GlideScope Video Laryngoscope vs Fiberoptic Intubation
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Oral Intubation
- Sponsor
- The Cleveland Clinic
- Enrollment
- 75
- Locations
- 1
- Primary Endpoint
- Time to Intubation (TTI) as Measured in Seconds
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
Following informed consent, patients will be randomly assigned to oral fiberoptic intubation or to oral intubation using the GlideScope Video Laryngoscope. Following the induction of general anesthesia a sealed envelope would be opened to reveal the technique to be used. A stop watch will be started at the beginning of the procedure. At the completion of intubation the stop watch will be stopped and the time recorded along with other data. Based on a sample size estimation process, it is the investigators plan to study fifty patients. The two techniques will be compared in terms of the average time needed to place the endotracheal tube and studied using a two-sided T-Test with a significance level of 0.05. To ensure comparability between the two methods, all intubators will be required to have at experienced at least 10 uses of the GlideScope and 10 uses with fiberoptic intubation.
Investigators
Eligibility Criteria
Inclusion Criteria
- •at least 18 years old
- •scheduled for elective surgery requiring orotracheal intubation.
Exclusion Criteria
- •known, difficult airway
- •loose teeth
- •require a rapid sequence induction,
- •Body Mass Index under 30
- •unable to give consent
- •if special endotracheal tube (ETT) is needed for the case.
Outcomes
Primary Outcomes
Time to Intubation (TTI) as Measured in Seconds
Time Frame: from start of intubation to successfully intubated up to 100 seconds
Time from insertion of either the GlideScope or in the case of fibreoptic intubation, a Williams airway (SunMed, Largo, FL, USA) into the mouth, to the time when end-tidal PCO2 exceeded 2.7 kPa (20 mmHg).
Secondary Outcomes
- Intubation Difficulty Score(from start of intubation to successfully intubated)
- Successful Intubation on 1st Attempt(from start of first intubation to end of first intubation attempt)
- Occurrence of Hypoxaemia(at 1 min prior to intubation, intubation, and 2, 4, 6, 8, and 10 min after)
- Trace Bleeding(Right after intubation)
- Sore Throat Grade(On the first postoperative day)
- Number of Intubation Attempts(from start of intubation to successfully intubated)