Intubation; Difficult or Failed Clinical Trial
Official title:
A Randomized Comparison Between the Flexible Tip Bougie vs Tube With Stylet for First-attempt Intubation Success With a Videolaryngoscopy in ICU Patients
Tracheal intubation in the intensive care unit (ICU) is associated with high incidence of difficult intubation and complications . Videolaryngoscopes (VLs) devices have been proposed to improve airway management, and the use of VLs are recommended as first-line or after a first-attempt failure using direct laryngoscopy in ICU airway management algorithms. Although two meta-analysis showed that videolaryngoscopy improves visualization of the glottis and the first-attempt success, other two meta-analysis reported that videolaryngoscopy didn´t improve first-attempt success rate. The reason may be that although VLs improve glottic visualization, on many occasions it may not be accompanied by intubation at the first attempt, because the endotracheal tube has to pass a sharp angle to enter the trachea. To avoid this limitation, a new flexible tip bougie is designed to flexibly navigate the distal tip and help facilitate precise insertion of the endotracheal tube in the trachea .
Although VLs improve glottic visualization, on many occasions it may not be accompanied by intubation at the first attempt, because the endotracheal tube has to pass a sharp angle to enter the trachea. To avoid this limitation, a new flexible tip bougie is designed to flexibly navigate the distal tip and help facilitate precise insertion of the endotracheal tube in the trachea. The flexible tip bougie has an integrated slider along the surface which moves the tip anterior and posterior while the pre-curved distal portion of shaft allows the angulation to provide anterior flexion. This new flexible tip bougie could be used as a rescue when first intubation failure using the videolaryngoscopy, or as a first option to improve the percentage of patients intubated at the first attempt. The purpose of this prospective randomized study is to compare successful intubation on the first attempt wuth the new flexible tip bougie versus endotracheal tube with stylet during intubation with videolaryngoscopy of critically ill adults in ICU. ;
Status | Clinical Trial | Phase | |
---|---|---|---|
Not yet recruiting |
NCT05535127 -
Sequential Strategy vs Palpation vs Routine Ultrasound for Detection of Cricothyroid Membrane
|
N/A | |
Not yet recruiting |
NCT05036460 -
Real-time Sonography in Detecting Inadvertent Esophageal Intubation Among Difficult Intubation Patients
|
N/A | |
Completed |
NCT05303948 -
Evaluation of Two Positions for Free Floating Tracheal Intubation in Weightlessness
|
N/A | |
Completed |
NCT06107751 -
Ramped and Sniffing Position for Cesarean Section Intubation.
|
N/A | |
Completed |
NCT04089540 -
New Intubation Method to Achieve Circulatory Stability and to Reduce Number of Intubation Attempts in Neonates
|
N/A | |
Completed |
NCT05522049 -
Videolaryngoscopic Intubation Using Macintosh vs.Hyperangulated Blades in Patients With Expected Difficult Intubation
|
N/A | |
Completed |
NCT03046966 -
Manikin To Patient Intubation: Does It Translate?
|
N/A | |
Not yet recruiting |
NCT05130645 -
Evaluation of Mandibular Mental Angle and Mandibular Profile Angle
|
||
Completed |
NCT06042829 -
Impact of Covid-19 Aerosol Box On Intubation Success Rate
|
N/A | |
Completed |
NCT06138119 -
The Impact of Gender Stereotypes on Fiberoptic Intubation Performance
|
N/A | |
Not yet recruiting |
NCT06115694 -
Comparison of Video Laryngoscopy With Rigid Stylet vs Video Laryngoscopy With the TCI Articulating Introducer for Endotracheal Intubation in Simulated Difficult Airways
|
N/A | |
Completed |
NCT05243758 -
Who is Rapid And Success? The Comparison Of Video Fiberscope And Video Laryngoscope
|
N/A | |
Completed |
NCT04833166 -
Comparing Full vs. Partial Glottis View Using CMAC D-Blade Video Laryngoscope in Simulated Cervical Injury Patient
|
N/A | |
Completed |
NCT03118596 -
Fibre-optic Guided Tracheal Intubation Through SADs
|
N/A | |
Recruiting |
NCT05680909 -
Evaluation of SaCo Videolaryngeal Mask Airway in Morbidly Obese
|
||
Completed |
NCT05833347 -
Evaluation of Difficult Laryngoscopy With Ultrasonography in Pediatric Patients
|
||
Completed |
NCT05366582 -
Neural Integrity Monitor Electromyogram (NIM-EMG) Endotracheal Tube Intubation With Video Laryngoscope
|
N/A | |
Recruiting |
NCT06322719 -
Hyperangulated vs Macintosh Blades for Intubation With Videolaryngoscopy in ICU
|
N/A | |
Recruiting |
NCT06213389 -
Comparison of EzVision® Videolaryngoscope and Gum Elastic Bougie-Assisted Machintosh Laryngoscopy
|
N/A | |
Active, not recruiting |
NCT05884645 -
Video Intelligence intubaTION (VITION)
|