Laryngoscopy and Coronary Artery Bypass Graft Surgery (VL)

Konya Meram State Hospital

Status: Completed

Conditions: Videolaryngoscopy

Treatments: Other: Tracheal intubation using Macintosh laryngoscopy; Other: Tracheal intubation using Storz VL; Other: Tracheal intubation using EzVision VL; Other: Tracheal intubation using MacGrath VL

Study type: Interventional

Funder types: Other

Identifiers

NCT06349005

111

Details and patient eligibility

About

In this prospective, randomized, controlled trial, the purpose is to compare Macintosh laryngoscope, EzVision® video laryngoscope, McGrath® video laryngoscope and Storz® video laryngoscope in terms of hemodynamic response associated with intubation in adult patients undergoing Coronary Artery Bypass Surgery (CABG).

Full description

During endotracheal intubation, laryngoscopy can significantly affect hemodynamic responses, including tachycardia and elevated blood pressure, which may be particularly detrimental to individuals with cardiovascular conditions. Various studies have explored the hemodynamic reactions associated with laryngeal stimulation through different intubation devices. Researchers hypothesize that endotracheal intubation using video laryngoscopy will elicit a reduced hemodynamic response compared to traditional (Macintosh) laryngoscopy. In this prospective and randomized clinical study, the purpose is to compare the Macintosh laryngoscope, EzVision® video laryngoscope, McGrath® video laryngoscope and Storz® video laryngoscope concerning haemodynamic response associated with intubation in adult patients undergoing Coronary Artery Bypass Surgery (CABG).

Enrollment: 112 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age range between 18 and 75 years.
• Scheduled for elective coronary artery bypass surgery.
• Classified under American Society of Anesthesiologists (ASA) physical status II-III.
• Patients with no history of difficult intubation or associated risk factors.

Exclusion criteria

• Emergency case
• Predicted difficult airways
• Body mass index > 35 kilograms per meter squared
• Baseline hemodynamic instability

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

112 participants in 4 patient groups

Group Storz VL

Active Comparator group

Description:

Patients will undergo intubation with the Storz Videolaryngoscope®, during which their hemodynamic responses will be documented.

Treatment:

Other: Tracheal intubation using Storz VL

Group MacGrath VL

Active Comparator group

Description:

Patients will undergo intubation with the McGrath Videolaryngoscope®, during which their hemodynamic responses will be documented.

Treatment:

Other: Tracheal intubation using MacGrath VL

Group EzVision VL

Active Comparator group

Description:

Patients will undergo intubation with the EzVision Videolaryngoscope®, during which their hemodynamic responses will be documented.

Treatment:

Other: Tracheal intubation using EzVision VL

Group Traditional

Active Comparator group

Description:

Patients will undergo intubation with the traditional (Macintosh) laryngoscopy, during which their hemodynamic responses will be documented.

Treatment:

Other: Tracheal intubation using Macintosh laryngoscopy