Comparison of Early Endotracheal Tube Insertion With GlideScope Use

Not Applicable

Completed

• Conditions: Endotracheal Intubation
• Interventions: Device: ETT First (GlideScope)

• Registration Number: NCT01564082
• Lead Sponsor: Lawson Health Research Institute

Brief Summary

Patients presenting for elective surgery will be randomized to having the breathing tube inserted partly into the throat prior to GlideScope insertion, or having it inserted fully after GlideScope insertion.

Detailed Description

Patients presenting for elective surgery requiring orotracheal intubation will be randomized to having the Early Endotracheal Tube (ETT) inserted into the pharynx prior to GlideScope insertion and then having the ETT advanced under GlideScope guidance into the trachea, or, being intubated in the standard fashion with the GlideScope being inserted first and having the ETT then advanced via the pharynx into the trachea. The primary outcome is time to intubation.

Study Timeline

• Study First Submitted: 2012-03-06
• Study First Submitted QC: 2012-03-23
• Study First Posted: 2012-03-27
• Study Start: 2012-04
• Primary Completion: 2013-03
• Study Completion: 2013-03
• Status Verified: 2015-04
• Last Update Submitted: 2015-04-09
• Last Update Posted: 2015-04-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 160

Inclusion Criteria

1. Any adult patient booked for elective surgery requiring orotracheal intubation.
2. Any operator who has performed ≥ 20 GlideScope intubations.

Exclusion Criteria

1. Any patient in whom the use of the GlideScope is contraindicated in the opinion of the attending anesthesiologist.
2. Any patient with cervical spine abnormalities.
3. Any patients with known or probable difficult airways.
4. Any patient requiring rapid sequence induction.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
ETT first	ETT First (GlideScope)	Patients will have the endotracheal tube (ETT) introduced into the pharynx prior to GlideScope insertion, and then advanced under GlideScope guidance into the trachea.

Primary Outcome Measures

Name	Time	Method
Time to Intubation	Day 1	Duration of intubation of the patient

Secondary Outcome Measures

Name	Time	Method
Ease of intubation	Day 1	Ease of intubation, measured on a Visual analog scale
Number of intubation attempts	Day 1	Number of intubation attempts
Use of external laryngeal pressure	Day 1	Use of external laryngeal pressure
Sore throat	Day 3	Post operative sore throat, as rated by the patient.

Trial Locations

Locations (2)

St. Joseph's Health Care; 🇨🇦 London, Ontario, Canada

London Health Sciences Center; 🇨🇦 London, Ontario, Canada