MedPath

STorz Against Glidescope Effectiveness

Not Applicable
Completed
Conditions
Difficult Airway
Interventions
Device: Glidescope
Device: C-MAC
Registration Number
NCT01632683
Lead Sponsor
Oregon Health and Science University
Brief Summary

This study evaluates success rates of tracheal intubation (passing a breathing tube)for patients who may be more challenging to intubate while utilizing one of two devices that facilitate placement of the tube with video technology.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1100
Inclusion Criteria
  • adult 18 years of age
  • Mallampati classification scale score of 3 or 4
  • Neck circumference greater than 40cm for males, 38 cm for females
  • mouth opening less than 3cm, but greater than 2cm
Exclusion Criteria
  • children
  • prisoners
  • history of easy intubation (success on first attempt with direct laryngoscopy)
  • known unstable cervical spine injury
  • emergency surgery
  • nasal intubation route
  • planned awake technique

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
GlidescopeGlidescopeProviders will utilize the Glidescope video laryngoscope equipped with the #4 blade to facilitate intubation
C-MACC-MACProviders will utilize the C-MAC video laryngoscope equipped with a D-blade to facilitate intubation
Primary Outcome Measures
NameTimeMethod
Intubation Success Rate1 week

Success rate is defined as a single blade insertion with successful tracheal tube placement confirmed by return of end-tidal carbon dioxide

Secondary Outcome Measures
NameTimeMethod
Graded Score of Laryngeal View Achieved1 week

Laryngeal view is defined by the modified Cormack and Lehane scale (1-4) and is assessed by the clinician and the study team. Grade 1 is considered to be a good view while grade 4 is considered to be a poor view.

Number of Participants With Observed Complications1 week

Patients will be examined for evidence of mucosal or dental injury upon intervention. Patients will be asked if they have a sore throat in the recovery room, and their medical record will be reviewed to determine if any other airway related complications were observed by the clinical team including the need for reintubation or steroid administration to reduce swelling.

Intubation Time1 week

Intubation time is defined as the time from blade insertion to first return of end-tidal carbon dioxide

Number of Particpants Requiring Adjuncts to Assist Intubation1 week

The need for use of a gum-elastic bougie or external laryngeal manipulation to facilitate tube placement will be measured by the study team.

Trial Locations

Locations (1)

Oregon Health & Science University

🇺🇸

Portland, Oregon, United States

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