nctId: NCT06322719 id: INVIBLADE briefTitle: Hyperangulated vs Macintosh Blades for Intubation With Videolaryngoscopy in ICU acronym: INVIBLADE overallStatus: NOT_YET_RECRUITING date: 2024-05-01 date: 2024-05-01 date: 2024-05-30 date: 2024-03-21 date: 2024-03-21 name: Hospital Clinico Universitario de Santiago class: OTHER briefSummary: Tracheal intubation in the intensive care unit (ICU) is associated with high incidence of difficult intubation and complications. Videolaryngoscopes (VLs) devices have been proposed to improve airway management, and the use of VLs are recommended as first-line or after a first-attempt failure using direct laryngoscopy in ICU airway management algorithms. Although until relatively few years ago there were doubts about whether videolaryngoscopes had advantages over direct laryngoscopy for endotracheal intubation (ETI) in critically ill patients, two recent studies (DEVICE (1), INTUBATE (2)), and a Cochrane review (3) have confirmed that videolaryn should be used?, and what is the best blade? . There are two types of blades commonly used with videolaryngoscopes: the "Macintosh" blade with a slight curvature, and hyperangulated blades. The "Macintosh" blades have a lower angle of vision, but they have the advantage of being similar to the blades commonly used in direct laryngoscopy, making them easy to use for the person performing the ETI. Hyperangulated blades have a greater angle of vision, improving glottic visualization, especially in patients with an anterior glottis. However, the need to overcome this angulation could potentially hinder the passage of the endotracheal tube to the vocal cords. It is unknown if either blade has any advantage for intubating critically ill patients. conditions: Acute Respiratory Failure conditions: Intubation conditions: Intubation; Difficult or Failed conditions: Videolaryngoscopy conditions: Intubation Complication studyType: INTERVENTIONAL phases: NA allocation: RANDOMIZED interventionModel: PARALLEL primaryPurpose: SUPPORTIVE_CARE masking: SINGLE whoMasked: PARTICIPANT count: 1036 type: ESTIMATED name: Hyperangulated blade videolaryngoscope name: Macintosh blade videolaryngoscope measure: Difference in the first attempt intubation success rate (percentage) measure: Difference in the overall success rate measure: Number of intubation attempts measure: Modified Cormack-Lehane grade of glottic view measure: Diference in the incidence of "easy intubation" measure: Duration of tracheal intubation measure: Reason for unsuccessful intubation on the first attempt measure: Number of videolaryngoscopy attempts measure: Number of attempts to cannulate the trachea with a bougie or an endotracheal tube measure: Operator-assessed difficulty of intubation measure: Need for additional airway equipment measure: Need to change the device for intubation measure: Complications of tracheal intubation sex: ALL minimumAge: 18 Years maximumAge: 90 Years stdAges: ADULT stdAges: OLDER_ADULT facility: University Clinical Hospital of Santiago de Compostela city: Santiago de Compostela state: A Coruña zip: 15866 country: Spain lat: 42.88052 lon: -8.54569 facility: Complexo Hospitalario Universitario de A Coruña city: A Coruña country: Spain name: Pablo Rama role: CONTACT email: Pablo.rama.maceiras@sergas.es lat: 43.37135 lon: -8.396 facility: Hospital General de Albacete city: Albacete country: Spain name: Luisa María Charco role: CONTACT lat: 38.99424 lon: -1.85643 facility: Hospital de la Santa Creu i Sant Pau, Barcelona city: Barcelona country: Spain name: Marta Giné role: CONTACT lat: 41.38879 lon: 2.15899 facility: Hospital Universitario de 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country: Spain name: Francisco Javier García role: CONTACT lat: 40.94808 lon: -4.11839 facility: Hospital Clínico Universitario de Valencia city: Valencia country: Spain name: Sara Martínez role: CONTACT lat: 39.46975 lon: -0.37739 facility: Hospital Universitario La Fe de Valencia city: Valencia country: Spain name: Azucena Pajares role: CONTACT lat: 39.46975 lon: -0.37739 facility: Complexo Hospitalario Universitario Álvaro Cunqueiro de Vigo city: Vigo country: Spain name: Inés María Rodríguez Naz role: CONTACT email: inesnaz@gmail.com lat: 42.23282 lon: -8.72264 facility: Hospital Ribera Povisa Vigo city: Vigo country: Spain name: Rafael Cabadas role: CONTACT lat: 42.23282 lon: -8.72264 hasResults: False