Who is Rapid And Success? The Comparison Of Video Fiberscope And Video Laryngoscope

Not Applicable

Completed

• Conditions: Airway Responsiveness; Intubation; Difficult or Failed
• Interventions: Device: Group video fiberscope of experienced practitioner; Device: Group video laryngoscope of experienced practitioner; Device: Group video fiberscope of less experienced practitioner; Device: Group video laryngoscope of less experienced practitioner

• Registration Number: NCT05243758
• Lead Sponsor: Ondokuz Mayıs University

Brief Summary

Endotracheal intubation plays an important role in general anesthesia. Complications can be prevented by using alternative airway devices in predetermined difficult intubation cases. In this study, the investigators aimed to compare the results of endotracheal intubation with video fiberscope and DCI video laryngoscope devices of two different experienced physicians (E and H).

Detailed Description

In this randomized and prospective study, 60 patients with EGRI score\> 4 and ASA score \<4, operated between 1 October 2018 and 1 March 2019 in Ondokuz Mayıs University Medical Faculty Hospital were included. Endotracheal intubation was performed by two practitioners using two different devices. Intubation times, number of attempts, failed attempts, postoperative complications and hemodynamic responses were recorded.

Study Timeline

• Status Verified: 2018-11
• Study Start: 2018-11-01
• Primary Completion: 2019-03-01
• Study Completion: 2019-03-01
• Study First Submitted: 2021-12-05
• Study First Submitted QC: 2022-02-07
• Last Update Submitted: 2022-02-07
• Study First Posted: 2022-02-17
• Last Update Posted: 2022-02-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Operated in the operating room of our hospital,
• Aged 18-65,
• EGRI score>4,
• ASA (American Society of Anesthesiologists) score<4

Exclusion Criteria

• Cerebrovascular disease (cerebral ischemia, hemorrhage or stroke), presence of carotid stenosis or history of coronary artery disease,

  • Neurological disorders (history of chronic headache, epilepsy or head trauma), alcohol or psychoactive drug addiction,
  • Serious heart and/or lung diseases, liver and/or kidney failure,
  • Uncontrolled diabetes and/or hypertension,
  • Dental abscess,
  • Mouth opening <1.5 cm,
  • Known bleeding disorder,
  • Pregnancy,
  • Mental retardation,
  • Contraindications to drugs, allergy to drugs used,
  • Patient rejection

