Intubation Clinical Trial
Official title:
Airway Management Via the Retromolar Route Access - a Clinical Study
Is there a difference in vocal cord visualization between the retromolar and conventional access?
Management of the difficult airway is still an essential part of modern anaesthesia. Up to
now, there have bee no clinical investigations comparing the intubation method via the
retromolar route (RM), with the conventional intubation route (CM).
For the present clinical investigation, 100 patients undergoing elective surgery will be
investigated in the General Hospital of Vienna when for the anaesthesia intubation is
required. In both intubation methods (RM and CM) the anaesthesiologist will visually
determine the Cormack & Lehane score in a randomly assigned sequence with and without a
BURP-manoeuvre (= backwards, upwards and rightwards pressure). Thereafter intubation is
performed in all patients by the CM method and if intubation fails the RM technique will be
used. Of course, as per usual, every intubation trial is interrupted by a 20 second
100%-oxygen-ventilation period to reach a pulse oximetry oxygen saturation of at least 97%
SpO2. Thereafter, if intubation fails again every other intubation technique will be
applied, as necessary and called for.
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Allocation: Randomized, Intervention Model: Crossover Assignment, Masking: Open Label
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