UED-VLG: UED-A Videolaryngoscope vs. Glidescope Titanium for Elective Tracheal Intubation
Study Details
Study Description
Brief Summary
The present randomized clinical trial wants to compare the efficacy and safety of UED-A videolaryngoscope to Glidescope Titanium for routinely tracheal intubation in 60 adults, in terms of successful rate, no. attempts and manoeuvre duration.
Condition or Disease | Intervention/Treatment | Phase |
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|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: UED-A Tracheal Intubation with UED-A videolaryngoscope |
Device: UED-A Videolaryngoscopy
Tracheal Intubation with UED-A videolaryngoscope
|
Active Comparator: GLIDESCOPE Tracheal Intubation with Glidescope Titanium videolaryngoscope |
Device: Glidescope Videolaryngoscopy
Tracheal Intubation with Glidescope Titanium videolaryngoscope
|
Outcome Measures
Primary Outcome Measures
- Tracheal intubation rate [30 minutes]
Successful tracheal intubation rate
- Number of attempts [30 minutes]
Number of attempts for a successful tracheal intubation
- Total time of intubation [15 minutes]
Time needed to perform a tracheal intubation from the insertion of the video laryngoscope into the patient mouth
- Time to glottis visualization [15 minutes]
Time needed to visualize the glottis from the insertion of the video laryngoscope into the patient mouth
- Cormack-Lehane grade [15 minutes]
Cormack-Lehane grade observed at videolaryngoscopy Grade 1: Full view of glottis Grade 2: Partial view of glottis Grade 3: Only epiglottis seen, none of glottis seen Grade 4: Neither glottis nor epiglottis seen
Secondary Outcome Measures
- Rate of External laryngeal pressure [15 minutes]
Rate of external laryngeal pressure during laryngoscopy
- Rate of of post-laryngoscopy side effects [24 hours]
Rate of of post-laryngoscopy side effects (bleeding, postoperative sore throat and/or dysphonia)
- Rate of Desaturation [15 minutes]
Rate of Desaturation (spO2 < 93%) during tracheal intubation attempts
- Satisfaction Scale [30 minutes]
Clinicians Satisfaction with the use of the videolaryngoscope, expressed by a 0-10 numeric rating scale (0 = the worst videolaryngoscopy ever performed; 10 = the best videolaryngoscopy ever performed)
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients candidates for general anesthesia in elective surgery
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Age over 18 years
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American Society of Anesthesiologists (ASA) physical status I-III.
Exclusion Criteria:
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Refusal to sign informed consent
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Paediatric population
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ASA physical status IV
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Emergency tracheal intubation
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Independent Predictors of difficult Videolaryngoscopy (Neck extension < 80°, macroglossia, interincisor distance < 3 cm, anatomical alterations of the neck, cardiac surgery, ear-nose-throat surgery)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Campus Bio-medico University Hospital Foundation | Rome | Italy |
Sponsors and Collaborators
- Campus Bio-Medico University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Agro FE, Doyle DJ, Vennari M. Use of GlideScope(R) in adults: an overview. Minerva Anestesiol. 2015 Mar;81(3):342-51. Epub 2014 May 27.
- Al-Ghamdi AA, El Tahan MR, Khidr AM. Comparison of the Macintosh, GlideScope(R), Airtraq(R), and King Vision laryngoscopes in routine airway management. Minerva Anestesiol. 2016 Dec;82(12):1278-1287. Epub 2016 Apr 22.
- Aziz MF, Bayman EO, Van Tienderen MM, Todd MM; StAGE Investigator Group; Brambrink AM. Predictors of difficult videolaryngoscopy with GlideScope(R) or C-MAC(R) with D-blade: secondary analysis from a large comparative videolaryngoscopy trial. Br J Anaesth. 2016 Jul;117(1):118-23. doi: 10.1093/bja/aew128.
- Aziz MF, Healy D, Kheterpal S, Fu RF, Dillman D, Brambrink AM. Routine clinical practice effectiveness of the Glidescope in difficult airway management: an analysis of 2,004 Glidescope intubations, complications, and failures from two institutions. Anesthesiology. 2011 Jan;114(1):34-41. doi: 10.1097/ALN.0b013e3182023eb7.
- Brozek T, Bruthans J, Porizka M, Blaha J, Ulrichova J, Michalek P. A Randomized Comparison of Non-Channeled GlidescopeTM Titanium Versus Channeled KingVisionTM Videolaryngoscope for Orotracheal Intubation in Obese Patients with BMI > 35 kg.m-2. Diagnostics (Basel). 2020 Nov 29;10(12):1024. doi: 10.3390/diagnostics10121024.
- Law JA, Duggan LV, Asselin M, Baker P, Crosby E, Downey A, Hung OR, Kovacs G, Lemay F, Noppens R, Parotto M, Preston R, Sowers N, Sparrow K, Turkstra TP, Wong DT, Jones PM; Canadian Airway Focus Group. Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 2. Planning and implementing safe management of the patient with an anticipated difficult airway. Can J Anaesth. 2021 Sep;68(9):1405-1436. doi: 10.1007/s12630-021-02008-z. Epub 2021 Jun 8.
- Turkstra TP, Turkstra DC, Pavlosky AW, Jones PM. Simultaneous en bloc endotracheal tube insertion with GlideScope(R) Titanium video laryngoscope use: a randomized-controlled trial. Can J Anaesth. 2020 Nov;67(11):1515-1523. doi: 10.1007/s12630-020-01778-2. Epub 2020 Aug 19.
- PAR 72.22