Postoperative Care Clinical Trial
Official title:
Does the Incidence of Sore Throat Increase With the Use of a Traditional Intubation Blade or the Glidescope
The purpose in this study is to determine whether there is a difference in the incidence of postoperative sore throat when using the GlideScope™ versus a traditional intubation blade involving patients that are not anticipated to have a difficult airway.
The goal of this study is to determine whether the use of the GlideScope™ video laryngoscope
during intubation leads to a greater or lesser incidence of sore throat when compared to
traditional laryngoscope blades used for intubation, such as the Macintosh or Miller blade.
During postoperative checks by a board certified anesthesiologist at the Albany Medical
Center (AMC) Hospital, it was noticed that patients who reported sore throat often required
intubation with the GlideScope™. Standard of care at the AMC Hospital dictates that the
Glidescope is used as a "rescue" device for failed direct laryngoscopy on a difficult
airway; if traditional direct laryngoscopy with a Macintosh or Miller blade cannot provide
adequate laryngeal views, progression to a different airway device such as the Glidescope or
fiberoptic scope is indicated. The initial attempt with direct laryngoscopy on a difficult
airway often requires utilization of McGill forceps, which increases the chance of upper
airway injury prior to the rescue attempt with the GlideScope. Consequently, it is difficult
to determine whether patients' reports of post-operative sore throat are caused by the
irritation inflicted by the multiple laryngoscopic attempts required in patients where the
Glidescope was needed as a rescue method, or whether it is due to the actual utilization of
the Glidescope itself.
Previous studies have shown that the use of a GlideScope™ decreases the likelihood of upper
airway injury by decreasing the lower mean force applied during laryngoscopy when compared
to a Macintosh laryngoscope; however, this study was done using manikins and it is not known
whether this result can be translated to a patient oriented outcome. Another study compared
the GlideScope™ to direct laryngoscopy for nasotracheal intubation. Their results suggested
that the incidence of postoperative moderate or severe sore throat was significantly reduced
with use of the GlideScope™ videolaryngoscope. However, other studies have shown increased
incidence of postoperative sore throat with Glidescope usage when compared to other
videolaryngoscopes and conventional Macintosh laryngoscope as a primary laryngoscopy method.
In light of these studies, none have attempted a direct comparison of a Glidescope with
conventional Macintosh/Miller laryngoscope blades with incidence of sore throat as a primary
outcome of interest.
The purpose in this study is to determine whether there is a difference in the incidence of
postoperative sore throat when using the GlideScope™ versus a traditional intubation blade
involving patients that are not anticipated to have a difficult airway. Exclusion of
patients with difficult airways allows us to perform direct comparisons with the Glidescope
and conventional direct laryngoscopy without compromising standard of care or increasing
patient risk, which will be determined by the use of standard of care preoperative exams.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
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