Face-to-face Tracheal Intubation: a Comparison of Airtraq, Glidescope and Fastrach

Kocaeli University

Status and phase: Completed; Phase 4

Conditions: Intubation Difficult

Treatments: Device: Fastrach; Device: Glidescope; Device: Airtraq

Study type: Interventional

Funder types: Other

Identifiers

NCT02286570

KOU KAEK 2014/255

Details and patient eligibility

About

Trauma victims had to be intubated at the scene of area in different conditions. Face-to-face intubation in an entrapped patient is one of these situations. The investigators want to compare the efficacy of Glidescope, Airtraq and Fastrach in simulating face-ro-face intubation in adult patients aged between 18-60 years.

Full description

The investigators record the demographic and the airway data of the patients (thyromental distance, sternomental distance, mallampati score, mandibula protrusions, interincisor distance..etc). The hemodynamic data of the patients baseline preoperatively, after induction, after insertion of the device, after intubation, and 2 minutes intervals after intubation during the ten minutes. Cormack-Lehane grade of the videolaryngoscopes, insertion time, intubation time, need of optimisation maneuvers, mucosal damage, teeth and tongue damage, postoperative sore throat, hoarseness, dysphagia were recorded.

Enrollment: 120 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 18-60 years of age
• Elective surgery requiring endotracheal intubation
• Normal airway variables
• BMI< 30

Exclusion criteria

• < 18 years or > 60 years
• Emergency procedures
• Known difficult airways
• BMI> 30

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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120 participants in 3 patient groups

face-to-face intubation of Glidescope

Active Comparator group

Description:

patients were intubated using glidescope by face-to-face approach

Treatment:

Device: Glidescope

face-to-face intubation with Airtraq

Active Comparator group

Description:

patients were intubated using the Airtraq by face-to-face approach

Treatment:

Device: Airtraq

face-to-face intubation with fastrach

Active Comparator group

Description:

patients were intubated using the Fastrach by face-to-face approach

Treatment:

Device: Fastrach