Intubation
Conditions
Keywords
cervical spine motion, video laryngoscope, rigid video stylet
Brief summary
In this study, investigators are going to compare cervical spine motion during tracheal intubation using video laryngoscope or rigid video stylet in patients with simulated cervical immobilization.
Detailed description
In patients with an unstable cervical spine, neck extension during tracheal intubation may result in harmful events such as spinal cord injury. Thus, it is important to minimize cervical spine motion in these patients. In this randomized crossover study, investigators are going to compare cervical spine motion during tracheal intubation using video laryngoscope or rigid video stylet in patients with simulated cervical immobilization.
Interventions
intubation using rigid video stylet
intubation using video laryngoscope
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients aged 18-80 years undergoing elective endovascular cerebral aneurysm coiling to general anesthesia in a neuroangiography suite
Exclusion criteria
* Patients with upper airway abnormalities such as inflammation, abscesses, tumors, polyps, and trauma * Patients with a medical history of gastroesophageal reflux disease and previous airway surgery, at high risk for aspiration, coagulation disorders, or a Hunt Hess grade of 3-5
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| maximum cervical spine motion | during tracheal intubation | maximum angles measured at the occiput-C1, C1-C2, C2-C5 segments |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| intubation time | during tracheal intubation | time interval between insertion of the device into the oral cavity and its removal |
| number of intubation trial | during tracheal intubation | number of intubation trial |
Countries
South Korea