Tracheal Intubation With Collar Immobilisation : a Comparison of Glidescope and Fastrach

Study Overview
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Brief Summary
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Intubation must be done with utmost care in cervical trauma patients. cervical spine motion must be minimized and intubation must be fast. The aim of this study was to compare the effectiveness of fastrach and glidescope. 18-65 years of age , ASA I-II 100 patients undergoing elective surgery were enrolled in this trial. After standard monitorisation including EKG , noninvasive blood pressure, pulse oximetry, anesthesia was induced with propofol and fentanyl. rocuronium was then administered for muscle relaxation. Patients were divided into two groups glidescope and fastrach. Rigid collar was placed then patients were intubated with one of these devices. Mask ventilations with or without collar were recorded. insertion times, intubation times of the devices were recorded. Peroperative hemodynamic parameters and postoperative minor complications were also recoded.

Detailed Description
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inclusion criteria: ASA I-II , 18-60 years of age undergoing elective surgery requiring intubation exclusion criteria: - pregnancy reflux nonfasted head and neck tumors recent flue in 2 weeks

Official Title
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A Comparison of Glidescope and ILMA in Simulated Sercial Spine Injury

Conditions
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Injury of Cervical Spine

Intervention / Treatment
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* Device: Glidescope
* Device: ILMA


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18-65 years of age ASA I-II requiring intubation BMI<35 Exclusion Criteria: less than 18 or higher than 65 ASA III-IV BMI> 35 PREGNANT head and neck tumors

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 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: Prevention
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Glidescope videolaryngoscope<br>cervical collar was applied to 47 patients then facemask ventilations were recoded intubated with Glidescope and insertion time: handling of the device till the good glottic visualisation intubation time: handling of the device till the capnography appears mucosal damage: bloodstain on the device after removal heart rate preinduction heart rate postinduction heart rate postinsertion heart rate postintubation mean arterial pressure preinduction mean arterial pressure postinduction mean arterial pressure postinsertion mean arterial pressure postintubation wrere recorded. postoperative minor complications were recorded. | Device: Glidescope<br>* videolaryngoscope<br>|
| Active Comparator: Intubating laryngeal mask airway<br>cervical collar was applied to 47 patients then facemask ventilations through the collar were recorded and intubated with ILMA insertion time: handling of the device till the good glottic visualisation appears intubation time: handling of the device till the capnography appears mucosal damage: bloodstain on the device heart rate preinduction heart rate postinduction heart rate posinsertion heart rate postintubation mean arterial pressure preinduction mean arterial pressure postinduction mean arterial pressure postinsertion mean arterial pressure postintubation | Device: ILMA<br>* handling of the device till the optimal ventilation achieved<br>* Other names: FASTRACH;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| intubation times |  | From handling of the device till intıbation | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Heart rate |  | From Preoperative heart rate till 15 minutes After intubation | 
| Mean arterial pressure |  | From preinduction till 15 minutes after intubation | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cervical spine, intubating laryngeal mask airway, Glidescope videolaryngoscope, collar