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Known difficult intubation: A randomised, prospective comparison of direct and videolaryngoscopy.

Known difficult intubation: A randomised, prospective comparison of conventional intubation (Macintosh blade) or videolaryngoscope (A.P. Advance) to determine time to successful intubation, glottic view, ease of use and complications in patients with known difficult intubation.

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12611000310965
Enrollment
60
Registered
2011-03-24
Start date
2011-04-18
Completion date
Unknown
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The trial looks to establish if the use of a videolaryngoscope in patients with a known difficult airway makes intubation easier, faster and safer.

Interventions

Patients will be randomised to receive either a conventional Macintosh blade or an A.P. Advance(trademark) videoscope using the Difficult Airway Blade. The intervention (intubation using either the standard macintosh laryngoscope or the AP advance) will be a single event utilising standard intubating techniques (induction of anaesthesia and muscle relaxation) at the start of planned surgery requiring intubation. The sole difference between the groups will be the type of laryngoscope used. Durat

Patients will be randomised to receive either a conventional Macintosh blade or an A.P. Advance(trademark) videoscope using the Difficult Airway Blade. The intervention (intubation using either the standard macintosh laryngoscope or the AP advance) will be a single event utilising standard intubating techniques (induction of anaesthesia and muscle relaxation) at the start of planned surgery requiring intubation. The sole difference between the groups will be the type of laryngoscope used. Duration of intervention will be less than 15 minutes

Sponsors

Fremanlte Hospital
Lead SponsorHospital

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Previous Cormack and Lehane grade 3 or 4 view at intubation. Anticipated easy ventilation

Exclusion criteria

Anticipated need for Awake fiberoptic intubation by treating anaesthetist Critical illness Requirement for rapid sequence intubation

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026