Comparison by Neuromonitoring of Two Techniques of Tracheal Intubation in Patients With Unstable Cervical Spine
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Neuromonitoring modifications (modifications appearing on the neuromonitoring)
研究概览
简要总结
Patients who present with an unstable cervical spine following an accident need a general anesthesia for the necessary surgery.
Commonly, the management of the tracheal intubation is performed by a fiberoptic technique.
However, changes in equipment availability and quality may challenge the fiberoptic intubation technique.
The investigators wish to compare the tracheal intubations performed with the Airtraq in comparison with the fiberscopic technique.
详细描述
Patients who present with an unstable cervical spine following an accident need a general anesthesia for the necessary surgery.
Commonly, the management of the tracheal intubation is performed by a fiberoptic technique (historic gold standard technique).
However, changes in equipment availability and quality may challenge the fiberoptic intubation technique.
We wish to compare the tracheal intubations performed with the Airtraq in comparison with the fiberscopic technique.
Primary outcomes will be the changes in neurophysiologic responses monitored by a neurophysiologist in 5 specific phases:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 16 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •unstable cervical spine due to a cervical vertebra fracture
- •American Society of Anesthesia classification 1-3
- •BMI < 30 kg/m2
- •patients necessitating a general anesthesia for surgery
排除标准
- •patient refusal
- •mouth opening < 15mm
- •patients with known history of previous orotracheal tumor surgery
研究组 & 干预措施
Tracheal intubation with Fiberscopy
tracheal intubation with a fiberscope
干预措施: tracheal intubation (Procedure)
Tracheal intubation with Fiberscopy
tracheal intubation with a fiberscope
干预措施: fiberscope (Device)
Tracheal intubation with Airtraq
tracheal intubation with an Airtraq
干预措施: tracheal intubation (Procedure)
Tracheal intubation with Airtraq
tracheal intubation with an Airtraq
干预措施: Airtraq (Device)
结局指标
主要结局
Neuromonitoring modifications (modifications appearing on the neuromonitoring)
时间窗: 30 seconds
modifications appearing on the neuromonitoring during the 5 different phases
次要结局
- number of attempts necessary(180 seconds)
- tracheal inlet view (best view during intubation)(10 seconds)
- time necessary for tracheal intubation(180 seconds)
研究者
Patrick Schoettker,MD PD
MD, PD
University of Lausanne Hospitals