Face-to-face Tracheal Intubation: a Comparison of Airtraq, Glidescope and Fastrach

Phase 4

Completed

• Conditions: Intubation Difficult
• Interventions: Device: Airtraq; Device: Fastrach; Device: Glidescope

• Registration Number: NCT02286570
• Lead Sponsor: Kocaeli University

Brief Summary

Trauma victims had to be intubated at the scene of area in different conditions. Face-to-face intubation in an entrapped patient is one of these situations. The investigators want to compare the efficacy of Glidescope, Airtraq and Fastrach in simulating face-ro-face intubation in adult patients aged between 18-60 years.

Detailed Description

The investigators record the demographic and the airway data of the patients (thyromental distance, sternomental distance, mallampati score, mandibula protrusions, interincisor distance..etc). The hemodynamic data of the patients baseline preoperatively, after induction, after insertion of the device, after intubation, and 2 minutes intervals after intubation during the ten minutes. Cormack-Lehane grade of the videolaryngoscopes, insertion time, intubation time, need of optimisation maneuvers, mucosal damage, teeth and tongue damage, postoperative sore throat, hoarseness, dysphagia were recorded.

Study Timeline

• Study Start: 2014-10
• Study First Submitted: 2014-10-31
• Study First Submitted QC: 2014-11-07
• Study First Posted: 2014-11-10
• Primary Completion: 2014-12
• Study Completion: 2015-01
• Status Verified: 2015-03
• Last Update Submitted: 2015-03-31
• Last Update Posted: 2015-04-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

• 18-60 years of age
• Elective surgery requiring endotracheal intubation
• Normal airway variables
• BMI< 30

Exclusion Criteria

• < 18 years or > 60 years
• Emergency procedures
• Known difficult airways
• BMI> 30

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
face-to-face intubation with Airtraq	Airtraq	patients were intubated using the Airtraq by face-to-face approach
face-to-face intubation with fastrach	Fastrach	patients were intubated using the Fastrach by face-to-face approach
face-to-face intubation of Glidescope	Glidescope	patients were intubated using glidescope by face-to-face approach

Primary Outcome Measures

Name	Time	Method
intubation time	elapsing between the handling of the device till intubation 2 minutes	2 minutes

Secondary Outcome Measures

Name	Time	Method
hemodynamic changes (mean arteriial pressure)	entübation and after 15 minutes	mmHg
postoperative minor complications sore troat, teeth damage, tongue damage, desaturation, hoarseness, disphagia	sore troat, teeth damage, tongue damage, desaturation, hoarseness, disphagia 30 minutes	30 minutes after extubation
mucosal damage	blood on the device after removal 1 minute	1 minute after removal
need of optimisation maneuvers	chandy, side-to-side, handling force, up-down, reinserting 15 minutes	during 15 minutes while intubation