5 cm

5. History of difficult intubation

6. LEMON criteria = 3

Related Conditions & MeSH terms

• Intubation; Difficult or Failed

Intervention

Device:
• Endotracheal intubation
Endotracheal intubation using either McGrath or C-MAC video laryngoscopy

Locations

Country	Name	City	State
Indonesia	Sanglah General Hospital	Denpasar	Bali

Sponsors (1)

Lead Sponsor	Collaborator
Udayana University

Country where clinical trial is conducted

Indonesia, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Intubation time	Time required to perform intubation until endotracheal tube is properly positioned	From first intubation attempt until successful intubation, an average of one minute
Primary	Ease of intubation	Difficulty level of intubation, scores 1-2, 1=effortless, 2=difficult	From first intubation attempt until successful intubation, an average of two minutes
Secondary	Number of intubation attempts	The number of times required for a successful intubation	From first intubation attempt until successful intubation, an average of one minute
Secondary	Glottic visualization	Visualization of glottic assessed by the POGO (Percentage of Glottis Opening) score, 1=best, 4=worst	During first intubation attempt, an average of 30 seconds
Secondary	Complications of intubation	Includes orotracheal trauma, presence of blood in the blades, laryngospasm, bradycardia	From first intubation attempt until successful intubation, an average of one minute