Endotracheal Intubation
Conditions
Keywords
endotracheal intubation, GlideScope
Brief summary
Patients presenting for elective surgery will be randomized to having the breathing tube inserted partly into the throat prior to GlideScope insertion, or having it inserted fully after GlideScope insertion.
Detailed description
Patients presenting for elective surgery requiring orotracheal intubation will be randomized to having the Early Endotracheal Tube (ETT) inserted into the pharynx prior to GlideScope insertion and then having the ETT advanced under GlideScope guidance into the trachea, or, being intubated in the standard fashion with the GlideScope being inserted first and having the ETT then advanced via the pharynx into the trachea. The primary outcome is time to intubation.
Interventions
DEVICEETT First (GlideScope)
Patients will have the endotracheal tube (ETT) introduced into the pharynx under direct vision prior to GlideScope insertion. The ETT will then be advanced under GlideScope guidance into the trachea.
Sponsors
London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
Yes
Inclusion criteria
1. Any adult patient booked for elective surgery requiring orotracheal intubation. 2. Any operator who has performed ≥ 20 GlideScope intubations.
Exclusion criteria
1. Any patient in whom the use of the GlideScope is contraindicated in the opinion of the attending anesthesiologist. 2. Any patient with cervical spine abnormalities. 3. Any patients with known or probable difficult airways. 4. Any patient requiring rapid sequence induction.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to Intubation | Day 1 | Duration of intubation of the patient |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ease of intubation | Day 1 | Ease of intubation, measured on a Visual analog scale |
| Number of intubation attempts | Day 1 | Number of intubation attempts |
| Use of external laryngeal pressure | Day 1 | Use of external laryngeal pressure |
| Sore throat | Day 3 | Post operative sore throat, as rated by the patient. |
Countries
Canada
Outcome results
None listed