Comparison of Simultaneous Endotracheal Tube Insertion With GlideScope Use: a Pilot Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Intubation
- Sponsor
- Lawson Health Research Institute
- Enrollment
- 50
- Locations
- 2
- Primary Endpoint
- Duration of Intubation
- Status
- Completed
- Last Updated
- 7 years ago
Overview
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
Investigators
Eligibility Criteria
Inclusion Criteria
- •Adult patient booked for elective surgery requiring orotracheal intubation
Exclusion Criteria
- •Any patient in whom the use of the GlideScope is contraindicated in the opinion of the attending anesthesiologist.
- •Any patient with cervical spine abnormalities.
- •Any patients with known or probable difficult airways.
- •Any patient requiring rapid sequence induction.
Outcomes
Primary Outcomes
Duration of Intubation
Time Frame: During the intubation
Duration of Intubation from mask removal to confirmation of ETCO2
Secondary Outcomes
- Ease of Intubation(Within 5 minutes of the completion of the intubation)
- Number of intubation attempts(Within 5 minutes of the completion of the intubation)
- Failure to intubate(Within 5 minutes of the completion of the intubation)
- Oropharyngeal Trauma(Within 5 minutes of the completion of the intubation)
- Laryngoscopic Grade(Within 5 minutes of the completion of the intubation)