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Completed

NCT Number: NCT02787629

Comparison of Simultaneous Endotracheal Tube Insertion With GlideScope Use

Patients presenting for elective surgery requiring orotracheal intubation will be randomized to having the ETT inserted into the pharynx simultaneous to GlideScope insertion and then having the ETT advanced under GlideScope guidance into the trachea, or, being intubated in the more common fashion with the GlideScope being inserted first and having the ETT then advanced via the pharynx into the trachea.

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Key information

Conditions

Intubation Videolaryngoscopy

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

London Health Sciences Center University Hospital, London, Ontario, Canada

Loading trial locations.

About this study

Patients presenting for elective surgery requiring orotracheal intubation will be randomized to having the ETT inserted into the pharynx simultaneous to GlideScope insertion and then having the ETT advanced under GlideScope guidance into the trachea, or, being intubated in the more common fashion with the GlideScope being inserted first and having the ETT then advanced via the pharynx into the trachea. The primary outcome is time to intubation. Secondary outcomes include: 1) Ease of intubation as noted by operator (measured on a 10-cm Visual Analogue Scale) 2) Number of intubation attempts 3) Number of failures to intubate 4) Use of external laryngeal pressure 5) Laryngoscopic grade distribution

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adult patient booked for elective surgery requiring orotracheal intubation

Exclusion criteria

  • Any patient in whom the use of the GlideScope is contraindicated in the opinion of the attending anesthesiologist.
  • Any patient with cervical spine abnormalities.
  • Any patients with known or probable difficult airways.
  • Any patient requiring rapid sequence induction.

Treatment and study plan

Simultaneous Intubation

Procedure

Intubation with GlideScope and ETT inserted simultaneously

Standard Intubation

Procedure

Intubation with GlideScope inserted first and ETT insertion after the GlideScope view is obtained

Primary outcomes

  1. Duration of Intubation

    Time frame: During the intubation

    Duration of Intubation from mask removal to confirmation of ETCO2

Secondary outcomes

  1. Ease of Intubation

    Time frame: Within 5 minutes of the completion of the intubation

    100 mm visual analog scale

  2. Number of intubation attempts

    Time frame: Within 5 minutes of the completion of the intubation

    Number of intubation attempts

  3. Failure to intubate

    Time frame: Within 5 minutes of the completion of the intubation

    Failure to intubate

  4. Laryngoscopic Grade

    Time frame: Within 5 minutes of the completion of the intubation

    Cormack & Lehane grade

  5. Oropharyngeal Trauma

    Time frame: Within 5 minutes of the completion of the intubation

    Blind suction of the oropharynx immediately post intubation

Sponsors and collaborators

Lead sponsor

London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's

Other

Registry information

Official study title

Comparison of Simultaneous Endotracheal Tube Insertion With GlideScope Use: a Pilot Study

Important dates

Study start
2016
Primary completion
2018
Study completion
2018
First posted
Jun 1, 2016
Registry last updated
Mar 1, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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