Laryngeal View With Videolaryngoscopy
- Conditions
- HypoxemiaRespiratory 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
- ASA 1-2, BMI < 35,
- no indication for rapid sequence induction,
- age > 18,
- able to give consent.
- ASA > 2,
- BMI > 35,
- RSI
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Cricoid pressure Cricoid pressure A cricoid pressure of 30 N is done to occlude esophagus under a rapid sequence induction.
- Primary Outcome Measures
Name Time Method Completed intubation within 120 seconds 120 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
Name Time Method A description of the laryngeal inlet 120 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