Comparison Airway Devices in Nasotracheal Intubation in Manikin - Full Text View

Purpose

Nasotracheal intubation is usually required in oral surgery to allow an unrestricted surgical approach. The standard method is generally performed using the Macintosh laryngoscope supported by Magill forceps. However, it is recommended to perform awake tracheal intubation in situations where a difficult airway is predicted, a scenario where this technique may be poorly tolerated by the patient. Although fibreoptic intubation is considered the "gold standard", sometimes it is difficult to perform and,therefore, alternatives are necessary. The hypothesis is that optical laryngoscopes as the Airtraq nasotracheal and Mcgrath can improve the time and/or success of nasotracheal intubation in a manikin.

Condition	Intervention
Nasotracheal Intubation	Device: Macintosh laryngoscope, Airtraq NT, Mcgrath laryngoscope Device: Macintosh laryngoscope Device: McGrath Device: Airtraq Nasotracheal

Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Crossover Assignment Masking: Open Label
Official Title:	Comparison of Airtraq Nasotracheal Mcgrath and Macintosh Laryngoscope in Nasotracheal Intubation: A Manikin Study

Further study details as provided by Complexo Hospitalario Universitario de A Coruña:

Primary Outcome Measures:

Time in seconds required for a successful intubation attempt with the Macintosh laryngoscope, Airtraq NT and Mcgrath. [ Time Frame: Two months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

Time visualization of the glottis [ Time Frame: Two months ] [ Designated as safety issue: No ]
Intubation time [ Time Frame: Two months ] [ Designated as safety issue: No ]
The duration of the first intubation attempt (whether successful or not) [ Time Frame: Two months ] [ Designated as safety issue: No ]
Number of intubation attempts. [ Time Frame: Two months ] [ Designated as safety issue: No ]
The success rate of placement of the endotracheal tube (ETT) in the trachea [ Time Frame: Two months ] [ Designated as safety issue: No ]
Cormack and Lehane Grade [ Time Frame: Two months ] [ Designated as safety issue: No ]
Number of operators needed [ Time Frame: Two months ] [ Designated as safety issue: No ]
Severity of dental trauma [ Time Frame: Two months ] [ Designated as safety issue: No ]
Satisfaction of the operators [ Time Frame: Two months ] [ Designated as safety issue: No ]

Enrollment:	63
Study Start Date:	March 2011
Study Completion Date:	December 2011
Primary Completion Date:	December 2011 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Active Comparator: Macintosh	Device: Macintosh laryngoscope, Airtraq NT, Mcgrath laryngoscope Each participant will use the Macintosh laryngoscope (blade No. 3), laryngoscope Airtraq NT and Mcgrath Laryngoscope under conditions of normal and difficult airway in different simulated scenarios. Other Names: Macintosh Airtraq NT Mcgrath Device: Macintosh laryngoscope intubate with the macintosh laryngoscope
Active Comparator: Mcgrath	Device: Macintosh laryngoscope, Airtraq NT, Mcgrath laryngoscope Each participant will use the Macintosh laryngoscope (blade No. 3), laryngoscope Airtraq NT and Mcgrath Laryngoscope under conditions of normal and difficult airway in different simulated scenarios. Other Names: Macintosh Airtraq NT Mcgrath Device: McGrath Intubate with McGrath device
Active Comparator: Airtraq Nasotracheal	Device: Macintosh laryngoscope, Airtraq NT, Mcgrath laryngoscope Each participant will use the Macintosh laryngoscope (blade No. 3), laryngoscope Airtraq NT and Mcgrath Laryngoscope under conditions of normal and difficult airway in different simulated scenarios. Other Names: Macintosh Airtraq NT Mcgrath Device: Airtraq Nasotracheal intubate with Airtraq Nasotracheal

Eligibility

Ages Eligible for Study:	23 Years to 65 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Be Component of service of anesthesiology C.H.U. A Coruña
Give voluntary consent to participate in the study

Exclusion Criteria:

Not meet the above criteria

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT01311284

Locations

Spain
Complexo Hospitalario Universitario de A Coruña
A Coruña, Spain, 15004

Sponsors and Collaborators

Manuel Ángel Gómez-Ríos

More Information

Publications:

Hall CE, Shutt LE. Nasotracheal intubation for head and neck surgery. Anaesthesia. 2003 Mar;58(3):249-56. Review.

