MedPath

Laryngeal View With Videolaryngoscopy

Not Applicable
Completed
Conditions
Hypoxemia
Respiratory Aspiration
Interventions
Procedure: Cricoid pressure
Registration Number
NCT01635179
Lead Sponsor
Glostrup University Hospital, Copenhagen
Brief Summary

To prevent bronchial aspiration during induction of anaesthesia it has been a common procedure to perform a cricoid pressure, called Sellicks Maneuver, to occlude esophagus, and thereby prevent aspiration. During the last ten years the efficiency of this maneuver has been discussed, since it probably prolong the intubation time and do not significantly reduces the risk of aspiration.

The hypothesis is that Sellicks Maneuver prolong the time of intubation and reduces the view of the laryngeal inlet, during intubation with a videolaryngoscopy.

The hypothesis is tested by a double-blinded randomized study where patients is intubated twice, with and without Sellicks Maneuver, in a randomized order. The specific cricoid pressure is blinded to the personal performing the intubation.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
50
Inclusion Criteria
  • ASA 1-2, BMI < 35,
  • no indication for rapid sequence induction,
  • age > 18,
  • able to give consent.
Exclusion Criteria
  • ASA > 2,
  • BMI > 35,
  • RSI

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Cricoid pressureCricoid pressureA cricoid pressure of 30 N is done to occlude esophagus under a rapid sequence induction.
Primary Outcome Measures
NameTimeMethod
Completed intubation within 120 seconds120 seconds

The primary outcome measure is the rate of completed and failed intubations. A intubations is failed when the oxygen saturation is less then 95% or the intubation time is longer then 120 seconds.

Secondary Outcome Measures
NameTimeMethod
A description of the laryngeal inlet120 seconds

The secondary outcome measure is a description of the laryngeal inlet according the the Cormack-Lehan system, and how Sellicks Maneuver alters that view.

Trial Locations

Locations (1)

Glostrup University Hospital

🇩🇰

Glostrup, Denmark

© Copyright 2025. All Rights Reserved by MedPath