Comparison of Intubation Rate of Macintosh Size 2 and 3 Blades in Asian Female: a Randomised Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- Teeth trauma
研究概览
简要总结
Direct laryngoscope is a standard equipment for endotracheal intubation. To identify the differences between Macintosh size 3 and 2 blades, we will analysis the data collected from airway and intubation condition.
详细描述
Selection the most appropriate size of laryngoscope blade size could not only increased intubation successful rate at the first time but also decrease the incidence of tissue trauma. Laryngoscope blade used in daily practice is usually Macintosh 3. However, compared with Caucasian people, Asian people are smaller and thinner especially in women. This study aims to confirm that the Macintosh 2 blade is not inferior to size 3 blade in laryngeal view and intubation rate.
Female patients without known difficult airway will be enrolled and allocated into Macintosh blade size 2 and size 3 groups. The age, body weight, body height, Mallampati classification, mouth opening, thyromental distance, neck circumference, intubation time, Cormack-Lehane grade, intubation difficulty scale scores and associated teeth or tissue traumas will be recorded.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 70 Years(Adult, Older Adult)
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •with American Society of Anesthesiologists (ASA) physical status classification 1, 2, or 3
- •undergo elective surgery
- •receive endotracheal intubation
排除标准
- •with known difficult airway (i.e. pathology of the neck, upper airway or alimentary tracts)
- •with risks of pulmonary aspiration (i.e. emergent operation, pregnancy or inadequate nil per os)
- •with previous difficult intubation history
- •intubation attempts more than three times
- •patient refusal
结局指标
主要结局
Teeth trauma
时间窗: 0-10 minutes during induction
Any dental damage event related to intubation
Intubation difficulty scale scores
时间窗: 0-10 minutes during induction
Scoring system to assess the difficulty of intubation in each patient
Intubation time
时间窗: 0-10 minutes during induction
Time from laryngoscope insertion to the first adequate lung insufflation
Cormack-Lehane grade
时间窗: 0-10 minutes during induction
Classification of glottis view during intubation
Tissue trauma
时间窗: 0-10 minutes during induction
Any tissue trauma event related to intubation
次要结局
未报告次要终点
研究者
Ying-Chun Lin
attending physician, department of anesthesiology
Mackay Memorial Hospital
