Effect of Cricoid Pressure on Macintosh, McGrath X-Blade and Glidescope Videolaryngoscopes in Rapid Sequence Induction Intubation

Kocaeli University

Status and phase: Completed; Phase 4

Conditions: Rapid Sequence Induction Intubation

Treatments: Device: McGrath MAC X-Blade; Device: Macintosh; Device: Glidescope

Study type: Interventional

Funder types: Other

Identifiers

NCT02588157

KOÜ KAEK 2015/267

Details and patient eligibility

About

Non- Fasted patients need rapid sequence intubation. The investigators aimed to compare the intubation times of Macintosh , and McGrath X-Blade or Glidescope in these Ascenario.

Full description

The investigators fecidedir to enroll the ASA I-II 120 patients and divided them into three groups ( Macintosh / McGarth X-Blade / Glidescope). The investigators recorded the patients' airway data and demographic variables. All patients were premeditated with midazolam. Standard monitoring including electrocardiogram, non invasive blood pressure, pulse oximetry, heart rate were recorded before induction , after induction, after the device insertion and every 1 minutes after intubation. Cormac-Lehan grades with these video laryngoscope were recorded also. We recorded the optimization maneuvers ( like handling force, reinserting, cricoid pressure). Bloodstaining on the devices after removal were recorded as mucosal damage. Teeth, tongue, lip damage were also recorded. Sore throat, bronchospasm, wheezing were recored at recovery unit.

Enrollment: 120 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ASA I-II
• BMI< 30
• 18-65 years of age

Exclusion criteria

• known difficult airway
• BMI > 30
• < 18 years of age
• > 65 years of age
• known respiratory tract infection in 10 days
• pregnant

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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120 participants in 2 patient groups

İnsertion time

Active Comparator group

Description:

handling the device till the glottic visualisation of Macintosh, McGrath MAC X-Blade and Glidescope

Treatment:

Device: Glidescope

Device: Macintosh

Device: McGrath MAC X-Blade

intubation time

Active Comparator group

Description:

handling the device till seeing the endotracheal tube entering from the vocal cords Macintosh, McGrath MAC X-Blade and Glidescope

Treatment:

Device: Glidescope

Device: Macintosh

Device: McGrath MAC X-Blade