Gómez-Ríos MA, Serradilla LN. Use of the Airtraq® optical laryngoscope for nasotracheal intubation in predicted difficult airway management in oral surgery. Can J Anaesth. 2010 Dec;57(12):1136-7. Epub 2010 Oct 2. No abstract available.

Lewis AR, Hodzovic I, Whelan J, Wilkes AR, Bowler I, Whitfield R. A paramedic study comparing the use of the Airtraq, Airway Scope and Macintosh laryngoscopes in simulated prehospital airway scenarios. Anaesthesia. 2010 Dec;65(12):1187-93. Epub 2010 Oct 19.

Ueshima H, Asai T. Tracheal intubation in daylight and in the dark: a randomised comparison of the Airway Scope, Airtraq, and Macintosh laryngoscope in a manikin. Anaesthesia. 2010 Jul;65(7):684-7. Epub 2010 May 28.

López-Negrete IL, Salinas Aguirre U, Castrillo Villán JL, Rodríguez Delgado T, Colomino Alumbreros J, Aguilera Celorrio L. [Comparison of the view of the glottic opening through Macintosh and AirTraq laryngoscopes in patients undergoing scheduled surgery]. Rev Esp Anestesiol Reanim. 2010 Mar;57(3):147-52. Spanish.

Liu L, Tanigawa K, Kusunoki S, Tamura T, Ota K, Yamaga S, Kida Y, Otani T, Sadamori T, Takeda T, Iwasaki Y, Hirohashi N. Tracheal intubation of a difficult airway using Airway Scope, Airtraq, and Macintosh laryngoscope: a comparative manikin study of inexperienced personnel. Anesth Analg. 2010 Apr 1;110(4):1049-55.

McElwain J, Malik MA, Harte BH, Flynn NM, Laffey JG. Comparison of the C-MAC videolaryngoscope with the Macintosh, Glidescope, and Airtraq laryngoscopes in easy and difficult laryngoscopy scenarios in manikins. Anaesthesia. 2010 May;65(5):483-9. Epub 2010 Mar 19.

Savoldelli GL, Schiffer E, Abegg C, Baeriswyl V, Clergue F, Waeber JL. Learning curves of the Glidescope, the McGrath and the Airtraq laryngoscopes: a manikin study. Eur J Anaesthesiol. 2009 Jul;26(7):554-8.

Turkstra TP, Pelz DM, Jones PM. Cervical spine motion: a fluoroscopic comparison of the AirTraq Laryngoscope versus the Macintosh laryngoscope. Anesthesiology. 2009 Jul;111(1):97-101.

Savoldelli GL, Schiffer E, Abegg C, Baeriswyl V, Clergue F, Waeber JL. Comparison of the Glidescope, the McGrath, the Airtraq and the Macintosh laryngoscopes in simulated difficult airways*. Anaesthesia. 2008 Dec;63(12):1358-64.

Ndoko SK, Amathieu R, Tual L, Polliand C, Kamoun W, El Housseini L, Champault G, Dhonneur G. Tracheal intubation of morbidly obese patients: a randomized trial comparing performance of Macintosh and Airtraq laryngoscopes. Br J Anaesth. 2008 Feb;100(2):263-8.

Maharaj CH, Costello JF, Harte BH, Laffey JG. Evaluation of the Airtraq and Macintosh laryngoscopes in patients at increased risk for difficult tracheal intubation. Anaesthesia. 2008 Feb;63(2):182-8.

Maharaj CH, Buckley E, Harte BH, Laffey JG. Endotracheal intubation in patients with cervical spine immobilization: a comparison of macintosh and airtraq laryngoscopes. Anesthesiology. 2007 Jul;107(1):53-9.

Maharaj CH, O'Croinin D, Curley G, Harte BH, Laffey JG. A comparison of tracheal intubation using the Airtraq or the Macintosh laryngoscope in routine airway management: A randomised, controlled clinical trial. