Morbid Obesity
Conditions
Brief summary
This study aims to explore the effect of head/neck position (sniffing vs ramped) and C-MAC blade geometry (MAC vs D-blade) on intubation in morbidly obese patients. The patients will be randomized into 4 groups: 1. S MAC: Sniffing + MAC blade. 2. R MAC: Ramped + MAC blade. 3. S D-blade: Sniffing + D-blade. 4. R D-blade: Ramped + D-blade.
Interventions
DEVICESniffing position and using MAC blade.
Machintosch blade will be used in intubating patient in sniffing position
DEVICERamped position and MAC Blade
MAC blade will be used in intubating patient in ramped postion
DEVICEvideolaryngoscopy
D-blade will be used in intubating patient in sniffing position
DEVICEvideolaryngosopy
D-blade will be used in intubating patient in Ramped position
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Age 18-70 years. * BMI ≥ 40 kg/m². * ASA physical status III - IV. * Elective surgery requiring intubation. * Informed consent obtained.
Exclusion criteria
* Anticipated difficult airway unrelated to obesity. * Cervical spine pathology. * Pregnancy. * Emergency surgery. * High aspiration risk. * OSA requiring CPAP \>15 cmH₂O. * Need for awake intubation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intubation time (seconds), from blade insertion to confirmed placement via capnography. | seconds | Intubation time (seconds), from blade insertion to confirmed placement via capnography. |
Countries
Egypt
Contacts
PRINCIPAL_INVESTIGATORfagr fathy abdo, Medical Doctorate
Ain Shams University
Outcome results
None listed