Comparison of Simultaneous Endotracheal Tube Insertion With GlideScope Use

Lawson Health Research Institute

Status: Completed

Conditions: Videolaryngoscopy; Intubation

Treatments: Procedure: Standard Intubation; Procedure: Simultaneous Intubation

Study type: Interventional

Funder types: Other

Identifiers

NCT02787629

107322

Details and patient eligibility

About

Patients presenting for elective surgery requiring orotracheal intubation will be randomized to having the ETT inserted into the pharynx simultaneous to GlideScope insertion and then having the ETT advanced under GlideScope guidance into the trachea, or, being intubated in the more common fashion with the GlideScope being inserted first and having the ETT then advanced via the pharynx into the trachea.

Full description

Patients presenting for elective surgery requiring orotracheal intubation will be randomized to having the ETT inserted into the pharynx simultaneous to GlideScope insertion and then having the ETT advanced under GlideScope guidance into the trachea, or, being intubated in the more common fashion with the GlideScope being inserted first and having the ETT then advanced via the pharynx into the trachea. The primary outcome is time to intubation. Secondary outcomes include: 1) Ease of intubation as noted by operator (measured on a 10-cm Visual Analogue Scale) 2) Number of intubation attempts 3) Number of failures to intubate 4) Use of external laryngeal pressure 5) Laryngoscopic grade distribution

Enrollment: 50 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Adult patient booked for elective surgery requiring orotracheal intubation

Exclusion criteria

1. Any patient in whom the use of the GlideScope is contraindicated in the opinion of the attending anesthesiologist.
2. Any patient with cervical spine abnormalities.
3. Any patients with known or probable difficult airways.
4. Any patient requiring rapid sequence induction.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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50 participants in 2 patient groups

Simultaneous

Experimental group

Description:

Simultaneous Intubation with GlideScope and ETT inserted simultaneously

Treatment:

Procedure: Simultaneous Intubation

Control Standard

Active Comparator group

Description:

Standard Intubation with GlideScope inserted first and ETT inserted after the GlideScope view is obtained

Treatment:

Procedure: Standard Intubation