View af Larynx and Intubation With a Flexible Fibreoptic Scope With and Without Sellick´s Maneuver.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Time of intubation
研究概览
简要总结
The goal of this study is to evaluate the effect of Sellick´s Maneuver, a firm pressure on the throat, just below the Adams apple, to occlude the esophagus, in order to prevent aspiration of gastric contents, on intubation with a flexible fiberscope. The result of this study will be participate in the discussion of the importance of Sellick´s Maneuver.
详细描述
The patients included in this study has volunteered after sufficient information, and must be ASA-class I-II, 18 years or more, and must not have indications for a rapid sequence induction.
The patient will be intubated twice, with and without Sellick´s maneuver. It is blinded to the intubating physician, in which order this pressure is applied.
The outcomes measures will be time of intubation, oxygen saturation before and after intubation and a Cormack Scale graduation of the visibility of the vocal cords. The intubation will be failed, if it cannot be performed under 120 seconds, or if the patients desaturate to 95% or less.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Crossover
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Informed consent to participate in the study
- •Age 18 or older
- •Predicted difficult airways
排除标准
- •Body mass index more then 35
- •Patients with an indication for a rapid sequence induction (reflux, Hiatus herniation, Gastric bypass)
结局指标
主要结局
Time of intubation
时间窗: 180 seconds
The investigators will find an eventually change in the time of intubation with and without Sellick´s Maneuver
次要结局
- Visualization of the vocal cords(180 seconds)
- Fall of oxygen saturation after intubation with and without Sellick´s maneuver.(180 seconds)
- Number of patients that cannot be intubated after 120 sec. with and without Sellick´s maneuver(180 seconds)
研究者
Bjorn Arenkiel
Reservelæge
Glostrup University Hospital, Copenhagen