Effect of Cricoid Pressure on Macintosh, McGrath X-Blade and Glidescope Videolaryngoscopes in Rapid Sequence Induction Intubation

Phase 4

Completed

• Conditions: Rapid Sequence Induction Intubation
• Interventions: Device: Macintosh; Device: Glidescope; Device: McGrath MAC X-Blade

• Registration Number: NCT02588157
• Lead Sponsor: Kocaeli University

Brief Summary

Non- Fasted patients need rapid sequence intubation. The investigators aimed to compare the intubation times of Macintosh , and McGrath X-Blade or Glidescope in these Ascenario.

Detailed Description

The investigators fecidedir to enroll the ASA I-II 120 patients and divided them into three groups ( Macintosh / McGarth X-Blade / Glidescope). The investigators recorded the patients' airway data and demographic variables. All patients were premeditated with midazolam. Standard monitoring including electrocardiogram, non invasive blood pressure, pulse oximetry, heart rate were recorded before induction , after induction, after the device insertion and every 1 minutes after intubation. Cormac-Lehan grades with these video laryngoscope were recorded also. We recorded the optimization maneuvers ( like handling force, reinserting, cricoid pressure). Bloodstaining on the devices after removal were recorded as mucosal damage. Teeth, tongue, lip damage were also recorded. Sore throat, bronchospasm, wheezing were recored at recovery unit.

Study Timeline

• Study Start: 2015-10
• Study First Submitted: 2015-10-26
• Study First Submitted QC: 2015-10-26
• Study First Posted: 2015-10-27
• Primary Completion: 2015-12
• Study Completion: 2016-02
• Status Verified: 2016-07
• Last Update Submitted: 2016-07-19
• Last Update Posted: 2016-07-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

• ASA I-II
• BMI< 30
• 18-65 years of age

Exclusion Criteria

• known difficult airway
• BMI > 30
• < 18 years of age
• > 65 years of age
• known respiratory tract infection in 10 days
• pregnant

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
İnsertion time	McGrath MAC X-Blade	handling the device till the glottic visualisation of Macintosh, McGrath MAC X-Blade and Glidescope
intubation time	Macintosh	handling the device till seeing the endotracheal tube entering from the vocal cords Macintosh, McGrath MAC X-Blade and Glidescope
İnsertion time	Glidescope	handling the device till the glottic visualisation of Macintosh, McGrath MAC X-Blade and Glidescope
İnsertion time	Macintosh	handling the device till the glottic visualisation of Macintosh, McGrath MAC X-Blade and Glidescope
intubation time	Glidescope	handling the device till seeing the endotracheal tube entering from the vocal cords Macintosh, McGrath MAC X-Blade and Glidescope
intubation time	McGrath MAC X-Blade	handling the device till seeing the endotracheal tube entering from the vocal cords Macintosh, McGrath MAC X-Blade and Glidescope

Primary Outcome Measures

Name	Time	Method
cormack lehane grade with cricoid pressure	1 minutes
intubation time	2 minutes

Trial Locations

Locations (1)

Kocaeli University; 🇹🇷 Kocaeli, Turkey