Intubation; Difficult or Failed
Conditions
Brief summary
Tracheal intubation is commonly performed using a standard Macintosh blade, but recently there has been advanced technology using video laryngoscopy (VL).In this modern era, there are various types of available VL to make it easier for anesthesiologists to perform intubation, especially in patients with difficult airway anatomy. Various studies showed different results regarding the effectiveness of both C-MAC® and McGrath®, by assessing the comparison of the effectiveness, valuable information will be obtained for further consideration by experts in choosing the best tools in the future.
Interventions
DEVICEEndotracheal intubation
Endotracheal intubation using either McGrath or C-MAC video laryngoscopy
Sponsors
Udayana University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
1. Elective surgery patients without neck and face trauma 2. Undergo surgery requiring general anesthesia with endotracheal intubation 3. Patients with physical status ASA I-III 4. Patients aged 18-65 years 5. Nutritional status (BMI \< 35 Kg/m2)
Exclusion criteria
1. Patients refusal to be included in the study 2. Patients with cervical spine instability 3. Anatomical and structural abnormalities of the maxillary teeth 4. Thyromental distance \<6 cm and inter-incisor distance \<3.5 cm 5. History of difficult intubation 6. LEMON criteria ≥ 3
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intubation time | From first intubation attempt until successful intubation, an average of one minute | Time required to perform intubation until endotracheal tube is properly positioned |
| Ease of intubation | From first intubation attempt until successful intubation, an average of two minutes | Difficulty level of intubation, scores 1-2, 1=effortless, 2=difficult |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of intubation attempts | From first intubation attempt until successful intubation, an average of one minute | The number of times required for a successful intubation |
| Glottic visualization | During first intubation attempt, an average of 30 seconds | Visualization of glottic assessed by the POGO (Percentage of Glottis Opening) score, 1=best, 4=worst |
| Complications of intubation | From first intubation attempt until successful intubation, an average of one minute | Includes orotracheal trauma, presence of blood in the blades, laryngospasm, bradycardia |
Countries
Indonesia
Outcome results
None listed