"Neutral Head Position" and "Head-lift Position" for Orotrachwal Intubation With "Trachway" Intubating Stylet in Adults
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 130
- 试验地点
- 2
- 主要终点
- Intubation Time
研究概览
简要总结
The purpose of this study is to investigate two different patient's head and neck positions(neutral head position and head-lift position) for the effectiveness of orotracheal intubation with using the "Clarus Video System (Trachway®)" intubating stylet.
详细描述
The sniffing position has traditionally been considered the optimal head position for direct laryngoscopy, However, it may aggravate cervical spine injury. The Trachway® video stylet is an intubating device that may avoid cervical movement during intubation. Nonetheless, the effectiveness of limited neck movement in patients with neutral head or head-lift position using the Trachway® video stylet remains unclear. The purpose of this study was to compare the intubation time of the two positions with the Trachway® video stylet.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 20 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients scheduled for various surgeries requiring general anesthesia with tracheal intubation
- •American Society of Anesthesiologists(ASA) physical status classification I-III
排除标准
- •pneumothorax
- •room air saturation by pulse oximeter saturation less than 96%
- •vocal cord palsy
- •craniofacial anomaly
- •congenital upper airway anomaly
- •upper airway disease
- •cervical spine pathology
- •head and neck tumor status post radiotherapy
- •an increased risk of regurgitation or pulmonary aspiration
- •a history of difficult tracheal intubation
结局指标
主要结局
Intubation Time
时间窗: from the intubating stylet touched the mouth to the capnogram shown, up to 30 seconds, and the sum of all attempts
the interval from the intubating stylet touched the mouth to capnogram shown, with all attempts, and was recorded by an independent observer with a stop watch.
次要结局
- Modified Cormack-Lehane Grade(during intubation, after epiglottis was identified on the video monitor)
- Mean Arterial Pressure(before and after intubation, up to 5 minutes)
- Visual Analog Scale of Sore Throat(after anesthesia emergence 30 minutest, at post-anesthesia care unit)
研究者
Wei-Hung Chan
Dr.
Tri-Service General Hospital