The Depth of Endotracheal Tube Insertion

Not Applicable

Completed

• Conditions: Intubation Complication
• Interventions: Device: GlideScope; Device: Direct laryngoscopy

• Registration Number: NCT03184246
• Lead Sponsor: University Hospital Hradec Kralove

Brief Summary

The investigators suppose that direct laryngoscopy is connected with deeper insertion of endotracheal tube in comparison to videolaryngoscopy. Correction of this malposition can cause postoperative discomfort and further complications in some patients.Routine use of videolaryngoscopy could minimize these problems.

Detailed Description

100 patients scheduled for elective neurosurgical procedures will be randomized into two groups. Patients in group A will be intubated by videolaryngoscopy (GlideScope), patients in group B by direct laryngoscopy, in both groups will be rigid stylet used. Intubation will be done under propofol anesthesia, targeted entropy 40 to 50, and deep relaxation (neuromuscular transmission target level 0). Sufentanil will be used to block tracheal reflexes. In both groups the depth of insertion of tracheal tube will be measured in the mouth corner immediately after intubation. Next day, the unpleasant sensations and complications will be recorded (sore throat, stridor, hoarseness, cough and nausea and vomiting) during control visit of patients.

Study Timeline

• Study First Submitted: 2017-06-08
• Study First Submitted QC: 2017-06-09
• Study First Posted: 2017-06-12
• Study Start: 2017-06-30
• Status Verified: 2018-12
• Primary Completion: 2018-12-01
• Study Completion: 2018-12-04
• Last Update Submitted: 2018-12-05
• Last Update Posted: 2018-12-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• American Society of Anesthesiologists physical status I - III

Exclusion Criteria

• postoperative ventilation, laryngeal tumors, conditions after tracheotomy or laryngeal operations, cervical spinal hernia extraction

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
GlideScope	GlideScope	intubation with GlideScope
Direct laryngoscopy	Direct laryngoscopy	intubation with laryngoscope

Primary Outcome Measures

Name	Time	Method
the depth of primary insertion of tracheal tube	in a minute after intubation	cm

Secondary Outcome Measures

Name	Time	Method
sums of manipulation with tracheal tube	2 minutes after intubation	number
complications after intubation	24 hours after surgery	number

Trial Locations

Locations (1)

University Hospital Hradec Kralove; 🇨🇿 Hradec Kralove, Czechia