Fibreoptic Intubation With and Without Sellick´s Maneuver

Glostrup University Hospital, Copenhagen

Status: Completed

Conditions: Respiratory Aspiration of Gastric Contents; Intubation Intraesophageal

Treatments: Procedure: Application of Sellick´s maneuver.

Study type: Observational

Funder types: Other

Identifiers

NCT01357824

Glostrup Crich Study

Details and patient eligibility

About

The goal of this study is to evaluate the effect of Sellick´s Maneuver, a firm pressure on the throat, just below the Adams apple, to occlude the esophagus, in order to prevent aspiration of gastric contents, on intubation with a flexible fiberscope. The result of this study will be participate in the discussion of the importance of Sellick´s Maneuver.

Full description

The patients included in this study has volunteered after sufficient information, and must be ASA-class I-II, 18 years or more, and must not have indications for a rapid sequence induction.

The patient will be intubated twice, with and without Sellick´s maneuver. It is blinded to the intubating physician, in which order this pressure is applied.

The outcomes measures will be time of intubation, oxygen saturation before and after intubation and a Cormack Scale graduation of the visibility of the vocal cords. The intubation will be failed, if it cannot be performed under 120 seconds, or if the patients desaturate to 95% or less.

Enrollment: 50 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• ASA I-II
• Informed consent to participate in the study
• Age 18 or older
• Predicted difficult airways

Exclusion criteria

• Body mass index more then 35
• Patients with an indication for a rapid sequence induction (reflux, Hiatus herniation, Gastric bypass)

Trial design

50 participants in 1 patient group

Patients admitted for elective surgery

Description:

The patient admitted for elective surgery can be included, and will both the case and control, as we intubate the same patient twice, with and without Sellick´s maneuver.

Treatment:

Procedure: Application of Sellick´s maneuver.