Comparison of endotracheal intubation in lateral position with Macintosh laryngoscope versus AirTraq video laryngoscope
Trial Snapshot
- Phase
- Not Applicable
- Status
- Active, not recruiting
- Sponsor
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Laryngospasm hypertension
Study Overview
Brief Summary
Securing the airway is primary and essential skill for anesthesiologist. Many times patients’ needs to be intubated in lateral position. The alignment of the oral, pharyngeal and laryngeal axis is not possible in lateral position. So glottis view might be subnormal in this position which can make intubation difficult. For anesthesiologist learning intubation in lateral position is an important skill to develop expert airway management specialist skill.
Airtraq is having mirror and prism which reflects the image and the image is visible in viewfinder or video monitor. airtraq does not require alignment oral, pharyngeal and laryngeal axis and it gives high quality and wide view of glottis with surrounding structure.
So it is presumed that airtraq might be helpful in making intubation successful in lateral position. There are many studies which compared different video laryngoscope with Macintosh laryngoscope for intubation in lateral position.
There is hardly one study which has evaluated airtraq for intubation in lateral position
Study Design
- Study Type
- Interventional
- Allocation
- Computer generated randomization
- Masking
- Open Label
Eligibility Criteria
- Ages
- 18.00 Year(s) to 60.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •ASA physical status I, II, or III.
- •Surgery who required general anesthesia with endotracheal tube.
Exclusion Criteria
- •1.Increased risk of pulmonary aspiration 2.cervical spine pathology 3.anticipated airway difficulties (i.e., Mallampati grade3& 4 or thyromental distance<6 cm).
- •4.obesity 5.abnormal teeth or abnormal dentition 6.any cardiorespiratory disease (HTN, COPD, IHD) 7.cerebrovascular disease 8.reflux esophagitis 9.H/O sore throat within 10 days.
Outcomes
Primary Outcomes
Laryngospasm hypertension
Time Frame: 5 mintue
tachycardia
Time Frame: 5 mintue
bradycardia
Time Frame: 5 mintue
Incidence of complication of intubation like
Time Frame: 5 mintue
Hypoxia (95% of Spo2)
Time Frame: 5 mintue
Lip Injury
Time Frame: 5 mintue
Mucosal trauma
Time Frame: 5 mintue
Bleeding in the oral cavity
Time Frame: 5 mintue
Esophageal intubation
Time Frame: 5 mintue
arrythmia
Time Frame: 5 mintue
Dental injury
Time Frame: 5 mintue
hpotension
Time Frame: 5 mintue
Secondary Outcomes
- Complication in post-operative period at 8 pm on day of surgery(-post operative sore throat)