Comparison of Direct Laryngoscopy, Truview EVO2 and Glidescope in Pediatric Patients

This study has been terminated.
Sponsor:
Information provided by:
Outcomes Research Consortium
ClinicalTrials.gov Identifier:
NCT01023568
First received: December 1, 2009
Last updated: September 13, 2011
Last verified: September 2011

December 1, 2009
September 13, 2011
December 2009
May 2011   (final data collection date for primary outcome measure)
Time to successfully intubate patient. [ Time Frame: 60 seconds ] [ Designated as safety issue: No ]
Time to succesfully intubate patient. [ Time Frame: 60 seconds ] [ Designated as safety issue: No ]
Complete list of historical versions of study NCT01023568 on ClinicalTrials.gov Archive Site
  • time to intubation [ Time Frame: 60 seconds ] [ Designated as safety issue: No ]
    GS and TV will be tested for mean hemodynamic response and equivalency (to each other) on both time to intubation (equivalency delta of 7 seconds) and proportion with Cormack score of 1 (equivalency delta of 0.05).
  • proportion of intubation with Cormack score of 1 [ Time Frame: 60 seconds ] [ Designated as safety issue: No ]
    GS and TV will be tested for mean hemodynamic response and equivalency (to each other) on both time to intubation (equivalency delta of 7 seconds) and proportion with Cormack score of 1 (equivalency delta of 0.05).
GS and TV will be tested for mean hemodynamic response and equivalency (to each other) on both time to intubation (equivalency delta of 7 seconds) and proportion with Cormack score of 1 (equivalency delta of 0.05). [ Time Frame: 60 seconds ] [ Designated as safety issue: No ]
Not Provided
Not Provided
 
Comparison of Direct Laryngoscopy, Truview EVO2 and Glidescope in Pediatric Patients
Comparison of Direct Laryngoscopy, Truview EVO2 and Glidescope in Pediatric Patients

The purpose of this study is to compare the effectiveness of two novel videolaryngoscope systems, the Glidescope and the Truview PCD against standard direct laryngoscopy (DL) in pediatric patients. The investigators primary hypothesis is that the use of videolaryngoscope devices, Glidescope and Truview provide better laryngeal views in pediatric patients as measured by Cormack and ehane (C&L) (1 to 4, 4 the worst), without increasing the time taken to intubate (TTI), compared with direct laryngoscopy (DL).

The investigators secondary hypotheses are that the use of Glidescope and Truview PCD provoke less hemodynamic response and fewer episodes of de-saturation in pediatric patients.

Advances in airway management have led to development on videolaryngoscopy devices including the Glidescope® (Verathon Inc, Bothwell, USA), the AWD® (Pentax Corporation, Tokio, Japan) and most recently the Truview PCD (Truphatek International Ltd, Netanya, Israel). The use of videolaryngoscopy devices in adults have demonstrated some advantages including, minimal trauma on the airway and better view of the glottis.

The Glidescope is designed with a 60º angle and a camera on the inferior aspect just at the inflection point. The view is obtained anteriorly and the camera is located remote from the glottis providing a good visual field. The video image is displayed on a Liquid Crystal Display (LCD), with electronic recording available. Despite a good experience using Glidescope in adults, few studies have been published in pediatric patients. Kim et al. in a randomized study comparing the use of Glidescope with direct laryngoscopy in children, demonstrated better or equal laryngoscopic view with longer time for intubation using the Glidescope.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Supportive Care
Intubation
  • Device: Macintosh blade
    Intubation with Macintosh blade laryngoscope
  • Device: Glidescope
    Intubation with Glidescope laryngoscope.
  • Device: Truview PCD
    Intubation with Truview PCD laryngoscope.
  • Active Comparator: Macintosh blade
    Intubation with Macintosh blade laryngoscope
    Intervention: Device: Macintosh blade
  • Active Comparator: Glidescope
    Intubation with Glidescope laryngoscope
    Intervention: Device: Glidescope
  • Active Comparator: Truview PCD
    Intubation with the Truview PCD laryngoscope
    Intervention: Device: Truview PCD
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Terminated
134
May 2011
May 2011   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • ASA physical status I-III
  • elective general surgical procedures
  • from 0-10 years-old

Exclusion Criteria:

  • increase intracranial pressure
  • history of severe gastrointestinal reflux
  • sore throat
  • upper respiratory airway infection
  • known or suspected difficult airway or coagulopathy
Both
up to 10 Years
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT01023568
09-902
No
Julie Niezgoda, MD, Cleveland Clinic
Outcomes Research Consortium
Not Provided
Not Provided
Outcomes Research Consortium
September 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP