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Completed

NCT Number: NCT02482870

Efficiency of the King Vision Video Laryngoscope

The investigators studied the efficiency of Macintosh laryngoscope and the King Vision video laryngoscope in adult patients scheduled for general anesthesia. Best Cormack-Lehane score obtained, glottic view time, intubation time, time to ventilation, correlation between the Mallampati classification and the Cormack-Lehane grades, and complications related to laryngoscopy and intubation has been investigated.

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Key information

Age range

18 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Recep Tayyip Erdogan University

Rize, 53100, Turkey (Türkiye)

About this study

Securing the airway is essential in general anesthesia. Anesthetic problems related to airway management constitute 17% of closed claims, difficult intubation being the most common one with an occurrence rate of 5%. Problems like delayed intubation, misplaced tracheal tube, or airway trauma are frequently seen in outpatient settings and end up with either death or hypoxic brain damage. Therefore, preoperative visit should include detailed assessment of the airways according to clues of difficult intubation.Several studies compared the King Vision video laryngoscope with other laryngoscopes in manikins simulating difficult airway scenarios, and reported better glottic views. The investigators aimed to study the correlation between the Mallampati classification and the glottic views (Cormack-Lehane grade) obtained with Macintosh laryngoscopy, and the King Vision video laryngoscopy in adult patients scheduled for general anesthesia. Secondary outcomes will be successful intubation rate, time to obtain the best view, time to successful intubation, and complications related to laryngoscopy will be compared.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • scheduled for general anesthesia
  • age higher than 18 years
  • age lower than 60 years

Exclusion criteria

  • emergency surgery
  • mouth opening less than 2 cm
  • American Society of Anesthesiologists (ASA) score higher than 2
  • oropharyngeal anomaly
  • glottic or supraglottic mass
  • history of surgery due to oropharyngeal anomaly, glottic or supraglottic mass

Treatment and study plan

Macintosh laryngoscope

Device

Using a Macintosh laryngoscope, time to glottic view, best Cormack-Lehane grade, time to intubation, time to first ventilation has been recorded.

King Vision video laryngoscope

Device

Using a King Vision video laryngoscope, time to glottic view, best Cormack-Lehane grade, time to intubation, time to first ventilation has been recorded.

Primary outcomes

  1. Intubation Success Rate

    Time frame: less than 24 hours

    Endotracheal intubation attempt is defined as entrance of the endotracheal tube into the patient's mouth. Any major change in the alignment of the laryngoscope is defined as another intubation attempt. Successful endotracheal intubation is defined as the endotracheal cuff passing through the patient's vocal cords. Intubation success rate is defined as: 1 / [the number of attempts].

Secondary outcomes

  1. Intubation Time

    Time frame: less than 24 hours

    Successful endotracheal intubation is defined as the endotracheal cuff passing the patient's vocal cords. Time to intubation with each laryngoscope is recorded.

  2. Glottic View Time

    Time frame: less than 24 hours

    Glottic view time (as defined when the laryngoscopist declared the best Cormack-Lehane score) with each laryngoscope is recorded.

    Cormack-Lehane score is obtained by directly assessing the distance between the base of the tongue and the roof of the mouth to predict how difficult an intubation will be.

    It consists of 4 grades:

    • full view of glottis (difficult intubation unlikely)
    • partial view of glottis (~5% risk of difficult intubation)
    • partial view of epiglottis, none of glottis seen (~90% risk of difficult intubation)
    • neither glottis nor epiglottis seen (difficult intubation very likely)
  3. Cormack-Lehane Score

    Time frame: less than 24 hours

    Best Cormack-Lehane score (as declared by the laryngoscopist) obtained with both laryngoscopes is recorded.

    Cormack-Lehane score is graded according to the following criteria (1 is best, and 4 is worst):

    • full view of glottis (difficult intubation unlikely)
    • partial view of glottis (~5% risk of difficult intubation)
    • partial view of epiglottis, none of glottis seen (~90% risk of difficult intubation)
    • neither glottis nor epiglottis seen (difficult intubation very likely)
  4. Airway Complications

    Time frame: The participants' will be followed for the duration of hospital stay, an expected average of 2 days

    Any complication related to the laryngoscopy and intubation, such as cut, bleeding, damage to the teeth, laryngospasm, bronchospasm, desaturation below 90%, is recorded.

Sponsors and collaborators

Lead sponsor

Recep Tayyip Erdogan University

Other

Registry information

Official study title

Comparison of King Vision Video Laryngoscope and Macintosh Laryngoscope in Terms of First Pass Intubation Success Rate, Intubation Time, Glottic View Time, and Complications Related to Laryngoscopy

Important dates

Study start
2014
Primary completion
2014
Study completion
2014
First posted
Jun 26, 2015
Registry last updated
Dec 20, 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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