Videolaryngoscopy
Conditions
Brief summary
In this prospective, randomized, controlled trial, the purpose is to compare Macintosh laryngoscope, EzVision® video laryngoscope, McGrath® video laryngoscope and Storz® video laryngoscope in terms of hemodynamic response associated with intubation in adult patients undergoing Coronary Artery Bypass Surgery (CABG).
Detailed description
During endotracheal intubation, laryngoscopy can significantly affect hemodynamic responses, including tachycardia and elevated blood pressure, which may be particularly detrimental to individuals with cardiovascular conditions. Various studies have explored the hemodynamic reactions associated with laryngeal stimulation through different intubation devices. Researchers hypothesize that endotracheal intubation using video laryngoscopy will elicit a reduced hemodynamic response compared to traditional (Macintosh) laryngoscopy. In this prospective and randomized clinical study, the purpose is to compare the Macintosh laryngoscope, EzVision® video laryngoscope, McGrath® video laryngoscope and Storz® video laryngoscope concerning haemodynamic response associated with intubation in adult patients undergoing Coronary Artery Bypass Surgery (CABG).
Interventions
OTHERTracheal intubation using Storz VL
Video-assisted intubation technique using Storz VL
OTHERTracheal intubation using Macintosh laryngoscopy
Traditional intubation technique using Macintosh laryngoscopy
OTHERTracheal intubation using MacGrath VL
Video-assisted intubation technique using MacGrath VL
OTHERTracheal intubation using EzVision VL
Video-assisted intubation technique using EzVision VL
Sponsors
Konya Meram State Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
* Age range between 18 and 75 years. * Scheduled for elective coronary artery bypass surgery. * Classified under American Society of Anesthesiologists (ASA) physical status II-III. * Patients with no history of difficult intubation or associated risk factors.
Exclusion criteria
* Emergency case * Predicted difficult airways * Body mass index \> 35 kilograms per meter squared * Baseline hemodynamic instability
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hemodynamic response | Change from baseline Systolic or Diastolic or mean Blood Pressure at 10 minutes | Change from baseline invasive blood pressure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intubation time | 180 seconds | The duration from when the laryngoscope passes through the teeth until it is withdrawn back to the teeth will be measured. |
| Visualization of the glottis | 180 seconds | According to Cormack Lehane classification four grades (1-4). The higher the grade, the higher the likelihood of difficult intubation. |
Countries
Turkey (Türkiye)
Outcome results
None listed