Clinical trial NCT02787629: Comparison of Simultaneous Endotracheal Tube Insertion With GlideScope Use
Official title: Comparison of Simultaneous Endotracheal Tube Insertion With GlideScope Use: a Pilot Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Intubation
Videolaryngoscopy
Keywords: D007440
Lead sponsor: London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
Sponsor class: OTHER
First posted: 2016-06-01
Enrollment: 50
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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: 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

Eligibility criteria: Inclusion Criteria:

1) Adult patient booked for elective surgery requiring orotracheal intubation

Exclusion Criteria:

1. Any patient in whom the use of the GlideScope is contraindicated in the opinion of the attending anesthesiologist.
2. Any patient with cervical spine abnormalities.
3. Any patients with known or probable difficult airways.
4. Any patient requiring rapid sequence induction.

Primary outcomes:
measure: Duration of Intubation
timeFrame: During the intubation
Secondary outcomes:
measure: Ease of Intubation
timeFrame: Within 5 minutes of the completion of the intubation
measure: Number of intubation attempts
timeFrame: Within 5 minutes of the completion of the intubation
measure: Failure to intubate
timeFrame: Within 5 minutes of the completion of the intubation
measure: Laryngoscopic Grade
timeFrame: Within 5 minutes of the completion of the intubation
measure: Oropharyngeal Trauma
timeFrame: Within 5 minutes of the completion of the intubation
Other outcomes:
Locations:
city: London
country: Canada
facility: St. Joseph's Health Care
state: Ontario
city: London
country: Canada
facility: London Health Sciences Center University Hospital
state: Ontario
Study officials:
affiliation: University of Western Ontario, Canada
name: Timothy Turkstra
role: PRINCIPAL_INVESTIGATOR
References:
citation: Turkstra TP, Turkstra DC, Pavlosky AW, Jones PM. Simultaneous en bloc endotracheal tube insertion with GlideScope(R) Titanium video laryngoscope use: a randomized-controlled trial. Can J Anaesth. 2020 Nov;67(11):1515-1523. doi: 10.1007/s12630-020-01778-2. Epub 2020 Aug 19.