A prospective randomised study to compare the efficacy of C-Mac Videolaryngoscope, VL3R videolaryngoscope and Macintosh laryngoscope as intubating aids in adult patients
试验速览
- 阶段
- 3 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- To compare the number of attempts required for successful intubation.
研究概览
简要总结
A PROSPECTIVE RANDOMIZED STUDY TO COMPARE THE EFFICACY OF C-MAC VIDEO LARYNGOSCOPE, VL3R VIDEO LARYNGOSCOPE AND MACINTOSH LARYNGOSCOPE AS INTUBATING AIDS IN ADULT PATIENTS
Airway management is quite essential in cardiopulmonary resuscitation, anaesthesia, emergency medicine, intensive care and first aid, as it saves lives. Laryngoscopy may be performed to facilitate tracheal intubation during general anaesthesia or cardiopulmonary resuscitation or for surgical procedures on the larynx or other parts of the upper tracheobronchial tree. Direct laryngoscopy (DL) does not always allow optimal viewing of the glottis, especially in those patients with anatomical characteristics which can make tracheal intubation difficult1. The American Society of Anesthesiologists’ closed claim study showed that difficult intubation or esophageal intubation is the cause of the approximately 35% of life-threatening respiratory events, including death and permanent brain damage2. Thus managing a difficult airway is one of the major problems that an anaesthesiologist can encounter in clinical practice.
These issues have stimulated the development of multiple novel laryngoscopes, each of which aims to improve the laryngeal view, especially in cases of anticipated/unanticipated difficult airway3. The greater effectiveness of video-laryngoscopes associated with multi-person visualization could enhance overall patient safety during airway management4. Although they offer several advantages, including better view of glottis entrance and intubation conditions, a good laryngeal view does not guarantee easy or successful tracheal tube insertion5.
We therefore aim to compare the number of attempts required for successful intubation using C – MAC video laryngoscope, VL3R video laryngoscope and Macintosh laryngoscopes and to arrive at a conclusion and to grade them based on the various characteristics.
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Not Applicable
入排标准
- 年龄范围
- 20.00 Year(s) 至 70.00 Year(s)（—）
- 性别
- All
入选标准
- •ASA Grade I &II patients.
- •Age between 20-70 years Weight between 40-70 kg Patients of both sexes Patients planned for elective surgery MP Grades I and II.
排除标准
- •Previous history of multiple/ failed intubation.
- •Predicted difficult laryngoscopy Any pathology of the oral cavity that may obstruct the insertion of device Mouth opening less than 2.5cm.
- •Potentially full stomach patients (trauma, morbid obesity, pregnancy, history of gastric regurgitation and heartburn) and at risk of esophageal reflux (hiatus hernia).
结局指标
主要结局
To compare the number of attempts required for successful intubation.
时间窗: 2 years
次要结局
- To grade the ease of tracheal intubation using these devices.(To compare the laryngoscopy and intubation time using the three intubating devices.)