Obese Clinical Trial
Official title:
Time to Intubation in Obese Patients. A Comparison Between Macintosh Laryngoscope and Stortz Video Laryngoscope
The purpose of the study is to investigate wether the use of the Stortz video laryngoscope will render in shorter time for the intubation of obese patients compared with the use of a conventional Macintosh laryngoscope.
Obese patients are prone to develop desaturation soon after initiation of anaesthesia
compared to patients of normal body weight. It is therefore important to keep the time from
when spontaneous breathing to when the airway is secured with a orotracheal tube as short as
possible. We will therefore investigate if it is possible to shorten this time by using a
Stortz videolaryngoscope.
Patients 18-60 years with ASA grade 1-3 and BMI < 35 that turn up for planned surgery that
demands the use of orotracheal tubing and controlled ventilation will be randomly and
consecutively enrolled in either of two groups. Patients in both groups will be
anaesthetised with the same combination of drugs using Propofol and Remifentanyl or Fentanyl
for induction of sleep, combined with Rocuronium for muscle relaxation.
After the induction and relaxation the intubation will be facilitated using either of two
laryngoscopes. In the first group a conventional Macintosh laryngoscope, and in the second
group a Stortz videolaryngoscope will be used. The time to intubation is defined as the time
from grabbing the laryngoscope to when the tube has been inserted and end-tidal carbon
dioxide appears on the monitor. Our hypothesis is that we will be able to achieve a faster
intubation with the use of videolaryngoscope.
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