Comparison of video and direct laryngoscope for first attempt success of breathing tube insertion in emergency patients

Video Laryngoscope vs Direct Laryngoscope on Successful First-Pass Endotracheal intubation in Emergency Department

Status

Active, not recruiting

Phases

Phase 4

Study type

Interventional

Source

TCTR

Registry ID

TCTR20250419005

Enrollment

Registered

2025-04-19

Start date

2025-09-24

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Airway management and first-pass endotracheal intubation in adult patients with acute respiratory failure in the emergency department video laryngoscope, direct laryngoscope, endotracheal intubation, emergency department

Interventions

Patients in this arm will undergo endotracheal intubation using a video laryngoscope. The procedure will be performed by interns after receiving etomidate for sedation.,Patients in this arm will und

Experimental Device,Active Comparator Device

Video Laryngoscope,Direct Laryngoscope

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Patients aged 18 years or older 2. Indicated for endotracheal intubation 3. Receiving emergency care at Aranyaprathet Hospital and willing to participate in the study

Exclusion criteria

Exclusion criteria: 1. Refusal to participate in the study 2. Age below 18 years 3. Anticipated difficult airway, including: -Mallampati score >= 3 - Swelling in the airway or neck (e.g., Angioedema, Ludwig's angina) - Anatomical abnormalities affecting airway management (e.g., maxillofacial trauma) - Upper airway obstruction (e.g., blood, vomitus, or foreign body in mouth/throat) - History of difficult airway - Restricted neck mobility (e.g., cervical spine immobilization) 4. Contraindicated to Etomidate use (e.g. known allergy or adrenal insufficiency) 5. Patients who refuse intubation 6. Pregnant 7. Breastfeeding women

Design outcomes

Primary

Measure	Time frame
First-pass intubation success Immediately after intubation Successful endotracheal tube placement on first attempt (confirmed by Bilateral chest rise, Direct visualization, Auscultation, EtCO2 and Chest X-Ray)	—

Secondary

Measure	Time frame
Serious complications during intubation Immediately after intubation Incidence of serious adverse events during intubation (e.g., Hypoxia with SpO2 lower than 90%, Cardiac arrest, Hypotension, Airway trauma, Aspiration, Esophageal intubation,Intubation time During intubation procedure Time from insertion of laryngoscope into the mouth to successful endotracheal tube placement , measured in seconds	—

Measure

Time frame

Serious complications during intubation Immediately after intubation Incidence of serious adverse events during intubation (e.g., Hypoxia with SpO2 lower than 90%, Cardiac arrest, Hypotension, Airway trauma, Aspiration, Esophageal intubation,Intubation time During intubation procedure Time from insertion of laryngoscope into the mouth to successful endotracheal tube placement , measured in seconds

—

Countries

Thailand

Contacts

Public ContactParon Khantichoti

Aranyaprathet Hospital

paron104@gmail.com037233078

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026