A Randomized Prospective Study to Compare Tracheal Intubation With the CMAC Device to Fiberoptic Bronchoscopy in Patients With an Unstable Cervical Spine
Overview
- Phase
- Phase 4
- Intervention
- Not specified
- Conditions
- Laminectomy
- Sponsor
- Cedars-Sinai Medical Center
- Enrollment
- 140
- Locations
- 1
- Primary Endpoint
- Time to Confirm the Placement of the Tracheal Tube
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
The purpose of this study is to evaluate whether tracheal intubation with the CMAC device decreases the time required for intubation as compared to intubation with the fiberoptic bronchoscope in patients with an unstable cervical spine. Both the CMAC device and the fiberoptic bronchoscope are currently commonly used in standard of care practices in the intubation of patients with cervical spine injury.
Investigators
Roya Yumul, M.D.,PhD.
Residency program director, Department of anesthesiology
Cedars-Sinai Medical Center
Eligibility Criteria
Inclusion Criteria
- •Patients with an unstable Cervical-spine as a result of C-spine injury.
- •Patients scheduled to undergo inpatient surgical procedures under general anesthesia.
- •Willingness and ability to sign an informed consent document.
- •18-80 years of age.
- •ASA Class I - III adults of either sex
Exclusion Criteria
- •Patients deemed to be at significant airway risk to necessitate awake fiber optic intubation.
- •Patients with a history of oral-pharyngeal cancer or reconstructive surgery.
- •Emergency surgeries.
- •Any other conditions which may interfere with the conduct of the study.
Outcomes
Primary Outcomes
Time to Confirm the Placement of the Tracheal Tube
Time Frame: up tp 3 minutes
It is the time (in seconds) following initial insertion of laryngoscope blade to confirm with CO2 waveform
Intubation Time (Seconds)
Time Frame: 3 minutes
Times (seconds) following initial insertion of laryngoscope blade to placement of tracheal tube
Secondary Outcomes
- Time to Obtain Glottis Visualization (Seconds)(1 minute)