A Comparison of Tracheal Intubation Using the Totaltrack vs the Airtraq Laryngoscope in Difficult Airway Management
1 other identifier
interventional
48
1 country
1
Brief Summary
Endotracheal intubation is usually required to allow unrestricted surgical approach. The Macintosh laryngoscope is the standard method. However in certain situations as difficult airway this technique is ineffective and poorly tolerated by the patient. Fiberoptic intubation is the gold standard in this scenario, however sometimes it is not possible due to failure or unavailability, so alternatives are needed. The TotalTrack (MedComflow SA, Barcelona, Spain) and the Airtraq (Prodol Meditec, Vizcaya, España) been designed specifically for the airway management. However, despite their use in clinical practice, there are no comparative studies.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 10, 2015
CompletedFirst Posted
Study publicly available on registry
March 23, 2015
CompletedStudy Start
First participant enrolled
October 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2017
CompletedOctober 19, 2016
October 1, 2016
1.1 years
March 10, 2015
October 18, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Total time of successful intubation
Time of Orotracheal intubation (TOTI)
Secondary Outcomes (10)
difficulty in intubation (IDS Scale)
TOTI
percentage of glottic opening (POGO Score)
TOTI
number of maneuvers
TOTI
Number of attempts of endotracheal intubation
TOTI
Position taken by the anesthesiologist during orotracheal intubation
TOTI
- +5 more secondary outcomes
Study Arms (2)
Totaltrack
ACTIVE COMPARATOROTI with Totaltrack
Airtraq
ACTIVE COMPARATOROTI with Airtraq
Interventions
Eligibility Criteria
You may qualify if:
- Patients undergoing elective general anesthesia requiring OTI.
- Age ≥18 years.
- ASA I-III.
- Sufficient intellectual capacity to understand the procedure and equipment used.
- Predictors of difficult airway (Mallampati class III or IV; thyromental distance \<6 cm, sternomental distance \<12.5 cm, interincisal distance\<4.0 cm, bite test II or III, cervical mobility \<90 ° or history of difficult intubation).
- Thyroid surgery or present pharyngolaryngeal, glottic or cervical pathology
- BMI \>30kg / m2
- Not presenting risk factors for aspiration
- Not presenting respiratory disease, coronary or cerebral vascular.
- Do not have a preoperative sore throat
You may not qualify if:
- Failure to meet the above criteria
- Pregnancy
- Allergy to any drug included in the protocol.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Manuel Ángel Gómez-Ríos
A Coruña, Galicia, 15008, Spain
Related Publications (3)
Pearce A. Evaluation of the airway and preparation for difficulty. Best Pract Res Clin Anaesthesiol. 2005 Dec;19(4):559-79. doi: 10.1016/j.bpa.2005.07.004.
PMID: 16408534BACKGROUNDAdnet F, Borron SW, Racine SX, Clemessy JL, Fournier JL, Plaisance P, Lapandry C. The intubation difficulty scale (IDS): proposal and evaluation of a new score characterizing the complexity of endotracheal intubation. Anesthesiology. 1997 Dec;87(6):1290-7. doi: 10.1097/00000542-199712000-00005.
PMID: 9416711BACKGROUNDOchroch EA, Hollander JE, Kush S, Shofer FS, Levitan RM. Assessment of laryngeal view: percentage of glottic opening score vs Cormack and Lehane grading. Can J Anaesth. 1999 Oct;46(10):987-90. doi: 10.1007/BF03013137.
PMID: 10522589BACKGROUND
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- M.D.
Study Record Dates
First Submitted
March 10, 2015
First Posted
March 23, 2015
Study Start
October 1, 2016
Primary Completion
November 1, 2017
Last Updated
October 19, 2016
Record last verified: 2016-10