Comparison of Simultaneous Endotracheal Tube Insertion With GlideScope Use

Intubation Clinical Trial

Official title:

Comparison of Simultaneous Endotracheal Tube Insertion With GlideScope Use: a Pilot Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02787629
• Other study ID #: 107322
• Status: Completed
• Phase: N/A
• Start date: October 1, 2016
• Est. completion date: June 30, 2018

Study information

• Verified date: February 2019
• Source: Lawson Health Research Institute
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Patients presenting for elective surgery requiring orotracheal intubation will be randomized to having the ETT inserted into the pharynx simultaneous to GlideScope insertion and then having the ETT advanced under GlideScope guidance into the trachea, or, being intubated in the more common fashion with the GlideScope being inserted first and having the ETT then advanced via the pharynx into the trachea.

Description:

Patients presenting for elective surgery requiring orotracheal intubation will be randomized to having the ETT inserted into the pharynx simultaneous to GlideScope insertion and then having the ETT advanced under GlideScope guidance into the trachea, or, being intubated in the more common fashion with the GlideScope being inserted first and having the ETT then advanced via the pharynx into the trachea. The primary outcome is time to intubation. Secondary outcomes include: 1) Ease of intubation as noted by operator (measured on a 10-cm Visual Analogue Scale) 2) Number of intubation attempts 3) Number of failures to intubate 4) Use of external laryngeal pressure 5) Laryngoscopic grade distribution

Recruitment information / eligibility

• Status: Completed
• Enrollment: 50
• Est. completion date: June 30, 2018
• Est. primary completion date: June 30, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 80 Years

Eligibility

Inclusion Criteria:

1) Adult patient booked for elective surgery requiring orotracheal intubation

Exclusion Criteria:

1. Any patient in whom the use of the GlideScope is contraindicated in the opinion of the attending anesthesiologist.

2. Any patient with cervical spine abnormalities.

3. Any patients with known or probable difficult airways.

4. Any patient requiring rapid sequence induction.

Related Conditions & MeSH terms

• Intubation
• Videolaryngoscopy

Intervention

Procedure:
• Simultaneous Intubation
Intubation with GlideScope and ETT inserted simultaneously
• Standard Intubation
Intubation with GlideScope inserted first and ETT insertion after the GlideScope view is obtained

Locations

Country	Name	City	State
Canada	London Health Sciences Center University Hospital	London	Ontario
Canada	St. Joseph's Health Care	London	Ontario

Sponsors (1)

Lead Sponsor	Collaborator
Lawson Health Research Institute

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Duration of Intubation	Duration of Intubation from mask removal to confirmation of ETCO2	During the intubation
Secondary	Ease of Intubation	100 mm visual analog scale	Within 5 minutes of the completion of the intubation
Secondary	Number of intubation attempts	Number of intubation attempts	Within 5 minutes of the completion of the intubation
Secondary	Failure to intubate	Failure to intubate	Within 5 minutes of the completion of the intubation
Secondary	Laryngoscopic Grade	Cormack & Lehane grade	Within 5 minutes of the completion of the intubation
Secondary	Oropharyngeal Trauma	Blind suction of the oropharynx immediately post intubation	Within 5 minutes of the completion of the intubation