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Clinical Trials/NCT05251194
NCT05251194
Completed
Not Applicable

The Effect of McGrath Video Laryngoscope on the Glottic View at Thyroid Surgery Position in Tracheal Intubation

Seoul National University Hospital1 site in 1 country39 target enrollmentMarch 25, 2022
ConditionsThyroid Surgery

Overview

Phase
Not Applicable
Intervention
Not specified
Conditions
Thyroid Surgery
Sponsor
Seoul National University Hospital
Enrollment
39
Locations
1
Primary Endpoint
direct modified Cormack-Lehane grade without external manipulation
Status
Completed
Last Updated
3 years ago

Overview

Brief Summary

For thyroid surgery, the special body position (thyroid surgical position) to exposure the patient's neck should be needed. For intraoperative neuromonitoring (IONM) in thyroid surgery, the tube should be placed at a specific position. A video laryngoscope can have advantages in tracheal intubation on thyroid surgical position for thyroid surgery. The purpose of the study is to investigate the effect of McGrath video laryngoscope on the glottic view when tracheal intubation is performed at the thyroid surgical position.

Detailed Description

For thyroid surgery, the special body position (thyroid surgical position) to exposure the patient's neck should be needed. Meanwhile, the tracheal tube can be moved in the trachea from the supine position to thyroid surgical position if tracheal intubation is performed at the supine position. For intraoperative neuromonitoring (IONM) in thyroid surgery, the electrode of the tracheal tube must be placed at a specific position, that is between the vocal cords. To perform initially tracheal intubation on the thyroid surgical position, therefore, can have advantage in terms of stability of tube position in the trachea without displacement by body position change. However, tracheal intubation on thyroid surgical position might be hard in terms of obtaining a good glottic view. It is well known that video laryngoscopes can improve the glottic view. Therefore, a video laryngoscope can have advantages in tracheal intubation on thyroid surgical position for thyroid surgery in obtaining the good glottic view as well as minimal displacement of the tracheal tube because there is no need to change the patient's position. The purpose of the study is to investigate the effect of McGrath video laryngoscope on the glottic view when tracheal intubation is performed at the thyroid surgical position.

Registry
clinicaltrials.gov
Start Date
March 25, 2022
End Date
May 31, 2022
Last Updated
3 years ago
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Responsible Party
Principal Investigator
Principal Investigator

Jung-Man Lee

Clinical Associate professor

Seoul National University Hospital

Eligibility Criteria

Inclusion Criteria

  • patients schedule to thyroid surgery

Exclusion Criteria

  • disagree to participate
  • patients with weak teeth

Outcomes

Primary Outcomes

direct modified Cormack-Lehane grade without external manipulation

Time Frame: at tracheal intubation

During laryngoscopy, the modified Cormack-Lehane grade without external manipulation as if the laryngoscope is assumed as a direct laryngoscope

video modified Cormack-Lehane grade without external manipulation

Time Frame: at tracheal intubation

During laryngoscopy, the modified Cormack-Lehane grade without external manipulation as if the laryngoscope is used as a video laryngoscope

direct modified Cormack-Lehane grade with external manipulation

Time Frame: at tracheal intubation

During laryngoscopy, the modified Cormack-Lehane grade with external manipulation as if the laryngoscope is assumed as a direct laryngoscope

video modified Cormack-Lehane grade with external manipulation

Time Frame: at tracheal intubation

During laryngoscopy, the modified Cormack-Lehane grade with external manipulation as if the laryngoscope is used as a video laryngoscope

video percentage of glottic opening score (POGO score: 0 - 100, 100 means full visualization of vocal cords) with external manipulation

Time Frame: at tracheal intubation

During laryngoscopy, the percentage of glottic opening score (POGO score: 0 - 100, 100 means full visualization of vocal cords) with external manipulation as if the laryngoscope is used as a video laryngoscope

direct percentage of glottic opening score (POGO score: 0 - 100, 100 means full visualization of vocal cords) without external manipulation

Time Frame: at tracheal intubation

During laryngoscopy, the percentage of glottic opening score (POGO score: 0 - 100, 100 means full visualization of vocal cords) without external manipulation as if the laryngoscope is assumed as a direct laryngoscope

video percentage of glottic opening score (POGO score: 0 - 100, 100 means full visualization of vocal cords) without external manipulation

Time Frame: at tracheal intubation

During laryngoscopy, the percentage of glottic opening score (POGO score: 0 - 100, 100 means full visualization of vocal cords) without external manipulation as if the laryngoscope is used as a video laryngoscope

direct percentage of glottic opening score (POGO score: 0 - 100, 100 means full visualization of vocal cords) with external manipulation

Time Frame: at tracheal intubation

During laryngoscopy, the percentage of glottic opening score (POGO score: 0 - 100, 100 means full visualization of vocal cords) with external manipulation as if the laryngoscope is assumed as a direct laryngoscope

Study Sites (1)

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