Does Glidescope Video Laryngoscope is Related to Less Hemodynamic Response?

Gata Haydarpasa Research Hospital

Status: Completed

Conditions: Blood Pressure

Treatments: Device: Glidescope; Device: Macintosh Laryngoscope

Study type: Interventional

Funder types: Other

Identifiers

NCT02708420

GataHRH

Details and patient eligibility

About

Laryngoscopy and endotracheal intubation causes significant hemodynamic response and thus presents an increased risk for patients undergoing cardiac bypass surgery. Prevention or reduction of this increment is important for hemodynamic control. In this randomized single blind study, the aim of this study is to compare the hemodynamic responses of two different laryngoscopy techniques with Glidescope and Macintosh laryngoscope in coronary cardiac bypass surgery patients.

Full description

Laryngoscopy and endotracheal intubation causes significant hemodynamic response and thus presents an increased risk for patients undergoing cardiac bypass surgery. Prevention or reduction of this increment is important for hemodynamic control. In this randomized single blind study, the aim of this study is to compare the hemodynamic responses of two different laryngoscopy techniques with Glidescope and Macintosh laryngoscope in coronary cardiac bypass surgery patients. After induction with our institutional protocol for cardiac bypass surgery, hemodynamic data including heart rate, systolic and diastolic arterial pressure data will be recorded. Time for intubation, age, sex, ASA status data will also be recorded.

Enrollment: 70 patients

Sex: All

Ages: 40 to 85 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiologists (ASA) physical Status 2-3
• Patients undergoing elective cardiac bypass surgery

Exclusion criteria

• Difficult intubation history
• Need for Rapid sequence intubation or alternative intubation method
• Emergency procedures
• Patients that have predictive factors for difficult intubation
• Patients with permanent pacemaker

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

70 participants in 2 patient groups

Glidescope intubation

Other group

Description:

This standard GlideScope (GS) technique involves a midline laryngoscopy followed by insertion of a styletted endotracheal tube, once an adequate view of the vocal cords is achieved.

Treatment:

Device: Glidescope

Macintosh Laryngoscope

Other group

Description:

This standard technique involves laryngoscopy followed by insertion of a styletted endotracheal tube, once an adequate view of the vocal cords is achieved.

Treatment:

Device: Macintosh Laryngoscope