Comparison of Simultaneous Endotracheal Tube Insertion With GlideScope Use

Study Overview
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Brief Summary
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Patients presenting for elective surgery requiring orotracheal intubation will be randomized to having the ETT inserted into the pharynx simultaneous to GlideScope insertion and then having the ETT advanced under GlideScope guidance into the trachea, or, being intubated in the more common fashion with the GlideScope being inserted first and having the ETT then advanced via the pharynx into the trachea.

Detailed Description
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Patients presenting for elective surgery requiring orotracheal intubation will be randomized to having the ETT inserted into the pharynx simultaneous to GlideScope insertion and then having the ETT advanced under GlideScope guidance into the trachea, or, being intubated in the more common fashion with the GlideScope being inserted first and having the ETT then advanced via the pharynx into the trachea. The primary outcome is time to intubation. Secondary outcomes include: 1) Ease of intubation as noted by operator (measured on a 10-cm Visual Analogue Scale) 2) Number of intubation attempts 3) Number of failures to intubate 4) Use of external laryngeal pressure 5) Laryngoscopic grade distribution

Official Title
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Comparison of Simultaneous Endotracheal Tube Insertion With GlideScope Use: a Pilot Study

Conditions
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Intubation, Videolaryngoscopy

Intervention / Treatment
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* Procedure: Simultaneous Intubation
* Procedure: Standard Intubation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 1) Adult patient booked for elective surgery requiring orotracheal intubation Exclusion Criteria: Any patient in whom the use of the GlideScope is contraindicated in the opinion of the attending anesthesiologist. Any patient with cervical spine abnormalities. Any patients with known or probable difficult airways. Any patient requiring rapid sequence induction.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Simultaneous<br>Simultaneous Intubation with GlideScope and ETT inserted simultaneously | Procedure: Simultaneous Intubation<br>* Intubation with GlideScope and ETT inserted simultaneously<br>|
| Active Comparator: Control Standard<br>Standard Intubation with GlideScope inserted first and ETT inserted after the GlideScope view is obtained | Procedure: Standard Intubation<br>* Intubation with GlideScope inserted first and ETT insertion after the GlideScope view is obtained<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Duration of Intubation | Duration of Intubation from mask removal to confirmation of ETCO2 | During the intubation | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Ease of Intubation | 100 mm visual analog scale | Within 5 minutes of the completion of the intubation | 
| Number of intubation attempts | Number of intubation attempts | Within 5 minutes of the completion of the intubation | 
| Failure to intubate | Failure to intubate | Within 5 minutes of the completion of the intubation | 
| Laryngoscopic Grade | Cormack & Lehane grade | Within 5 minutes of the completion of the intubation | 
| Oropharyngeal Trauma | Blind suction of the oropharynx immediately post intubation | Within 5 minutes of the completion of the intubation | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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D007440