TCHCCT-Zhong-Xing-Emergency-Department-airway-clincal (TTC)

Taipei City Hospital

Status: Unknown

Conditions: Intubation;Difficult; Intubation Complication

Treatments: Device: bougie-assisted intubation; Procedure: stylet-assisted epiglottic lifting

Study type: Interventional

Funder types: Other

Identifiers

NCT03808896

TCHCCT-ZXERRP

Details and patient eligibility

About

In the previous study on mannekin, the investigators found stylet-assisted lifting of epiglottis is an useful technique on difficult airway (Cormack-Lehane grade IIIa, IIIb) without increasing subjective difficulty. It has no expenses other than the routine intubation process. Recently, the studies have proved that the bougie-assisted laryngoscopy can improve first pass intubation rate in the emergency department. However, bougie is a disposable device and may increased medical expenditure. The investigators will evaluate the safety of bougie and epiglottic lifting technique, as well as the first pass and overall success rate of intubation comparing to traditional video laryngoscopy and direct laryngoscopy.

Full description

A better strategy of managing Cormack-Lehane Grade III had been investigated by our previous study. The investigators' research results had been accepted and published by the journal BioMeidcal Central Anesthesiology. The investigators will be eager to do the further clinical trial to investigate the impact of this technique clinically. Besides, bougie assisted intubation is a effective, evidenced-proved intervention. The investigators will also like to find out the prognosis differences between these two techniques.

Enrollment: 200 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• all the patients present to the emergency department with airway emergency who need intubation

Exclusion criteria

• age below 18 year-old

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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200 participants in 3 patient groups

bougie-assisted intubation

Active Comparator group

Description:

use bougie as guide, intubation with loading endotracheal tube under direct or video laryngoscopy

Treatment:

Device: bougie-assisted intubation

intubation with epiglottic lifting

Active Comparator group

Description:

Lifting of epiglottis with stylet-equipped endotracheal tube to assist intubation under direct or video laryngoscopy

Treatment:

Procedure: stylet-assisted epiglottic lifting

Traditional intubation

No Intervention group

Description:

intubation under direct or video laryngoscopy without epiglottis lifting nor bougie-assited