Evaluation of Videolaryngoscopy (McGrath Mac) Compared to Direct Laryngoscopy for Rapid Sequence Intubation in Operating Room
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pulmonary Aspiration of Gastric Contents
- Sponsor
- Johannes Gutenberg University Mainz
- Enrollment
- 1000
- Locations
- 1
- Primary Endpoint
- First pass Intubation success rate
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Videolaryngoscope (Macintosh-type blade) compared with direct laryngoscopy for rapid sequence intubation in the operating room
Detailed Description
Video laryngoscopy (VL) is a etablished method of achieving tracheal intubation and there is evidence to show that visualisation of larynx can be improved using VL in failed tracheal Intubation (NAP 4 Report). VL has been shown to improve first attempt success compared to direct laryngoscopy in many clinical settings including intensive care unit (ICU) and emergency department (ED). This is a proposed comparison study of a VL, use in patients with a high risk for pulmonary Aspiration and requiring tracheal Intubation. An national, multi-center, prospective randomized comparative trial is proposed testing the superiority of oral tracheal intubation with the McGrath® MAC versus conventional laryngoscope in adult patients under general anesthesia.
Investigators
Marc Kriege, MD
PD Dr. med. habil. Marc Kriege
Johannes Gutenberg University Mainz
Eligibility Criteria
Inclusion Criteria
- •Age ≥ 18 Years
- •capacity to consent
- •Present written informed consent of the research participant
Exclusion Criteria
- •Age \<18 years
- •Existing pregnancy
- •Lack of consent
- •inability to consent
- •Difficult Airway / Defined Indications for awake intubation
- •Participation in another study
Outcomes
Primary Outcomes
First pass Intubation success rate
Time Frame: at intubation in 60 seconds
successful tracheal intubation at the first attempt, compared to more than one attempt
Secondary Outcomes
- Cormack and Lehane Classification(< 120 seconds)
- adverse events(after 24 hours)
- Time to ventilation(at intubation in 120 seconds)
- Overall success rate(< 120 seconds)
- Intubation difficult score(< 120 seconds)
- complications(< 120 seconds)