Tracheal Intubation
Conditions
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
After establishing full monitoring, inducing general anaesthesia and ensuring paralysis laryngoscopy is performed and the patient's trachea intubated.
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Intubation Difficulty Score | 5 minutes | The 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
| Measure | Time frame |
|---|---|
| Number and types of alternative techniques used | 5 minutes |
| Perception of force used | 5 minutes |
| Time to intubation | 5 minutes |
| Ease of intubation | 5 minutes |
| Failure to intubate | 5 minutes |
| Complications | 5 minutes |
Countries
United Kingdom