Clinical trial NCT04276831: Comparison Between Laryngoscope McCoy With Macintosh
Official title: Comparison of Cardiovascular Response and Ease of Intubation Using Laryngoscope McCoy With Macintosh in Malay Race in Indonesia
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Surgery
Keywords: Intubation
Cardiovascular response
Laryngoscope
Lead sponsor: Indonesia University
Sponsor class: OTHER
First posted: 2020-02-19
Enrollment: 82
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: This study aimed to compare cardiovascular response and ease of intubation using laryngoscope McCoy with Macintosh

Detailed description: Eighty-two subjects were given informed consent before enrolling the study and randomized into two groups: McCoy and Macintosh. Non-invasive blood pressure

Eligibility criteria: Inclusion Criteria :

* adults (18 - 65 years old)
* body mass index 18,5 - 30 kg/m2
* physical status with ASA 1 -2
* patients who agreed to participate in this study and sign informed consent.

Exclusion Criteria:

* pregnancy
* history of infarct miocard
* right or left heart failure
* P-R interval 0,24 seconds
* heart block degree 2 or 3
* using pace maker
* history of cerebrovascular disease
* tachycardia or bradycardia
* on medication (antiarrhythmic drugs, beta blocker, heart stimulant)
* suspect difficult airways
* including ventilation (assesment with MOANS) or intubation (assesment with LEMONS)
* patients with increase of intracranial pressure (e.g.head injury)

Primary outcomes:
measure: Measurement of systolic blood pressure
timeFrame: 3 minutes
measure: Measurement of diastolic blood pressure
timeFrame: 3 minutes
measure: Measurement of mean arterial pressure
timeFrame: 3 minutes
measure: Measurement of heart rate
timeFrame: 3 minutes
Secondary outcomes:
measure: Concentration of opioid administration for 24 hours after surgery
timeFrame: 24 hours
Other outcomes:
Locations:
city: Jakarta
country: Indonesia
facility: Indonesia University
state: DKI Jakarta
Study officials:
affiliation: Indonesia University
name: Riyadh Firdaus, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Xue FS, Wang Q, Liao X, Yuan YJ. Cardiovascular intubation responses with Airway Scope and Macintosh laryngoscope. Anaesthesia. 2012 Apr;67(4):434-5; author reply 435-6. doi: 10.1111/j.1365-2044.2012.07071_1.x. No abstract available.
citation: Randell T. Haemodynamic responses to intubation: what more do we have to know? Acta Anaesthesiol Scand. 2004 Apr;48(4):393-5. doi: 10.1111/j.1399-6576.2004.00381.x. No abstract available.
citation: Shimoda O, Ikuta Y, Isayama S, Sakamoto M, Terasaki H. Skin vasomotor reflex induced by laryngoscopy: comparison of the McCoy and Macintosh blades. Br J Anaesth. 1997 Dec;79(6):714-8. doi: 10.1093/bja/79.6.714.
citation: Bilgin H, Bozkurt M. Tracheal intubation using the ILMA, C-Trach or McCoy laryngoscope in patients with simulated cervical spine injury. Anaesthesia. 2006 Jul;61(7):685-91. doi: 10.1111/j.1365-2044.2006.04706.x.
citation: Noppens RR, Geimer S, Eisel N, David M, Piepho T. Endotracheal intubation using the C-MAC(R) video laryngoscope or the Macintosh laryngoscope: a prospective, comparative study in the ICU. Crit Care. 2012 Jun 13;16(3):R103. doi: 10.1186/cc11384.