Endotracheal Intubation
Conditions
Brief summary
Endotracheal intubation is usually required to allow unrestricted surgical approach. The Macintosh laryngoscope is the standard method. However in certain situations as difficult airway this technique is ineffective and poorly tolerated by the patient. Fiberoptic intubation is the gold standard in this scenario, however sometimes it is not possible due to failure or unavailability, so alternatives are needed. The TotalTrack (MedComflow SA, Barcelona, Spain) has been designed specifically for the airway management. However, despite its use in clinical practice, there are no comparative studies regarding direct laryngoscopy
Interventions
DEVICEorotracheal intubation
Sponsors
Manuel Ángel Gómez-Ríos
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Patients undergoing elective general anesthesia requiring OTI. * Patients duly informed and they have signed the informed consent during the pre-anesthetic consultation, or be sought after due meditation, expressing its consent to the inclusion in the study. * Age ≥18 years. * ASA I-III. * Sufficient intellectual capacity to understand the procedure and equipment used. * Do not submit predictors of difficult airway (Mallampati class III or IV; thyromental distance \<6 cm, sternomental distance \<12.5 cm, interincisal distance\<4.0 cm, bite test II or III, cervical mobility \<90 ° or history of difficult intubation). * Do not undergo thyroid surgery or present pharyngolaryngeal, glottic or cervical pathology * BMI \<30kg / m2 * Not presenting risk factors for aspiration * Not presenting respiratory disease, coronary or cerebral vascular. * Do not have a sore throat preoperative
Exclusion criteria
* Failure to meet the above criteria * Pregnancy * Allergy to any drug included in the protocol.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total time of successful intubation with the Macintosh laryngoscope and TotalTrack. | Time of Orotracheal intubation (TOTI) (up to 1 hour) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| POGO Score | TOTI (up to 1 hour) | — |
| number of maneuvers | TOTI (up to 1 hour) | — |
| Number of attempts of endotracheal intubation | TOTI (up to 1 hour) | — |
| Position taken by the anesthesiologist during orotracheal intubation | TOTI (up to 1 hour) | — |
| IDS Scale | TOTI (up to 1 hour) | — |
| Complications | OTI and postintubation ( up to 24 hours) | — |
| endotracheal intubation success rate of each device | TOTI (up to 1 hour) | — |
| Degree of satisfaction | time of postintubation (up to 10 minutes) | Visual Analogic Scale |
| hemodynamic response | OTI pre and postintubation (up to 10 minutes) | Heart Ratio, Arterial Pressure |
Countries
Spain
Outcome results
None listed