None listed
Conditions
Brief summary
he CMAC D blades and Glidescope are essentially meant for difficult intubations. In this present study we are comparing these two laryngoscopes in managing the difficult intubations. In C-spine injury scenarios, the standard positioning and intubation technique for direct laryngoscopy cannot be employed in order to minimize the cervical spine injury.In our study we are simulating a restricted neck movement using the application of manual in line axial stabilization [MIAS] maneuver in patients who are not having difficult air way predictors and no C-spine injuries, requiring general anesthesia with endotracheal intubation for their contemplated surgical procedures.In this study we will try to simulate a scenario which we normally come across in trauma patients with C-spine involvement. .In this study we are comparing the efficacy of CMAC D blade against Glidescope
Interventions
The CMAC D blade and Glidescope are essentially meant for difficult intubations. In this present study we are comparing these two laryngoscopes in managing the difficult intubations. The limited extension of the neck will be simulated in patients with normal arirway anatomy, using manual in line axial stabilisation (MIAS) manouvre. CMAC D Blade is specially designed blade recommended by the manufacturer in managing the difficult airways. In this study we are testing the efficacy of CMAC D blad
The CMAC D blade and Glidescope are essentially meant for difficult intubations. In this present study we are comparing these two laryngoscopes in managing the difficult intubations. The limited extension of the neck will be simulated in patients with normal arirway anatomy, using manual in line axial stabilisation (MIAS) manouvre. CMAC D Blade is specially designed blade recommended by the manufacturer in managing the difficult airways. In this study we are testing the efficacy of CMAC D blade against Glidescope. MIAS is applied by an assistant ,standing beside the patient in front of the laryngoscopist with hands placed on the sides of the patient’s head and forearms resting on the patient’s chest. laryngoscopy will be done by single experienced anesthetist of consultant grade. Failure to intubate is defined as time taken to intubation exceeding more than 120 seconds or more than three unsuccessful attempts. The laryngoscopist grade the Intubation difficulty as per the Intubation Difficulty Scale Score (IDS). As per IDS score 0 score will be no difficulty and infinite score is impossible to intubate.
Sponsors
SHAHID ADEEL
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject)
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Patients undergoing elective surgery that require general anesthesia with endotracheal intubation. No predictors for difficult airway: as defined by Mouth opening more than 4 cms, Thyromental distance > 6 cms. Malampati grade 1 and 2. No documented evidence of difficult airway
Exclusion criteria
Trauma patients Emergency surgery Any clinical predictors of difficult airway Burns patients. Bronchial asthma, COPD, bronchiectasis Recent history of chest infection < 4 weeks Thoracic cage anatomical deformity.
Outcome results
None listed