A comparison of tracheal intubation in the simulated unstable cervical spine: McGrath videolaryngoscope versus Macintosh laryngoscope
Not Applicable
- Conditions
- Intubation in the setting of potential cervical spine instabilityAnaesthesiology - Anaesthetics
- Registration Number
- ACTRN12609000171213
- Lead Sponsor
- Whole time medical specialist fund.
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot yet recruiting
- Sex
- All
- Target Recruitment
- 80
Inclusion Criteria
American Society Anesthesia physical status grading system (ASA) 1-3 patients requiring endotracheal intubation for surgery; English speaking; full frontal dentition
Exclusion Criteria
Any patient who requires an awake intubation; patient with known laryngeal pathology; patient at risk of pulmonary aspiration; body mass index (BMI)>40; patient refusal
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Speed of intubation. This will be measured using a stop-watch (seconds) by one of the study investigators who is also an anaesthetist.[At time of intubation, immediately after induction of anaesthesia. Intubation is predicted to take 30-60 seconds.]
- Secondary Outcome Measures
Name Time Method Incidence of difficult tracheal intubation. This will be assessed by the anaesthetist performing the intubation. Difficulty of intubation will be assessed via the intubation difficulty score (IDS) which is a validated measure of the difficulty of intubation.[At time of intubation, immediately after induction of anaesthesia.];Laryngoscopic view will be assessed by the established Cormack/Lehane grading system. This grading system applies grades to the view depending on how much of the larynx is seen.[At time of intubation, immediately after induction of anaesthesia.];Incidence of complications will be assessed when one of the study investigators reviews the patient in recovery ie. after they have woken up from surgery.[At the end of the procedure];Success rate of intubation will be calculated by dividing attempts at intubation by successful intubation.[At time of intubation, immediately after induction of anaesthesia.]