Videolaryngoscopy in Patients With Cervical Spine Immobilisation

NHS Tayside

Status: Completed

Conditions: Intubation; Difficult

Treatments: Device: Laryngoscopy

Study type: Interventional

Funder types: Other

Identifiers

NCT02563301

2008AN01

Details and patient eligibility

About

Tracheal intubation is more difficult in patients in whom cervical spine immobilisation is maintained during tracheal intubation. The McGrath Series 5 videolaryngoscope offers a potential solution. The relatively short radius of the blade curvature combined with the internal arrangement of optimal components means that the glottis can be seen without the need for alignment of the oral, pharyngeal and tracheal axes.

The investigators propose that the McGrath Series 5 videolaryngoscope will improve the view of the larynx in patients with limited neck movements, making intubation quicker, easier and possibly safer.

Enrollment: 49 patients

Sex: All

Ages: 16+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Elective procedure requiring tracheal intubation
• Over 16 years of age

Exclusion criteria

• Emergency procedure
• Less than 16 years of age
• Unable to consent
• Symptomatic gastro-oesophageal reflux disease
• Evidence of raised intracranial pressure
• Known pharyngeal pathology

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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49 participants in 2 patient groups

McGrath Series 5

Active Comparator group

Description:

Videolaryngoscope used to perform indirect (video) laryngoscopy and tracheal intubation

Treatment:

Device: Laryngoscopy

Macintosh

Active Comparator group

Description:

Laryngoscope used to perform direct laryngoscopy and tracheal intubation

Treatment:

Device: Laryngoscopy