Comparison of AirTraq Laryngoscope to Macintosh Laryngoscope for Intubation of Patients With Potential Cervical Spine Injury

NCT00664612 | Completed

• 2 other identifiers: R-07-33713481
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

Intubation is frequently required for trauma patients as part of the resuscitative effort. When the stability of the cervical spine is unknown, the potential for spinal cord damage during intubation is significant; the question of the safest intubating technique has not been resolved. Previous Studies have evaluated Macintosh Laryngoscopy, Bullard Laryngoscope, face mask ventilation, fibre-optic guided oral and nasal intubation, esophageal Combitube®, Laryngeal Mask Airway® (LMA), and Intubating Laryngeal Mask Airway® (ILMA) use with respect to cervical spine movement. Our previous study evaluated the Intubating Lighted Stylet (Lightwand®) and GlideScope® versus the Macintosh Laryngoscope. Another method of securing endotracheal intubation, approved and in routine use, is the AirTraq® videolaryngoscope (ProMedic, Inc, Bonita Springs, FL, USA). The AirTraq videolaryngoscope is a videolaryngoscope with an external video display of the glottic opening and an endotracheal tube track to guide the ETT through the vocal cords (www.airtraq.com). When a clear view of the vocal cords is obtained, the endotracheal tube may be advanced into the trachea. This technique can be performed rapidly and safely and there is the perception that it involves less cervical spine movement than direct laryngoscopy. We propose to study the AirTraq videolaryngoscope to determine if its use would result in reduced cervical spine movement during intubation.

Conditions

Trauma

Keywords

Cervical Spine

Outcome Measures

Primary Outcomes (1)

• Cervical Spine Movement

  Intubation

Secondary Outcomes (1)

• Time to Intubation

  Intubation

Study Arms (2)

1

EXPERIMENTAL

Air Traq then Macintosh

Device: AirTraq

2

EXPERIMENTAL

Macintosh then AirTraq

Device: AirTraq

Interventions

AirTraq DEVICE

Laryngoscopy with AirTraq

1; 2

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Elective non-cardiac surgery patients requiring intubation for the surgery.
• (Cardiac surgery uses TEE; there would not be space for the fluoroscopy machine.)
• ASA 1-3
• Body Mass Index (BMI) \< 35

You may not qualify if:

• patients with previous neck surgery or unstable C-spine
• patients with Reflux disease (GERD)
• patients who are or may be pregnant

Sponsors & Collaborators

• London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's: lead

Study Sites (1)

University of Western Ontario

London, Ontario, N6A 5A5, Canada

Location

MeSH Terms

Conditions

Wounds and Injuries

Study Officials

• Timothy P Turkstra, MD

  Western University, Canada

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: April 18, 2008
• First Posted: April 23, 2008
• Study Start: January 1, 2008
• Primary Completion: May 1, 2008
• Study Completion: May 1, 2008
• Last Updated: October 16, 2008

Record last verified: 2008-10

Locations

CA (1)