Videolaryngoscopy in Patients With Cervical Spine Immobilisation
A Randomised Crossover Trial Comparing the McGrath Series 5 Videolaryngoscope With the Macintosh Laryngoscope in Patients With Cervical Spine Immobilisation
1 other identifier
interventional
49
1 country
1
Brief Summary
Tracheal intubation is more difficult in patients in whom cervical spine immobilisation is maintained during tracheal intubation. The McGrath Series 5 videolaryngoscope offers a potential solution. The relatively short radius of the blade curvature combined with the internal arrangement of optimal components means that the glottis can be seen without the need for alignment of the oral, pharyngeal and tracheal axes. The investigators propose that the McGrath Series 5 videolaryngoscope will improve the view of the larynx in patients with limited neck movements, making intubation quicker, easier and possibly safer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Aug 2009
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2012
CompletedFirst Submitted
Initial submission to the registry
September 25, 2015
CompletedFirst Posted
Study publicly available on registry
September 30, 2015
CompletedSeptember 30, 2015
September 1, 2015
3.3 years
September 25, 2015
September 28, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
Cormack and Lehane laryngoscopy grade
5 minutes
Secondary Outcomes (3)
Time to intubation
5 minutes
Rate of successful tracheal intubation
5 minutes
Incidence of complications
5 minutes
Study Arms (2)
McGrath Series 5
ACTIVE COMPARATORVideolaryngoscope used to perform indirect (video) laryngoscopy and tracheal intubation
Macintosh
ACTIVE COMPARATORLaryngoscope used to perform direct laryngoscopy and tracheal intubation
Interventions
After establishing full monitoring, inducing general anaesthesia and ensuring paralysis, laryngoscopy is performed and the patient's trachea is intubated.
Eligibility Criteria
You may qualify if:
- Elective procedure requiring tracheal intubation
- Over 16 years of age
You may not qualify if:
- Emergency procedure
- Less than 16 years of age
- Unable to consent
- Symptomatic gastro-oesophageal reflux disease
- Evidence of raised intracranial pressure
- Known pharyngeal pathology
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- NHS Taysidelead
Study Sites (1)
NHS Tayside
Tayside, United Kingdom
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Lynsey T Foulds, MBChB
NHS Tayside
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Specialty Registrar Anaesthetics
Study Record Dates
First Submitted
September 25, 2015
First Posted
September 30, 2015
Study Start
August 1, 2009
Primary Completion
November 1, 2012
Study Completion
November 1, 2012
Last Updated
September 30, 2015
Record last verified: 2015-09