Comparison of Simultaneous Endotracheal Tube Insertion With GlideScope Use

Not Applicable

Completed

• Conditions: Videolaryngoscopy; Intubation
• Interventions: Procedure: Standard Intubation; Procedure: Simultaneous Intubation

• Registration Number: NCT02787629
• Lead Sponsor: Lawson Health Research Institute

Brief 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.

Detailed 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

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2016-05-25
• Study First Submitted QC: 2016-05-27
• Study First Posted: 2016-06-01
• Study Start: 2016-10-01
• Primary Completion: 2018-06-30
• Study Completion: 2018-06-30
• Status Verified: 2019-02
• Last Update Submitted: 2019-02-27
• Last Update Posted: 2019-03-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

1. Adult patient booked for elective surgery requiring orotracheal intubation

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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.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control Standard	Standard Intubation	Standard Intubation with GlideScope inserted first and ETT inserted after the GlideScope view is obtained
Simultaneous	Simultaneous Intubation	Simultaneous Intubation with GlideScope and ETT inserted simultaneously

Primary Outcome Measures

Name	Time	Method
Duration of Intubation	During the intubation	Duration of Intubation from mask removal to confirmation of ETCO2

Secondary Outcome Measures

Name	Time	Method
Ease of Intubation	Within 5 minutes of the completion of the intubation	100 mm visual analog scale
Number of intubation attempts	Within 5 minutes of the completion of the intubation	Number of intubation attempts
Laryngoscopic Grade	Within 5 minutes of the completion of the intubation	Cormack \& Lehane grade
Failure to intubate	Within 5 minutes of the completion of the intubation	Failure to intubate
Oropharyngeal Trauma	Within 5 minutes of the completion of the intubation	Blind suction of the oropharynx immediately post intubation

Trial Locations

Locations (2)

St. Joseph's Health Care; 🇨🇦 London, Ontario, Canada

London Health Sciences Center University Hospital; 🇨🇦 London, Ontario, Canada