Video Laryngoscope Versus USB Borescope in Difficult Intubation

Not Applicable

Completed

• Conditions: Intubation; Difficult or Failed
• Interventions: Device: Borescope; Device: Video laryngoscope

• Registration Number: NCT05158088
• Lead Sponsor: Cairo University

Brief Summary

Video Laryngoscope Versus a USB Borescope Aided Endotracheal Intubation in Adults With Anticipated Difficult Airway

Detailed Description

For patients allocated to the USB-borescope technique, a proper size endotracheal tube will be placed over the USB-borescope (with an external diameter of 5.5 mm) which will be coated externally with water-soluble lubricant. The proper size laryngoscope blade will be inserted. The USB-borescope will be placed through the oral cavity and will be advanced while tracking it on a mobile phone, it will be advanced to the glottic opening. If needed, rotation of USB-borescope and/or external laryngeal manipulation will be used to align it with the vocal cord.

For patients allocated to the intubation over Video Laryngoscope technique, video laryngoscope (Insighters insight is3) proper size blade will be placed and introduction of the Video Laryngoscope till viewing the glottis opening then insertion of a proper sized endotracheal tube

Study Timeline

• Study First Submitted: 2021-08-22
• Study First Submitted QC: 2021-12-10
• Study First Posted: 2021-12-15
• Study Start: 2021-12-20
• Primary Completion: 2022-03-28
• Status Verified: 2022-04
• Study Completion: 2022-04-01
• Last Update Submitted: 2022-04-13
• Last Update Posted: 2022-04-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

• 1.American Society of Anesthesiologist ASA physical status I-II patients. 2.Both genders. 3.Age18-60 years old 4.BMI <35 5.patients with El-Ganzouri score more than or equal to 4

Exclusion Criteria

• Presence of pulmonary diseases
• Uncontrolled hypertension
• Ischemic heart disease
• Cervical spine fracture
• Limited mouth opening
• known to have tumors or polyps in the upper airway
• History of difficult intubation or difficult bag-mask ventilation
• Patients with difficult bag-mask ventilation after induction of anesthesia

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Borescope group	Borescope	Using an Endotracheal tube mounted over Borescope with the aid of conventional laryngoscope for intubation
Videolaryngoscope group	Video laryngoscope	Using videolaryngoscope for intubation

Primary Outcome Measures

Name	Time	Method
Time of intubation	5 minutes	in seconds

Secondary Outcome Measures

Name	Time	Method
Blood pressure before intubation, every 5 minutes after intubation till 15 minutes after intubation	15 minutes	Systolic, diastolic, and mean arterial blood pressures
Number of trials for correct endotracheal intubation	2 minutes	Number of trial till successful intubation
Heart rate Heart rate	15 minutes	Heart rate before intubation, every 5 minutes after intubation till 15 minutes after intubation
The degree of view clarity	1 minute	Cormack-Lehane grading
Incidence of complications	48 hours	Incidence of complications as bleeding, failure

Trial Locations

Locations (1)

Faculty of Medicine; 🇪🇬 Cairo, Egypt