Time to Intubation (TTI) of Obese Patients. A Comparison Macintosh Laryngoscope and Stortz Video Laryngoscope

Örebro University, Sweden

Status: Completed

Conditions: Obese

Treatments: Device: Conventional Macintosh laryngoscope; Device: Stortz videolaryngoscope

Study type: Observational

Funder types: Other

Identifiers

NCT01827085

EPN2012/015

Details and patient eligibility

About

The purpose of the study is to investigate wether the use of the Stortz video laryngoscope will render in shorter time for the intubation of obese patients compared with the use of a conventional Macintosh laryngoscope.

Full description

Obese patients are prone to develop desaturation soon after initiation of anaesthesia compared to patients of normal body weight. It is therefore important to keep the time from when spontaneous breathing to when the airway is secured with a orotracheal tube as short as possible. We will therefore investigate if it is possible to shorten this time by using a Stortz videolaryngoscope.

Patients 18-60 years with ASA grade 1-3 and BMI < 35 that turn up for planned surgery that demands the use of orotracheal tubing and controlled ventilation will be randomly and consecutively enrolled in either of two groups. Patients in both groups will be anaesthetised with the same combination of drugs using Propofol and Remifentanyl or Fentanyl for induction of sleep, combined with Rocuronium for muscle relaxation.

After the induction and relaxation the intubation will be facilitated using either of two laryngoscopes. In the first group a conventional Macintosh laryngoscope, and in the second group a Stortz videolaryngoscope will be used. The time to intubation is defined as the time from grabbing the laryngoscope to when the tube has been inserted and end-tidal carbon dioxide appears on the monitor. Our hypothesis is that we will be able to achieve a faster intubation with the use of videolaryngoscope.

Enrollment: 80 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 18-60
• Obesity defined as BMI > 35
• ASA 1-3

Exclusion criteria

-known or suspected difficult airway

Trial design

80 participants in 2 patient groups

Macintosh laryngoscope

Description:

Patients will be intubated with a conventional Machintosh laryngoscope

Treatment:

Device: Conventional Macintosh laryngoscope

Videolaryngoscope

Description:

Intubation with Stortz video laryngoscope

Treatment:

Device: Stortz videolaryngoscope