Intubation Complication, Intubation;Difficult
Conditions
Brief summary
In the previous study on mannekin, the investigators found stylet-assisted lifting of epiglottis is an useful technique on difficult airway (Cormack-Lehane grade IIIa, IIIb) without increasing subjective difficulty. It has no expenses other than the routine intubation process. Recently, the studies have proved that the bougie-assisted laryngoscopy can improve first pass intubation rate in the emergency department. However, bougie is a disposable device and may increased medical expenditure. The investigators will evaluate the safety of bougie and epiglottic lifting technique, as well as the first pass and overall success rate of intubation comparing to traditional video laryngoscopy and direct laryngoscopy.
Detailed description
A better strategy of managing Cormack-Lehane Grade III had been investigated by our previous study. The investigators' research results had been accepted and published by the journal BioMeidcal Central Anesthesiology. The investigators will be eager to do the further clinical trial to investigate the impact of this technique clinically. Besides, bougie assisted intubation is a effective, evidenced-proved intervention. The investigators will also like to find out the prognosis differences between these two techniques.
Interventions
PROCEDUREstylet-assisted epiglottic lifting
use stylet-equipped enodtracheal tube to lift the epiglottis and pass the endotracheal tube
DEVICEbougie-assisted intubation
use bougie as a introducer. Pass the bougie to the trachea and pass the tube via bougie guide.
Sponsors
Taipei City Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Intervention model description
Traditional intubation technique direct and video laryngoscope, bougie-assisted intubation, intubation with stylet assisted epiglottis lifting
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* all the patients present to the emergency department with airway emergency who need intubation
Exclusion criteria
* age below 18 year-old
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| first pass success rate | through the intubation period, an average of 90 seconds | first pass sucess rate |
| duration of intubation | through the intubation period, an average of 90 seconds | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Immediate complications direct related to intubation process | through the intubation period, an average of 90 seconds | esophageal intubation, bleeding, tracheal perforation |
| Overall success rate | within 48 hours of intubation | Include all intubation event |
Countries
Taiwan
Outcome results
None listed