Comparison of Awake Tracheal Intubation Methods
ATI
A Comparison of Three Difficult Intubation Techniques in Patients With Anticipated Difficult Intubation: A Prospective, Randomized, Parallel-group Clinical Trial
1 other identifier
interventional
201
1 country
1
Brief Summary
The aim of this study was to compare three different awake tracheal intubation technique
- fiberoptic bronchoscopy (ATI:FB), videolaryngoscopy (ATI:VL), and fiberoptic bronchoscopy via a supraglottic airway device (ATI:SAD)- in terms of success rates, intubation times, and complications. Additionally, the study aims to evaluate the reliability of the SAD-assisted ATI method and its potential to contribute to the literature.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2026
Typical duration 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 13, 2026
CompletedFirst Posted
Study publicly available on registry
March 20, 2026
CompletedStudy Start
First participant enrolled
March 20, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 20, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
June 20, 2028
March 20, 2026
March 1, 2026
2 years
March 13, 2026
March 18, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Success rate of chosen awake intubation method
The primary endpoint of the study is the success rate of the selected awake intubation technique, with the intubation method to be chosen via randomization.
Through study completion, an average of 2 year
Study Arms (3)
Fiberoptic Bronchoscopy (ATI: FOB)
ACTIVE COMPARATORIntubation will be perform via fiberoptic bronchoscopy
Videolaryngoscopy (ATI:VL)
ACTIVE COMPARATORIntubation will be perform via videolaryngoscopy
Aintree catheter loaded fiberoptic bronchoscopy via Supraglottic Airway Device (ATI:SAD)
ACTIVE COMPARATORIntubation will be perform via aintree catheter loaded fiberoptic bronchoscopy through supraglottic airway device
Interventions
awake tracheal intubation will be perform via FOB
Awake tracheal intubation will be perform via videolaryngoscopy
Awake tracheal Intubation will be perform via aintree catheter loaded FOB through supraglottic airway device
Eligibility Criteria
You may qualify if:
- Adult patients aged 18 and older
- Patients classified as ASA I-II according to the American Society of Anesthesiologists (ASA) classification
- Patients scheduled for elective surgery
- Patients expected to require difficult mask ventilation, difficult laryngoscopy, or difficult tracheal intubation; patients expected to have short apnea periods (Planjuan goiter); patients at risk of aspiration; patients expected to require difficult rescue techniques; and patients with a reported history of difficult intubation
- Patients scheduled for intubation using the awake tracheal intubation (ATI) method
- Individuals who have agreed to participate in the study by signing an informed consent form
You may not qualify if:
- Patients with a mouth opening \<1.5 cm
- Patients requiring emergency intubation or emergency surgery (situations where there is insufficient time to administer ATI)
- Patients who cannot cooperate (mental incapacity, impaired consciousness, inability to communicate, etc.)
- Patients with known allergies to lidocaine or other local/topical anesthetic agents used
- Pregnancy
- Patients with a history of severe cardiac arrhythmia or hemodynamic instability (due to increased risk during intubation)
- Patients who have previously undergone tracheostomy or whose airway is technically obstructed due to anatomical deformity
- Patients who refuse to participate in the study or who do not provide informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Kocaeli City Hospital
İzmit, Kocaeli, 41060, Turkey (Türkiye)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 13, 2026
First Posted
March 20, 2026
Study Start
March 20, 2026
Primary Completion (Estimated)
March 20, 2028
Study Completion (Estimated)
June 20, 2028
Last Updated
March 20, 2026
Record last verified: 2026-03