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GlideScope Versus Direct Laryngoscope for Emergency Intubation

University of Maryland Baltimore (UMB) logo

University of Maryland Baltimore (UMB)

Status

Completed

Conditions

Oral Intubation

Treatments

Device: type of laryngoscope

Study type

Interventional

Funder types

Other

Identifiers

NCT01235065
HP-00042451

Details and patient eligibility

About

The purpose of this study is to assess if the GlideScope video laryngoscope is superior to the Macintosh direct laryngoscope for definitive airway management in acutely-injured patients.

Full description

On admission to the emergency department following traumatic injury, many patients require placement of an artificial airway to support their breathing, provide oxygen and protect their airway. This procedure is accomplished through a number of different techniques and few studies have compared these techniques in order to establish the best method. We will compare an older technique using a metal handle and blade that allows for direct visualization of the vocal cords (direct laryngoscopy) to a newer technique that employs a fiberoptic bundle imbedded in a handle that allows indirect visualization of the vocal cords during placement of the artificial airway. The newer technique has the theoretical advantage of being more useful in patients with abnormal airways which are frequently encountered in trauma patients. Since both techniques are currently employed routinely in our institution, we will randomize all trauma admission to have an initial attempt with one of the two techniques in order to perform a randomized, unblinded trial.

Enrollment

623 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • require emergency intubation

Exclusion criteria

  • age < 18
  • require surgical airway on initial assessment
  • have known or strongly suspected spinal cord injury

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

623 participants in 2 patient groups

direct laryngoscope
Active Comparator group
Description:
emergency intubation with direct laryngoscopy technique
Treatment:
Device: type of laryngoscope
video laryngoscope
Active Comparator group
Description:
emergency intubation with video laryngoscopy technique
Treatment:
Device: type of laryngoscope

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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