Intubation; Difficult or Failed
Conditions
Brief summary
This study compares two different approaches of lightwand intubation techniques in cervical immobilized patients.
Detailed description
This study compares two approaches in lightwand intubation techniques in cervical immobilized patients. One is a conventional approach that involves scooping movement with mandible protraction. The other is a face-to-face approach that inserts lightwand with a front-facing position. This study is conducted as a randomized, prospective, single-blinded design.
Interventions
PROCEDUREFace-to-face approach
A front-facing approach and insert the lightwand following the patient's tongue base curvature without scooping movement
PROCEDUREConventional approach
Patients were positioned supine and the intubator stood above the patient's head. Opening the mouth and slightly pulling the mandible with one hand, the intubator inserted the lightwand-tracheal tube assembly at midline into the patient's mouth under the ambient light being turned off. To identify the location of the lighted tip, the intubator could move the lightwand back and forth gently, Once the red light of the tip was located at the midline of the patient's neck, the pre-launched tube was inserted smoothly into the patient's airway unless there was no resistance
Sponsors
Kyung Hee University Hospital at Gangdong
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* adults with American Society of Anesthesiologists physical status 1-3 * patients who received scheduled spine surgery under general anesthesia
Exclusion criteria
* patients with body mass index \<18.5 kg/m2 or \>35.0 kg/m2, * patients who previously had head and neck surgery, * patients who are at high risk of aspiration, * patients with pathologic conditions such as tumors, polyps, or inflammation in the airway, * patients who cannot sit due to severe spine deformity, * patients who have compromised cardiopulmonary function patients with clinically significant neurovascular disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Initial success rate | during intubation | Intubation success rate at the first attempt |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intubation time | during intubation | Total time to the successful intubation |
Other
| Measure | Time frame | Description |
|---|---|---|
| Immediate intubation related outcomes | Immediately after general anesthesia (at the post anesthesia care unit) | Outcomes after tracheal intubation |
| 24 hours intubation related outcomes | 24 hours after general anesthesia (at the general ward) | Outcomes after tracheal intubation |
Countries
South Korea
Outcome results
None listed