Cricoid Pressure During Tracheal Intubation
Conditions
Keywords
cricoid pressure, paratracheal pressure
Brief summary
Prospective randomized trial, including adult patients scheduled for orthopedic or abdominal surgery under general anesthesia and tracheal intubation. in this study the investigators will compare the classic cricoid pressure and the left paratracheal pressure regarding their impact on the intubation condition and the effectiveness.
Detailed description
Prospective randomized trial, including adult patients scheduled for orthopedic or abdominal surgery under general anesthesia and tracheal intubation. in this study the investigators will compare the classic cricoid pressure and the left paratracheal pressure regarding their impact on the intubation condition and the effectiveness. During the laryngoscopy, the modification of the Cormack and Lehane grade before and after the application of the cricoid or paratracheal pressure will be noticed. concerning the effectiveness of the procedure, a gastric tube will be introduced through the oesophagus during the procedure, under direct vision.
Interventions
PROCEDUREcricoid pressure
cricoid pressure during laryngoscopy
PROCEDUREleft paratracheal pressure
left paratracheal pressure during laryngoscopy
Sponsors
Mongi Slim Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Subject, Investigator)
Intervention model description
patients will be randomized to recieve cricoid pressure or left paratracheal pressure
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* adult patients with no criteria of difficult intubation or mask ventilation * no criteria of full stomach requiring crush induction
Exclusion criteria
* Unexpected difficult laryngoscopy or mask ventilation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Modification of Cormack and Lehane grade | 3 minutes after induction of general anesthesia | Cormack and Lehane grade before and after the procedure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Effectiveness of the pressure | 5 minutes after induction of general anesthesia | Possibility to introduce a gastric tube through the oesophagus |
Countries
Tunisia
Contacts
Primary ContactMhamed Sami Mebazaa, professor
Backup ContactAsma Ben Souissi, Ass Prof
Outcome results
None listed