Comparison Between a Standard Tube and the Ultra-thin Tritube for Intubation of the Trachea and for Maintaining Access to the Trachea After Anaesthesia, in Patients With an Expected Difficult Direct Laryngoscopy

Michael Seltz Kristensen

Status

Completed

Conditions

Oral Neoplasm

Pharynx Cancer

Larynx Cancer

Treatments

Device: Tritube

Device: Standard enditracheal tube

Study type

Interventional

Funder types

Other

Identifiers

NCT03653039

H-18023689 Tritube

Details and patient eligibility

About

The investigators compare the ease of intubation between a new ultra-thin endotracheal tube, "Tritube", and a standard endotracheal tube in patients with predictors of difficult laryngoscopy. Furthermore the investigators compare the acceptance of leaving the Tritube in trachea after end of anaesthesia, with the use of a tube exchange catheter.

Full description

In patients scheduled for surgery and anaesthesia in the Head-/neck/ear/nose/throat -region the investigators compare the ease of tracheal intubation between a new ultra-thin endotracheal tube, "Tritube", and a standard endotracheal tube in patients with predictors of difficult laryngoscopy. The intubation is performed with an angulated video laryngoscope.

Furthermore the investigators compare the acceptance of leaving the Tritube in trachea after end of anaesthesia, with the use of a tube exchange catheter. The latter continues into the post-operative recovery-ward.

Enrollment

48 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients for anaesthesia for surgery in the Head-/neck/ear/nose/throat
planned for oral intubation with video-laryngoscopy
with risk factors for difficult direct laryngoscopy

Exclusion criteria

Patient with increased secretions in the airway (Pneumonia, bronchitis, productive cough)
Patients planned for awake intubation
Patients where mask-ventilation is judged to could become impossible
Patients where access to the cricothyroid membrane is judged to be difficult or impossible
Patients in ASA (american Society of Anaesthesiologists) physical classification status >3
Patients who are scheduled for rapid sequence induction (RSI) due to risk of aspiration
Patients with stridor
Patients with hypoxemia (Saturation < 90 % in room air)
Operation duration planned to > 2.5 hours
Patients with the need for a nerve-stimulation-tube during surgery