Intubation Difficult
Conditions
Brief summary
Trauma victims had to be intubated at the scene of area in different conditions. Face-to-face intubation in an entrapped patient is one of these situations. The investigators want to compare the efficacy of Glidescope, Airtraq and Fastrach in simulating face-ro-face intubation in adult patients aged between 18-60 years.
Detailed description
The investigators record the demographic and the airway data of the patients (thyromental distance, sternomental distance, mallampati score, mandibula protrusions, interincisor distance..etc). The hemodynamic data of the patients baseline preoperatively, after induction, after insertion of the device, after intubation, and 2 minutes intervals after intubation during the ten minutes. Cormack-Lehane grade of the videolaryngoscopes, insertion time, intubation time, need of optimisation maneuvers, mucosal damage, teeth and tongue damage, postoperative sore throat, hoarseness, dysphagia were recorded.
Interventions
videolaryngoscope used for endotracheal intubation
videolaryngoscope used for endotracheal intubation
intubating laryngeal mask airway used for blind endotracheal intubation
Sponsors
Study design
Eligibility
Inclusion criteria
* 18-60 years of age * Elective surgery requiring endotracheal intubation * Normal airway variables * BMI\< 30
Exclusion criteria
* \< 18 years or \> 60 years * Emergency procedures * Known difficult airways * BMI\> 30
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| intubation time | elapsing between the handling of the device till intubation 2 minutes | 2 minutes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| mucosal damage | blood on the device after removal 1 minute | 1 minute after removal |
| postoperative minor complications sore troat, teeth damage, tongue damage, desaturation, hoarseness, disphagia | sore troat, teeth damage, tongue damage, desaturation, hoarseness, disphagia 30 minutes | 30 minutes after extubation |
| need of optimisation maneuvers | chandy, side-to-side, handling force, up-down, reinserting 15 minutes | during 15 minutes while intubation |
| hemodynamic changes (mean arteriial pressure) | entübation and after 15 minutes | mmHg |