Tracheal Intubation in Patient With Semi-rigid Collar Immobilization of the Cervical Spine: A Comparison of Fiberoptic Bronchoscope Assisted With Pentax-airway Scope and Fiberoptic Bronchoscope Alone

Ajou University School of Medicine

Status: Completed

Conditions: Cholecystitis

Treatments: Device: pentax-airway scope; Device: fiberoptic bronchoscope; Procedure: semi-rigid collar

Study type: Interventional

Funder types: Other

Identifiers

NCT02827110

AJIRB-MED-DE2-16-060

Details and patient eligibility

About

A semi-rigid cervical collar is recommended for immobilization of the cervical spine in patients with cervical spine injury. It has been suggested that a reduction in mouth opening is the major contributing factor to the deterioration in the glottic view obtained. Fiberoptic intubation is among the most versatile techniques for managing both the anticipated and the unanticipated difficult airway. Recently, combination of fiberoptic bronchoscope with videolaryngoscope has been suggested to permit visual control of the passage of the tube over the fibrescope into the laryngeal inlet. The aim of this study is to compare the intubation time and ease of intubation between fiberoptic bronchoscope alone and bronchoscope with pentax airwayscope.

Enrollment: 90 patients

Sex: All

Ages: 20 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiologist physical status class I, II

Exclusion criteria

• uncontrolled or limited cardiovascular disease
• abnormality of airway
• necessity for rapid sequence induction
• BMI > 30

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

90 participants in 2 patient groups

fiberoptic bronchoscope

Active Comparator group

Description:

Tracheal intubation in patients with semi-rigid collar immobilization of the cervical spine using fiberoptic bronchoscope

Treatment:

Device: fiberoptic bronchoscope

Procedure: semi-rigid collar

fiberoptic bronchoscope with pentax-AWS

Experimental group

Description:

Tracheal intubation in patients with semi-rigid collar immobilization of the cervical spine using fiberoptic bronchoscope with pentax-AWS

Treatment:

Device: pentax-airway scope

Device: fiberoptic bronchoscope

Procedure: semi-rigid collar