Tracheal Intubation With Collar Immobilisation : a Comparison of Glidescope and Fastrach

Kocaeli University

Status and phase: Completed; Phase 4

Conditions: Injury of Cervical Spine

Treatments: Device: Glidescope; Device: ILMA

Study type: Interventional

Funder types: Other

Identifiers

NCT02245880

KOÜ KAEK 2013/33

Details and patient eligibility

About

Intubation must be done with utmost care in cervical trauma patients. cervical spine motion must be minimized and intubation must be fast. The aim of this study was to compare the effectiveness of fastrach and glidescope. 18-65 years of age , ASA I-II 100 patients undergoing elective surgery were enrolled in this trial. After standard monitorisation including EKG , noninvasive blood pressure, pulse oximetry, anesthesia was induced with propofol and fentanyl. rocuronium was then administered for muscle relaxation. Patients were divided into two groups glidescope and fastrach. Rigid collar was placed then patients were intubated with one of these devices. Mask ventilations with or without collar were recorded. insertion times, intubation times of the devices were recorded. Peroperative hemodynamic parameters and postoperative minor complications were also recoded.

Full description

inclusion criteria: ASA I-II , 18-60 years of age undergoing elective surgery requiring intubation exclusion criteria:

• pregnancy reflux nonfasted head and neck tumors recent flue in 2 weeks

Enrollment: 94 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 18-65 years of age
• ASA I-II
• requiring intubation
• BMI<35

Exclusion criteria

• less than 18 or higher than 65
• ASA III-IV
• BMI> 35
• PREGNANT
• head and neck tumors

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Double Blind

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94 participants in 2 patient groups

Glidescope videolaryngoscope

Active Comparator group

Description:

cervical collar was applied to 47 patients then facemask ventilations were recoded intubated with Glidescope and insertion time: handling of the device till the good glottic visualisation intubation time: handling of the device till the capnography appears mucosal damage: bloodstain on the device after removal heart rate preinduction heart rate postinduction heart rate postinsertion heart rate postintubation mean arterial pressure preinduction mean arterial pressure postinduction mean arterial pressure postinsertion mean arterial pressure postintubation wrere recorded. postoperative minor complications were recorded.

Treatment:

Device: Glidescope

Intubating laryngeal mask airway

Active Comparator group

Description:

cervical collar was applied to 47 patients then facemask ventilations through the collar were recorded and intubated with ILMA insertion time: handling of the device till the good glottic visualisation appears intubation time: handling of the device till the capnography appears mucosal damage: bloodstain on the device heart rate preinduction heart rate postinduction heart rate posinsertion heart rate postintubation mean arterial pressure preinduction mean arterial pressure postinduction mean arterial pressure postinsertion mean arterial pressure postintubation

Treatment:

Device: ILMA