The Depth of Endotracheal Tube Insertion

University Hospital Hradec Kralove

Status: Completed

Conditions: Intubation Complication

Treatments: Device: GlideScope; Device: Direct laryngoscopy

Study type: Interventional

Funder types: Other

Identifiers

NCT03184246

University Hospital

Details and patient eligibility

About

The investigators suppose that direct laryngoscopy is connected with deeper insertion of endotracheal tube in comparison to videolaryngoscopy. Correction of this malposition can cause postoperative discomfort and further complications in some patients.Routine use of videolaryngoscopy could minimize these problems.

Full description

100 patients scheduled for elective neurosurgical procedures will be randomized into two groups. Patients in group A will be intubated by videolaryngoscopy (GlideScope), patients in group B by direct laryngoscopy, in both groups will be rigid stylet used. Intubation will be done under propofol anesthesia, targeted entropy 40 to 50, and deep relaxation (neuromuscular transmission target level 0). Sufentanil will be used to block tracheal reflexes. In both groups the depth of insertion of tracheal tube will be measured in the mouth corner immediately after intubation. Next day, the unpleasant sensations and complications will be recorded (sore throat, stridor, hoarseness, cough and nausea and vomiting) during control visit of patients.

Enrollment: 100 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiologists physical status I - III

Exclusion criteria

• postoperative ventilation, laryngeal tumors, conditions after tracheotomy or laryngeal operations, cervical spinal hernia extraction

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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100 participants in 2 patient groups

GlideScope

Experimental group

Description:

intubation with GlideScope

Treatment:

Device: GlideScope

Direct laryngoscopy

Active Comparator group

Description:

intubation with laryngoscope

Treatment:

Device: Direct laryngoscopy