Endotracheal Tube Threading Over the Fiberoptic Bronchoscope
- Conditions
- Fiberoptic Guided Intubation
- Interventions
- Procedure: Threading on the right lip commmissureProcedure: Threading on the left lip commissure
- Registration Number
- NCT03639688
- Lead Sponsor
- American University of Beirut Medical Center
- Brief Summary
The goal of this study is to assess the ease of ETT threading over the FOB on the right or left labial commissures in patients aging between 18 and 70 years old with ASA score I-II and undergoing any type of surgery. The main question it aims to answer is whether threading the tube on the right labial commissure during FOB intubation has a better success rate than threading the tube on the left labial commissure. Participants will be randomized via a computerized system into 2 groups (Group 1: Patients intubated with FOB by threading the tube on the left labial commissure and Group 2: Patients intubated with FOB by threading the tube on the right labial commissure). Researchers will compare the success rate of threading the tube on first trial, number of ETT threading trials, time to success, and incidence of intra-procedural complication between the two groups to see if threading the tube on the right labial commissure during FOB intubation has a better success rate than threading the tube on the left labial commissure.
- Detailed Description
Fiberoptic bronchoscope (FOB) intubation is the gold standard technique for intubating patients with predicted difficult airway. Different maneuvers have been used to facilitate threading the endotracheal tube (ETT) over the fiberoptic bronchoscope including jaw thrust, stretching the tongue, rotating the ETT 90 degrees anticlockwise or using smaller tubes. To our knowledge threading the ETT with the FOB on the left or right lip commissures has not been investigated previously. Improving the ease of ETT threading on the right or left labial commissures could change our FOB intubation management.
The aim is to assess the ease of ETT threading over the FOB on the right or left labial commissures.
Patients between 18 and 70 years old with ASA score I-II and undergoing any type of surgery in the operating rooms at the American University of Beirut Medical Center will be randomized via a computerized system into 2 groups:
Group 1: Patients intubated with FOB by threading the tube on the left labial commissure Group 2: Patients intubated with FOB by threading the tube on the right labial commissure The primary outcome is the success rate of threading the tube on first trial. Secondary outcomes include number of ETT threading trials, time to success, and incidence of intra-procedural complications.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 118
- Patient aged 18 to 70 years
- Any surgery requiring general anesthesia
- ASA 1 and 2
- Patients aged less than 18 or more than 70 years old.
- ASA 3 and 4 patients.
- Patients who need a rapid sequence induction (including pregnant women) or those who have an increased risk of aspiration.
- Patients who need awake fiberoptic intubation for a difficult airway or any other reason
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Right-sided threading Threading on the right lip commmissure Patients intubated with fiberoptic bronchoscope by threading the tube on the right labial commissure Left-sided threading Threading on the left lip commissure Patients intubated with fiberoptic bronchoscope by threading the tube on the left labial commissure
- Primary Outcome Measures
Name Time Method success rate of intubation up to 30 minutes from anesthesia initiation the success rate of intubation after threading the tube on the designated commissure on the first trial
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
American University of Beirut Medical Center
🇱🇧Beirut, Lebanon