Anesthesia Intubation Complication Clinical Trial
Official title:
Learning and Performance of Glidescope® Videolaryngoscope Intubation in Anesthesiologists Trained in Direct Laryngoscopy: a "in Vivo" Study
Glidescope laryngoscope was introduced as a novel tool for difficult intubation. Its learning curve was prooved on manikin but not in adult patients.
Glidescope® Videolaryngoscope is an angulated rigid optical device introduced in clinical
practice in 2004 to facilitate endotracheal intubation.
Since its introduction potential benefits of this instrument might lie with use in patients
with clinical features indicating difficult laryngoscopy or it being used as a rescue method
following failed direct laryngoscopy. In a few centers was proposed and used routinely.
The performance of Glidescope® was studied in easy and difficult scenarios, in vivo and on
manikins and compared with the reference standard McIntosh direct laryngoscopy. In patients
with predicted or simulated difficult intubation, despite glottis visualization was improved
with Glidescope®, the introduction of the tube in trachea was difficult the same as with
McIntosh laryngoscopy. Training of operators before to entertain the trials varied from 20
to 50 Glidescope successful intubations. In an observational study Aziz et al. demonstrated
in the two Institutions involved that the GlideScope® was used more frequently at the
Institution were the failure rate was significantly lower. At this , 51 providers performed
mean 21.7 GlideScope® intubations while at the other 91 providers performed 9.9 intubations.
These data highlight the important issue of how many Glidescope® intubations a provider
should complete to reach a definitive clinical competence in this practice. Until now there
is only one study performed on mankin comparing Glidescope® with AirTraq® and McIntosh
laryngoscopes in novices . The authors concluded that despite a steep learning curve after 5
intubation difficulties in instrumentation and longer times to intubate persisted with
Glidescope® in comparison with the other two devices. Outcome measures were: duration of
intubation attempt, modified Cormack grades, dental trauma and difficulty of use.
In vivo both timely insertion of laryngoscope blade and introduction of the tube, no need of
help or of external laryngeal displacement should be included to ascertain expertise with
this new technology in patients with different grades of difficulty predicted.
;
Observational Model: Cohort, Time Perspective: Prospective
Status | Clinical Trial | Phase | |
---|---|---|---|
Not yet recruiting |
NCT03591432 -
A Trial Comparing Transnasal humidified Rapid insufflation Ventilatory Exchange (THRIVE) and Apneic Oxygenation With Facemask Ventilation in Elderly Patients Undergoing Induction of Anaesthesia.
|
N/A | |
Completed |
NCT01518608 -
Alfentanil and the Elimination of Sympathetic Responses to Tracheal Intubation During Rapid Sequence Induction of Anesthesia: A Probability-based Approach
|
Phase 4 | |
Not yet recruiting |
NCT04268043 -
Comparation of Proseal Laryngeal Mask Airway With Flexible Laryngeal Airway Mask
|
N/A | |
Recruiting |
NCT03902704 -
Safety and Efficacy of Cleverscope. A New Medical Device for Tracheal Intubation
|
N/A | |
Completed |
NCT05383417 -
No Post Intubation Laryngeal Symptoms
|
N/A | |
Recruiting |
NCT04864106 -
Comprehensive Preoperative Airway Grading
|
N/A | |
Active, not recruiting |
NCT02627755 -
GlideScope® vs GlideScope® + aScope® for Managing Difficult Airways.
|
N/A | |
Not yet recruiting |
NCT06091631 -
Magnesium Sulfate in Surgical Stress Attenuation Postoperative Sore Throat and Stress Response Induced Tracheal Intubation
|
N/A | |
Completed |
NCT04085744 -
A Comparison Of Local Anesthetic Agents And Steroid On Tracheal Tube Cuff
|
N/A | |
Completed |
NCT04802122 -
Induction of Anesthesia With Sevoflurane Preserving Spontaneous Breathing: Cardiorespiratory Effects.
|
Phase 4 | |
Completed |
NCT05366582 -
Neural Integrity Monitor Electromyogram (NIM-EMG) Endotracheal Tube Intubation With Video Laryngoscope
|
N/A | |
Completed |
NCT03631875 -
Co-induction Ketamine-propofol: Effects on Laryngeal Mask Airway Insertion Conditions in Children
|
Phase 4 | |
Completed |
NCT04110899 -
Paratracheal Force Required for Occluding the Upper Esophagus
|
N/A | |
Not yet recruiting |
NCT05279170 -
MAsk VEntilation With Paratracheal Pressure In Children. Para Tracheal Compression to Prevent Gastric Insufflation in Children
|
N/A | |
Completed |
NCT01289769 -
The Effect of Dexmedetomidine on Hemodynamic Response During Double Lumen Endotracheal Intubation
|
Phase 2 | |
Completed |
NCT03833947 -
Dexamethasone vs Bicarbonate to Intracuff Lignocaine 2% in General Anaesthesia
|
Phase 4 | |
Completed |
NCT04779528 -
Awake Nasal Fiber-optic Intubation of Severely Obese Patients in Lateral Position
|
N/A | |
Recruiting |
NCT05433155 -
Nasotracheal Intubation With VL vs DL in Infants Trial
|
N/A | |
Completed |
NCT05432570 -
Use of Muscle Relaxants in Parotidectomy Operation With Neuromonitoring
|
N/A | |
Completed |
NCT02564640 -
Comparison of Hemodynamic Changes by Using the Videolaryngoscope and the Macintosh Laryngoscope
|
N/A |