McGrath Mac Videolaryngoscope Versus Macintosh Laryngoscope for Orotracheal Intubation in Critical Care Unit

Study Overview
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Brief Summary
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The aim of this study is to demonstrate that the rate of successful orotracheal intubation at first laryngoscopy will be higher in patients intubated with McGrath Mac videolaryngoscope compared to patients intubated with classical Macintosh laryngoscope in patients requiring an orotracheal intubation in ICU.

Official Title
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McGrath Mac Videolaryngoscope Versus Macintosh Laryngoscope for Orotracheal Intubation in Critical Care Unit

Conditions
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Intratracheal Intubation in Critical Care

Intervention / Treatment
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* Device: Videolaryngoscope
* Device: Standard laryngoscope


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: • Requiring orotracheal intubation Exclusion Criteria: Contraindication to orotracheal intubation Time too short to allow inclusion and randomisation of patient (particularly cardiac arrest) Minor (<18 ) Pregnant, parturient , or breast-feeding woman Patient hospitalized without consent and/or deprived of liberty by court's decision Patient under guardianship or curators Lack of social insurance Lack of informed consent Concomitant inclusion in a trial whose primary endpoint focuses on intubation procedure

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Videolaryngoscope McGrath Mac<br>McGrath Mac videolaryngoscope will be used for laryngoscopy for patient's intubation | Device: Videolaryngoscope<br>* McGrath Mac videolaryngoscope will be use for first attempt of intratracheal intubation.<br>* Other names: Mc Grath videolaryngoscope;|
| Placebo Comparator: Standard laryngoscope<br>Macintosh laryngoscope will be used for laryngoscopy for patient's intubation | Device: Standard laryngoscope<br>* Macintosh laryngoscope will be use for first attempt of intratracheal intubation.<br>* Other names: Macintosh laryngoscope;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of successful orotracheal intubation at first laryngoscopy | Number of successful intubation at first laryngoscopy in one arm/number of included patients in the same arm. | intubation procedure, an expected average of 15 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of successful orotracheal intubation all laryngoscopies pooled |  | intubation procedure, an expected average of 15 minutes | 
| Time to successful orotracheal intubation | Defined by the time between the beginning of induction (injection of anesthetic drugs) and the time of confirmation of the intratracheal nature of the endotracheal tube (defined as apparition of first inflexion on the expired carbon dioxide curve) | intubation procedure, an expected average of 15 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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critical care, intubation, laryngoscope, videolaryngoscope, intratracheal