Intubation, Videolaryngoscopy
Conditions
Keywords
D007440
Brief summary
Patients presenting for elective surgery requiring orotracheal intubation will be randomized to having the ETT inserted into the pharynx simultaneous to GlideScope insertion and then having the ETT advanced under GlideScope guidance into the trachea, or, being intubated in the more common fashion with the GlideScope being inserted first and having the ETT then advanced via the pharynx into the trachea.
Detailed description
Patients presenting for elective surgery requiring orotracheal intubation will be randomized to having the ETT inserted into the pharynx simultaneous to GlideScope insertion and then having the ETT advanced under GlideScope guidance into the trachea, or, being intubated in the more common 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. Secondary outcomes include: 1) Ease of intubation as noted by operator (measured on a 10-cm Visual Analogue Scale) 2) Number of intubation attempts 3) Number of failures to intubate 4) Use of external laryngeal pressure 5) Laryngoscopic grade distribution
Interventions
PROCEDURESimultaneous Intubation
Intubation with GlideScope and ETT inserted simultaneously
PROCEDUREStandard Intubation
Intubation with GlideScope inserted first and ETT insertion after the GlideScope view is obtained
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
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
1\) Adult patient booked for elective surgery requiring orotracheal intubation
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 |
|---|---|---|
| Duration of Intubation | During the intubation | Duration of Intubation from mask removal to confirmation of ETCO2 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ease of Intubation | Within 5 minutes of the completion of the intubation | 100 mm visual analog scale |
| Number of intubation attempts | Within 5 minutes of the completion of the intubation | Number of intubation attempts |
| Failure to intubate | Within 5 minutes of the completion of the intubation | Failure to intubate |
| Laryngoscopic Grade | Within 5 minutes of the completion of the intubation | Cormack & Lehane grade |
| Oropharyngeal Trauma | Within 5 minutes of the completion of the intubation | Blind suction of the oropharynx immediately post intubation |
Countries
Canada
Outcome results
None listed