Comparison Between a Standard Tube and the Ultra-thin Tritube for Intubation of the Trachea and for Maintaining Access to the Trachea After Anaesthesia, in Patients With an Expected Difficult Direct Laryngoscopy
Tritube
Sammenligning Mellem Standard Tube og Den Ultra-tynde Tritube® Til Intubation, og Til Opretholdelse af Adgang Til Trachea Efter anæstesi, Hos Patienter Med Forventet Vanskelig Direkte Laryngoskopi
1 other identifier
interventional
48
1 country
1
Brief Summary
The investigators compare the ease of intubation between a new ultra-thin endotracheal tube, "Tritube", and a standard endotracheal tube in patients with predictors of difficult laryngoscopy. Furthermore the investigators compare the acceptance of leaving the Tritube in trachea after end of anaesthesia, with the use of a tube exchange catheter.
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 Sep 2018
Shorter than P25 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
August 28, 2018
CompletedFirst Posted
Study publicly available on registry
August 31, 2018
CompletedStudy Start
First participant enrolled
September 12, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 14, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
February 14, 2019
CompletedFebruary 29, 2024
February 1, 2024
5 months
August 28, 2018
February 28, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Rate of Excellent intubation conditions
Rate of Excellent intubation conditions judged on the scale excellent/good/fair/poor
2 hours
Secondary Outcomes (18)
The rate of interruption by the tube of the view to the vocal cords at any time, to such a degree that it disturbs the intubation
2 hours
The Intubation Difficulty Score (IDS)
2 hours
Time to intubated
2 hours
Time to the patient becomes ventilated via the tube
2 hours
Number of intubation attempts
2 hours
- +13 more secondary outcomes
Study Arms (2)
Tritube
EXPERIMENTALStandard endotracheal tube
ACTIVE COMPARATORInterventions
The ultra thin tribute is used used for the ventilation of the patients in this arm
A standard endotracheal tube is used used for the ventilation of the patients in this arm
Eligibility Criteria
You may qualify if:
- Patients for anaesthesia for surgery in the Head-/neck/ear/nose/throat
- planned for oral intubation with video-laryngoscopy
- with risk factors for difficult direct laryngoscopy
You may not qualify if:
- Patient with increased secretions in the airway (Pneumonia, bronchitis, productive cough)
- Patients planned for awake intubation
- Patients where mask-ventilation is judged to could become impossible
- Patients where access to the cricothyroid membrane is judged to be difficult or impossible
- Patients in ASA (american Society of Anaesthesiologists) physical classification status \>3
- Patients who are scheduled for rapid sequence induction (RSI) due to risk of aspiration
- Patients with stridor
- Patients with hypoxemia (Saturation \< 90 % in room air)
- Operation duration planned to \> 2.5 hours
- Patients with the need for a nerve-stimulation-tube during surgery
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Rigshospitalet, section for anaesthesia for ENT and Maxillofacial surgery, section 3071
Copenhagen, 2100, Denmark
Related Publications (3)
Fuchs-Buder T, Claudius C, Skovgaard LT, Eriksson LI, Mirakhur RK, Viby-Mogensen J; 8th International Neuromuscular Meeting. Good clinical research practice in pharmacodynamic studies of neuromuscular blocking agents II: the Stockholm revision. Acta Anaesthesiol Scand. 2007 Aug;51(7):789-808. doi: 10.1111/j.1399-6576.2007.01352.x.
PMID: 17635389BACKGROUNDKristensen MS, de Wolf MWP, Rasmussen LS. Ventilation via the 2.4 mm internal diameter Tritube(R) with cuff - new possibilities in airway management. Acta Anaesthesiol Scand. 2017 Jul;61(6):580-589. doi: 10.1111/aas.12894. Epub 2017 Apr 23.
PMID: 28436022BACKGROUNDStrom C, Barnung S, Kristensen MS, Bottger M, Tvede MF, Rasmussen LS. Tracheal intubation in patients with anticipated difficult airway using Boedeker intubation forceps and McGrath videolaryngoscope. Acta Anaesthesiol Scand. 2015 Oct;59(9):1154-60. doi: 10.1111/aas.12543. Epub 2015 May 16.
PMID: 25982220BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Michael S Kristensen, MD
Rigshospitalet, University Hospital of Copenhagen Denmark
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
August 28, 2018
First Posted
August 31, 2018
Study Start
September 12, 2018
Primary Completion
February 14, 2019
Study Completion
February 14, 2019
Last Updated
February 29, 2024
Record last verified: 2024-02