Comparison Between Rigid Video Assisted Laryngoscopy vs Flexible Laryngoscopy in Anticipated Difficult Intubation
1 other identifier
interventional
106
0 countries
N/A
Brief Summary
This is a randomized control study where adult patients had been divided randomly into two equal groups using video laryngoscope in group (V) and flexible intubating laryngoscope in group (F)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Mar 2016
Longer than P75 for not_applicable
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
Study Start
First participant enrolled
March 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2020
CompletedFirst Submitted
Initial submission to the registry
October 15, 2020
CompletedFirst Posted
Study publicly available on registry
November 13, 2020
CompletedNovember 13, 2020
November 1, 2020
3.9 years
October 15, 2020
November 12, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Intubation time
time from initiation of intubation (application of the laryngoscope into mouth) to ETCO2 detection from the ETT. In cases with failed intubation it was considered from initiationof intubation till failure. Measured by seconds
Through study completion (Assessment done at the same time of doing intubation) within 60 seconds
Secondary Outcomes (4)
Heart rate
At the same time of doing the intubation within 15 minutes
Number of attempts
AT the same time of doing the intubation within 30 minutes
Incidence of complications
From time of intubation till end of surgery and extubation within 10 hours
Blood pressure
At the same time of intubation within 15 minutes
Study Arms (2)
Video laryngoscopy Group (V) using Storz c-mac laryngoscope
ACTIVE COMPARATORvideo laryngoscope without a channel used for endotracheal intubation, the device used to obtain a view of the larynx, and the endotracheal tube is passed through the vocal cords independent of the device. The device is connected to the monitor via connecting cable
The flexible intubating laryngoscopy Group (F) using Storz flexible intubation video endoscope set
ACTIVE COMPARATORThe flexible intubating scope is used to locate the vocal cords and acts as a stylet for the endotracheal tube once the scope is placed into the trachea.This device consists of a flexible insertion cord that contains a small camera at the tip, used to transmit images to camera head. The cord includes a channel for a light source, a working channel for suction or administration of oxygen or local anesthetic, and a cable that allows the operator to flex the tip of the scope. The cord attaches to a handle with a light source,camera head control lever for flexion/extension of the tip, and a working channel port. The device is connected to the monitor via connecting table
Interventions
Endotracheal intubation using video laryngoscopy
Endotracheal intubation using flexible intubating laryngoscope
Eligibility Criteria
You may qualify if:
- El-Ganzouri score: 2, 3, 4 (Table 1)
- American Society of Anesthesiology (ASA) I, II, III
- Elective surgeries
You may not qualify if:
- Refusal of participation
- Patients who need a surgical airway (e.g. patients with highly obstructing laryngeal lesions such as cancer tongue, larynx\& maxilla).
- Patients with laryngeal trauma, especially in those with suspected cricotracheal separation.
- Patients with craniofacial trauma.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Officials
- STUDY DIRECTOR
Essam AH Mahran, MD
Assistant Professor of Anesthesia, ICU, and Pain Management, NCI, Cairo
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Masking Details
- the participant does not know which group the patient belongs to as every patient was consented for both devices which were ready in the operating theatre
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 15, 2020
First Posted
November 13, 2020
Study Start
March 1, 2016
Primary Completion
February 1, 2020
Study Completion
February 1, 2020
Last Updated
November 13, 2020
Record last verified: 2020-11