The Videolaryngoscopy Versus Direct Laringoscopy for Residents Intubation Study (VILARE-Adult)

Hospital Universitario Lucus Augusti

Status: Enrolling

Conditions: Intubation Intratracheal; Airway Management

Treatments: Device: Intubation with standard laryngoscope; Device: Intubation with video laryngoscope

Study type: Interventional

Funder types: Other

Identifiers

NCT06842082

VILARE-Adults-Study

Details and patient eligibility

About

The usual intubation technique in the operating room is based on direct laryngoscopy, using a standard Macintosh laryngoscope. However, this skill is not easy to acquire and requires adecuate training. Videolaryngoscopes are becoming a widely accepted airway management technique. because offer better view of the glottis and are easy to use. In addition, indirect laryngoscopes are useful for tracheal intubation by novice operators because of the feedback that supervisors can offer during intubation.

The goal of this clinical trial is to learn which intubation technique performed by residents of anesthesia in the operating room is better.

The main questions it aims to answer are:

• Which intubation technique is more effective for achieving first-attempt intubation?
• Which intubation technique results in fewer complications? Researchers will compare both intubation techniques performed by anesthesia residents in the operating room in adult anesthesia cases.

Full description

The study will randomize, by means of a computer-generated randomization, approximately 1008 adults in two groups: Conventional group (Laryngoscope with Macintosh Blade) and Videolaryngoscope group (Mac-Style Blade) to be intubated in the operating room by an anesthesia resident.

Success rate of the selected technique (first attempt), overall success rate, number of attempts, complications, and duration of insertion for technique will be noted.

Enrollment: 1,008 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ≥18 years old
• Patients who need to be tracheal intubated for a surgical intervention in the surgical area.
• Intubation performed by an anesthesia resident.

Exclusion criteria

• Need for tracheal intubation with a device other than videolaryngoscopy or direct laryngoscopy (fiberoptic bronchoscope, tracheostomy...).
• Context of a Difficult Airway Management.
• Refusal of the patient

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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1,008 participants in 2 patient groups

Laryngoscope Group

Active Comparator group

Description:

For patients assigned to the Laryngoscope Group, the operator will use a Macintosh laryngoscope for the first laryngoscopy attempt

Treatment:

Device: Intubation with standard laryngoscope

Videolaryngoscope Group

Active Comparator group

Description:

For patients assigned to the Videolaryngoscope Group, the operator will use a videolaryngoscope with Mac-Style Blade for the first laryngoscopy attempt

Treatment:

Device: Intubation with video laryngoscope