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A Comparison of the Ease of Tracheal Intubation Using a McGrath MAC Laryngoscope and a Standard MacIntosh Laryngoscope

A Comparison of the Ease of Tracheal Intubation Using a McGrath MAC Laryngoscope and a Standard MacIntosh Laryngoscope

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01516164
Enrollment
158
Registered
2012-01-24
Start date
2012-03-31
Completion date
2014-02-28
Last updated
2014-10-06

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

Conditions

Tracheal Intubation

Keywords

Laryngoscopy, Videolaryngoscopy, Ease of Intubation

Brief summary

Videolaryngoscopes offer the potential to make tracheal intubation easier for the anaesthetist and less traumatic for the patient. This study aims to compare the intubation difficulty scores (a validated scoring system for ease of intubation) using the McGrath MAC as a videolaryngoscope, the McGrath MAC only as a direct laryngoscope (without video screen) and the MacIntosh laryngoscopes.

Interventions

DEVICELaryngoscopy

After establishing full monitoring, inducing general anaesthesia and ensuring paralysis laryngoscopy is performed and the patient's trachea intubated.

Sponsors

NHS Tayside
Lead SponsorOTHER_GOV

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
16 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Elective procedure requiring oral tracheal tube intubation * Over 16 years of age * Airway assessment suggests to the anaesthetist that a standard MacIntosh laryngoscope approach to intubation would be appropriate.

Exclusion criteria

* Emergency procedure * Less than 16 years of age * Unable to consent * Requiring Rapid Sequence Induction (a specialised anaesthetic induction technique) * Predicted difficult intubation * Not suitable for the standardised induction technique

Design outcomes

Primary

MeasureTime frameDescription
Intubation Difficulty Score5 minutesThe Intubation Difficulty Scale (IDS) is a numerical score based on seven parameters. The scoring of each parameter represents a divergence from an 'ideal' condition and the total score represents a sum divergence from a zero difficulty ideal intubation. The seven parameters are number of supplementary attempts, number of supplementary operators, number and type of alternative techniques used, laryngoscopic grade, subjective lifting force, the use of external laryngeal manipulation and mobility or position of the vocal cords.

Secondary

MeasureTime frame
Number and types of alternative techniques used5 minutes
Perception of force used5 minutes
Time to intubation5 minutes
Ease of intubation5 minutes
Failure to intubate5 minutes
Complications5 minutes

Countries

United Kingdom

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026