Intubation; Difficult Clinical Trial
Official title:
Evaluation of McGrath® MAC Using Glidescope® Ranger for Novice Providers in a Simulated Difficult Airway: A Randomised Manikin Study
The purpose of this study is to evaluate whether the McGrath® MAC video laryngoscope is equal or superior when compared to the Glidescope® Ranger and the Macintosh laryngoscope for novice users in a simulated airway manikin.
Investigators compared two portable video laryngoscopes (the GlidesScope® Ranger (Verathon
Inc, Bothell, WA, USA) and the McGrath® MAC (Aircraft Medical Ltd, Edinburgh, UK)) and a
German type Macintosh metal blade with a fiberoptic light. A blade size of 4 was used on all
devices. All intubations using video laryngoscopes were performed according to the
manufacturers' instructions. A specialised rigid stylet (the GlideRite®) was used with the
Glidescope® and a flexible plastic stylet bent with a hockey stick curvature, was used with
the McGrath® MAC and the Macintosh laryngoscope. A size 7.5 endotracheal tube (Mallinckrodt™
Hi-Lo Oral/Nasal Tracheal Tube Cuffed Murphy Eye, Covidien, Ireland) was used with all the
laryngoscopes.
All participants were randomly divided into 3 device groups. Each group was allowed to
attempt to perform endotracheal intubation five more times using the Laerdal® Airway
Management Trainer (Laerdal Medical Korea Ltd., Seoul, Korea) with the normal airway
setting. After completing the normal airway session, the participants performed another five
attempts with the neck immobilisation setting using a neck collar.
The sequence in which the three devices were used was randomly assigned, and all
participants performed the same sequence at intervals of five weeks during the study.
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Allocation: Randomized, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Basic Science
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