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Completed

NCT Number: NCT06119360

Comparison of Two Different Lightwand Intubation Techniques in Cervical Immobilized Patients

This study compares two different approaches of lightwand intubation techniques in cervical immobilized patients.

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Key information

Conditions

Intubation; Difficult or Failed

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Kyung Hee University Gangdong Hospital

Seoul, 05278, South Korea

About this study

This study compares two approaches in lightwand intubation techniques in cervical immobilized patients. One is a conventional approach that involves scooping movement with mandible protraction. The other is a face-to-face approach that inserts lightwand with a front-facing position. This study is conducted as a randomized, prospective, single-blinded design.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • adults with American Society of Anesthesiologists physical status 1-3
  • patients who received scheduled spine surgery under general anesthesia

Exclusion criteria

  • patients with body mass index <18.5 kg/m2 or >35.0 kg/m2,
  • patients who previously had head and neck surgery,
  • patients who are at high risk of aspiration,
  • patients with pathologic conditions such as tumors, polyps, or inflammation in the airway,
  • patients who cannot sit due to severe spine deformity,
  • patients who have compromised cardiopulmonary function patients with clinically significant neurovascular disease

Treatment and study plan

Face-to-face approach

Procedure

A front-facing approach and insert the lightwand following the patient's tongue base curvature without scooping movement

Conventional approach

Procedure

Patients were positioned supine and the intubator stood above the patient's head. Opening the mouth and slightly pulling the mandible with one hand, the intubator inserted the lightwand-tracheal tube assembly at midline into the patient's mouth under the ambient light being turned off. To identify the location of the lighted tip, the intubator could move the lightwand back and forth gently, Once the red light of the tip was located at the midline of the patient's neck, the pre-launched tube was inserted smoothly into the patient's airway unless there was no resistance

Primary outcomes

  1. Initial success rate

    Time frame: during intubation

    Intubation success rate at the first attempt

Secondary outcomes

  1. Intubation time

    Time frame: during intubation

    Total time to the successful intubation

Other outcomes

  1. Immediate intubation related outcomes

    Time frame: Immediately after general anesthesia (at the post anesthesia care unit)

    Outcomes after tracheal intubation

  2. 24 hours intubation related outcomes

    Time frame: 24 hours after general anesthesia (at the general ward)

    Outcomes after tracheal intubation

Sponsors and collaborators

Lead sponsor

Kyung Hee University Hospital at Gangdong

Other

Registry information

Official study title

Comparison of the Intubation Success Rate Between Two Techniques Using Lightwand in Patients Undergoing Spine Surgery: Conventional vs. Face-to-face Technique

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
Nov 7, 2023
Registry last updated
Nov 7, 2023

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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