A Comparison of Tracheal Intubation Using the Totaltrack vs the Airtraq Laryngoscope in Routine Airway Management
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Endotracheal Intubation
- Sponsor
- Manuel Ángel Gómez-Ríos
- Enrollment
- 48
- Locations
- 1
- Primary Endpoint
- Total time of successful intubation
- Last Updated
- 9 years ago
Overview
Brief Summary
Endotracheal intubation is usually required to allow unrestricted surgical approach. The Macintosh laryngoscope is the standard method. However in certain situations as difficult airway this technique is ineffective and poorly tolerated by the patient. Fiberoptic intubation is the gold standard in this scenario, however sometimes it is not possible due to failure or unavailability, so alternatives are needed. The TotalTrack (MedComflow SA, Barcelona, Spain) and the Airtraq (Prodol Meditec, Vizcaya, España) been designed specifically for the airway management. However, despite their use in clinical practice, there are no comparative studies.
Investigators
Manuel Ángel Gómez-Ríos
M.D.
Complexo Hospitalario Universitario de A Coruña
Eligibility Criteria
Inclusion Criteria
- •Patients undergoing elective general anesthesia requiring OTI.
- •Patients duly informed and they have signed the informed consent during the pre-anesthetic consultation, or be sought after due meditation, expressing its consent to the inclusion in the study.
- •Age ≥18 years.
- •ASA I-III.
- •Sufficient intellectual capacity to understand the procedure and equipment used.
- •Do not submit predictors of difficult airway (Mallampati class III or IV; thyromental distance \<6 cm, sternomental distance \<12.5 cm, interincisal distance\<4.0 cm, bite test II or III, cervical mobility \<90 ° or history of difficult intubation).
- •Do not undergo thyroid surgery or present pharyngolaryngeal, glottic or cervical pathology
- •BMI \<30kg / m2
- •Not presenting risk factors for aspiration
- •Not presenting respiratory disease, coronary or cerebral vascular.
Exclusion Criteria
- •Failure to meet the above criteria
- •Pregnancy
- •Allergy to any drug included in the protocol.
Outcomes
Primary Outcomes
Total time of successful intubation
Time Frame: Time of Orotracheal intubation (TOTI)
Secondary Outcomes
- hemodinamic response(OTI pre and postintubation (time minutes))
- difficulty in intubation (IDS scale)(TOTI)
- number of maneuvers(TOTI)
- percentage of glottic opening (POGO Score)(TOTI)
- Position taken by the anesthesiologist during orotracheal intubation(TOTI)
- Number of attempts of endotracheal intubation(TOTI)
- Complications(OTI and postintubation (24 hours))
- endotracheal intubation success rate of each device(TOTI)
- Degree of satisfaction(time of postintubation (ten minutes))