Who is Rapid And Success? The Comparison Of Video Fiberscope And Video Laryngoscope

Ondokuz Mayıs University

Status: Completed

Conditions: Airway Responsiveness; Intubation; Difficult or Failed

Treatments: Device: Group video laryngoscope of experienced practitioner; Device: Group video laryngoscope of less experienced practitioner; Device: Group video fiberscope of less experienced practitioner; Device: Group video fiberscope of experienced practitioner

Study type: Interventional

Funder types: Other

Identifiers

NCT05243758

B.30.2.ODM.0.20.08/1822

Details and patient eligibility

About

Endotracheal intubation plays an important role in general anesthesia. Complications can be prevented by using alternative airway devices in predetermined difficult intubation cases. In this study, the investigators aimed to compare the results of endotracheal intubation with video fiberscope and DCI video laryngoscope devices of two different experienced physicians (E and H).

Full description

In this randomized and prospective study, 60 patients with EGRI score> 4 and ASA score <4, operated between 1 October 2018 and 1 March 2019 in Ondokuz Mayıs University Medical Faculty Hospital were included. Endotracheal intubation was performed by two practitioners using two different devices. Intubation times, number of attempts, failed attempts, postoperative complications and hemodynamic responses were recorded.

Enrollment: 60 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Operated in the operating room of our hospital,
• Aged 18-65,
• EGRI score>4,
• ASA (American Society of Anesthesiologists) score<4

Exclusion criteria

• Cerebrovascular disease (cerebral ischemia, hemorrhage or stroke), presence of carotid stenosis or history of coronary artery disease,

  • Neurological disorders (history of chronic headache, epilepsy or head trauma), alcohol or psychoactive drug addiction,
  • Serious heart and/or lung diseases, liver and/or kidney failure,
  • Uncontrolled diabetes and/or hypertension,
  • Dental abscess,
  • Mouth opening <1.5 cm,
  • Known bleeding disorder,
  • Pregnancy,
  • Mental retardation,
  • Contraindications to drugs, allergy to drugs used,
  • Patient rejection

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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60 participants in 4 patient groups

Group video fiberscope of experienced practitioner

Active Comparator group

Description:

More experienced physician: endotracheal intubation with video fiberscope Assoc. Dr. The group in which Ersin Köksal performed endotracheal intubation using a video fiberscope( Karl Storz GmbH \&Co. KG, Tuttlingen, Germany) consisted of 15 patients.Endotracheal intubation was performed by two practitioners using two different devices. Intubation times, number of attempts, failed attempts, postoperative complications and hemodynamic responses were recorded.

Treatment:

Device: Group video fiberscope of experienced practitioner

Device: Group video fiberscope of less experienced practitioner

Group video laryngoscope of experienced practitioner

Active Comparator group

Description:

More experienced physician: Endotracheal intubation with DCI video laryngoscopeThe group in which Assoc. Dr. Ersin Köksal performed endotracheal intubation using a DCI video laryngoscope(Storz DCI Video Laryngoscope (Karl Storz GmbH \&Co. KG, Tuttlingen, Germany) consisted of 15 patients.Endotracheal intubation was performed by two practitioners using two different devices. Intubation times, number of attempts, failed attempts, postoperative complications and hemodynamic responses were recorded.

Treatment:

Device: Group video laryngoscope of less experienced practitioner

Device: Group video laryngoscope of experienced practitioner

Group video fiberscope of less experienced practitioner

Active Comparator group

Description:

Endotracheal intubation with video fiberscope: The group in which DrHalil Cebeci applied endotracheal intubation using a video fiberscope( Karl Storz GmbH \&Co. KG, Tuttlingen, Germany) consisted of 15 patients. Endotracheal intubation was performed by two practitioners using two different devices. Intubation times, number of attempts, failed attempts, postoperative complications and hemodynamic responses were recorded.

Treatment:

Device: Group video fiberscope of experienced practitioner

Device: Group video fiberscope of less experienced practitioner

Group video laryngoscope of less experienced practitioner

Active Comparator group

Description:

Endotracheal intubation with DCI video laryngoscope:The group in which Dr.Halil Cebeci applied endotracheal intubation using a DCI video laryngoscope(Karl Storz GmbH \&Co. KG, Tuttlingen, Germany) consisted of 15 patients.Endotracheal intubation was performed by two practitioners using two different devices. Intubation times, number of attempts, failed attempts, postoperative complications and hemodynamic responses were recorded.

Treatment:

Device: Group video laryngoscope of less experienced practitioner

Device: Group video laryngoscope of experienced practitioner