Video Laryngoscope Versus USB Borescope in Difficult Intubation

Cairo University (CU)

Status: Completed

Conditions: Intubation; Difficult or Failed

Treatments: Device: Borescope; Device: Video laryngoscope

Study type: Interventional

Funder types: Other

Identifiers

NCT05158088

N-15-2021/MSc

Details and patient eligibility

About

Video Laryngoscope Versus a USB Borescope Aided Endotracheal Intubation in Adults With Anticipated Difficult Airway

Full description

For patients allocated to the USB-borescope technique, a proper size endotracheal tube will be placed over the USB-borescope (with an external diameter of 5.5 mm) which will be coated externally with water-soluble lubricant. The proper size laryngoscope blade will be inserted. The USB-borescope will be placed through the oral cavity and will be advanced while tracking it on a mobile phone, it will be advanced to the glottic opening. If needed, rotation of USB-borescope and/or external laryngeal manipulation will be used to align it with the vocal cord.

For patients allocated to the intubation over Video Laryngoscope technique, video laryngoscope (Insighters insight is3) proper size blade will be placed and introduction of the Video Laryngoscope till viewing the glottis opening then insertion of a proper sized endotracheal tube

Enrollment: 120 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 1.American Society of Anesthesiologist ASA physical status I-II patients. 2.Both genders. 3.Age18-60 years old 4.BMI <35 5.patients with El-Ganzouri score more than or equal to 4

Exclusion criteria

• Presence of pulmonary diseases
• Uncontrolled hypertension
• Ischemic heart disease
• Cervical spine fracture
• Limited mouth opening
• known to have tumors or polyps in the upper airway
• History of difficult intubation or difficult bag-mask ventilation
• Patients with difficult bag-mask ventilation after induction of anesthesia

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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120 participants in 2 patient groups

Borescope group

Active Comparator group

Description:

Using an Endotracheal tube mounted over Borescope with the aid of conventional laryngoscope for intubation

Treatment:

Device: Borescope

Videolaryngoscope group

Active Comparator group

Description:

Using videolaryngoscope for intubation

Treatment:

Device: Video laryngoscope