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Group video fiberscope of experienced practitioner	Group video fiberscope of experienced practitioner	More experienced physician: endotracheal intubation with video fiberscope Assoc. Dr. The group in which Ersin Köksal performed endotracheal intubation using a video fiberscope( Karl Storz GmbH \&Co. KG, Tuttlingen, Germany) consisted of 15 patients.Endotracheal intubation was performed by two practitioners using two different devices. Intubation times, number of attempts, failed attempts, postoperative complications and hemodynamic responses were recorded.
Group video fiberscope of experienced practitioner	Group video fiberscope of less experienced practitioner	More experienced physician: endotracheal intubation with video fiberscope Assoc. Dr. The group in which Ersin Köksal performed endotracheal intubation using a video fiberscope( Karl Storz GmbH \&Co. KG, Tuttlingen, Germany) consisted of 15 patients.Endotracheal intubation was performed by two practitioners using two different devices. Intubation times, number of attempts, failed attempts, postoperative complications and hemodynamic responses were recorded.
Group video laryngoscope of less experienced practitioner	Group video laryngoscope of less experienced practitioner	Endotracheal intubation with DCI video laryngoscope:The group in which Dr.Halil Cebeci applied endotracheal intubation using a DCI video laryngoscope(Karl Storz GmbH \&Co. KG, Tuttlingen, Germany) consisted of 15 patients.Endotracheal intubation was performed by two practitioners using two different devices. Intubation times, number of attempts, failed attempts, postoperative complications and hemodynamic responses were recorded.
Group video laryngoscope of experienced practitioner	Group video laryngoscope of experienced practitioner	More experienced physician: Endotracheal intubation with DCI video laryngoscopeThe group in which Assoc. Dr. Ersin Köksal performed endotracheal intubation using a DCI video laryngoscope(Storz DCI Video Laryngoscope (Karl Storz GmbH \&Co. KG, Tuttlingen, Germany) consisted of 15 patients.Endotracheal intubation was performed by two practitioners using two different devices. Intubation times, number of attempts, failed attempts, postoperative complications and hemodynamic responses were recorded.
Group video laryngoscope of experienced practitioner	Group video laryngoscope of less experienced practitioner	More experienced physician: Endotracheal intubation with DCI video laryngoscopeThe group in which Assoc. Dr. Ersin Köksal performed endotracheal intubation using a DCI video laryngoscope(Storz DCI Video Laryngoscope (Karl Storz GmbH \&Co. KG, Tuttlingen, Germany) consisted of 15 patients.Endotracheal intubation was performed by two practitioners using two different devices. Intubation times, number of attempts, failed attempts, postoperative complications and hemodynamic responses were recorded.
Group video fiberscope of less experienced practitioner	Group video fiberscope of experienced practitioner	Endotracheal intubation with video fiberscope: The group in which DrHalil Cebeci applied endotracheal intubation using a video fiberscope( Karl Storz GmbH \&Co. KG, Tuttlingen, Germany) consisted of 15 patients. Endotracheal intubation was performed by two practitioners using two different devices. Intubation times, number of attempts, failed attempts, postoperative complications and hemodynamic responses were recorded.
Group video fiberscope of less experienced practitioner	Group video fiberscope of less experienced practitioner	Endotracheal intubation with video fiberscope: The group in which DrHalil Cebeci applied endotracheal intubation using a video fiberscope( Karl Storz GmbH \&Co. KG, Tuttlingen, Germany) consisted of 15 patients. Endotracheal intubation was performed by two practitioners using two different devices. Intubation times, number of attempts, failed attempts, postoperative complications and hemodynamic responses were recorded.
Group video laryngoscope of less experienced practitioner	Group video laryngoscope of experienced practitioner	Endotracheal intubation with DCI video laryngoscope:The group in which Dr.Halil Cebeci applied endotracheal intubation using a DCI video laryngoscope(Karl Storz GmbH \&Co. KG, Tuttlingen, Germany) consisted of 15 patients.Endotracheal intubation was performed by two practitioners using two different devices. Intubation times, number of attempts, failed attempts, postoperative complications and hemodynamic responses were recorded.

Primary Outcome Measures

Name	Time	Method
Pulse oximeter	Before induction (baseline), during intubation, at 1st, 2nd and 5th minutes after intubation	Oximetry is a convenient and painless alternative to needlesticks, is simple to use, and provides immediate data. These advantages make oximetry an invaluable tool for determination the client's need for oxygen therapy and assessing effectiveness of therapy. The oximeter registers arterial oxygen saturation (SaO2). An SaO2 greater than 95% is considered normal, whereas values lower than 93% usually indicate the need for oxygen therapy and further assessment.
Intubation times,	during intubation	The moment when the endotracheal intubation tube was passed between the vocal cords following the vocal cord image obtained with the device was recorded in seconds. In endotracheal intubation performed with a video fiberscope, the end of the fiberscope with a camera passing through the vocal cords, and in endotracheal intubation performed with a DCI video laryngoscope, the intubation tube passing between the vocal cords was counted as successful intubation time.
Time to find the glottis:	during intubation for patients	The time from the moment the device entered between the patient's anterior incisors until the vocal cords were seen was recorded in seconds.
Number of attempts	during intubation for patients,	The procedure will be considered unsuccessful if intubation is unsuccessful in three attempts, if the intubation process exceeds three minutes, or if the peripheral oxygen saturation (SpO2) is \<90% during this period. If this situation was encountered, it was planned to ventilate the patient with an anesthesia mask until the oxygen saturation approached 100% and to use alternative airway devices.
Blood pressure	During intubation, at 1st, 2nd and 5th minutes after intubation	Hemodynamic parameters; heart rate (/min), systolic blood pressure (mmHg), diastolic blood pressure (mmHg), mean arterial pressure (mmHg), and SpO2 were recorded before induction (baseline), during intubation, at 1st, 2nd and 5th minutes after intubation

Trial Locations

Locations (1)

Ondokuz Mayis University Faculty of Medicine; 🇹🇷 Samsun, Atakum, Turkey