Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Randomized Controlled Trial to Evaluate the Efficacy of Video-laryngoscopy vs. Direct Laryngoscopy for Endotracheal Intubation in the Critically Ill Patients: A Pilot Study
Brief Summary: Endotracheal Intubation (ETI) is done to place a plastic tube in a patient's trachea (windpipe) to assist with breathing. Patients admitted to the intensive care unit (ICU) are the sickest of patients and the majority of them require this life saving procedure. A critical illness can be sudden and ETI required urgently. The doctors performing ETI in these situations may not be experts at ETI. Studies have shown that if it takes more than one attempt to get the tube in the right position patients can have severe complications such as: decrease level of oxygen in the body, decrease blood pressure, and cardiac arrest. These complications can be life threatening and increase the length of time spent in an ICU.

To perform ETI the doctor uses a metal tool called a laryngoscope that is placed through the patient's mouth to open the throat and then pass the tube into the trachea. The type of procedure that has been used for many years is called Direct Laryngoscopy (DL) which means that the doctor looks through the mouth directly into the throat. Newer technology is available and can be used at VGH called Video Laryngoscopy (VL). With VL there is a camera on the end of the laryngoscope and a video image is displayed on a monitor making it easier to see the entrance to the trachea. VL is not available for all cases at VGH and is unavailable in many other hospitals.

In this study we will compare DL to VL. Patients will be randomly placed in one of two groups: first attempt at ETI done with DL or first attempt of ETI done with DL. Patients will only be considered eligible for this study if the doctor feels that either DL or VL would be appropriate for the patient. In this pilot study we hope show that conducting a larger study would be feasible. If a larger study were to show that VL decreases complications and shortens length of ICU stay we would be able to recommend this procedure for all ETI at VGH as well as other hospitals where it currently may not be available.


Options:
A: Arm Label: McGrath videolaryngoscopy; Type: EXPERIMENTAL; Interventions: Device: McGrath videolaryngoscopy | Arm Label: Direct laryngoscopy; Type: ACTIVE_COMPARATOR; Interventions: Device: Direct laryngoscopy | Intervention Type: DEVICE; Name: McGrath videolaryngoscopy; Assigned to Arm(s): McGrath videolaryngoscopy | Intervention Type: DEVICE; Name: Direct laryngoscopy; Assigned to Arm(s): Direct laryngoscopy
B: Arm Label: Laryngoscopy; Type: OTHER; Interventions: Procedure: Endotracheal Intubation | Arm Label: Videolaryngoscopy; Type: OTHER; Interventions: Procedure: Endotracheal Intubation | Intervention Type: PROCEDURE; Name: Endotracheal Intubation; Assigned to Arm(s): Laryngoscopy | Intervention Type: PROCEDURE; Name: Endotracheal Intubation; Assigned to Arm(s): Videolaryngoscopy
C: Arm Label: Videolaryngoscope McGrath Mac; Type: ACTIVE_COMPARATOR; Interventions: Device: Videolaryngoscope | Arm Label: Standard laryngoscope; Type: PLACEBO_COMPARATOR; Interventions: Device: Standard laryngoscope | Intervention Type: DEVICE; Name: Videolaryngoscope; Assigned to Arm(s): Videolaryngoscope McGrath Mac | Intervention Type: DEVICE; Name: Standard laryngoscope; Assigned to Arm(s): Standard laryngoscope
D: Arm Label: Macintosh Direct Laryngoscope; Type: ACTIVE_COMPARATOR; Interventions: Device: Intubation with GlideScope Video Laryngoscope or Macintosh Direct Laryngoscope | Arm Label: GlideScope Video Laryngoscope; Type: ACTIVE_COMPARATOR; Interventions: Device: Intubation with GlideScope Video Laryngoscope or Macintosh Direct Laryngoscope | Intervention Type: DEVICE; Name: Intubation with GlideScope Video Laryngoscope or Macintosh Direct Laryngoscope; Assigned to Arm(s): GlideScope Video Laryngoscope, Macintosh Direct Laryngoscope

Answer: B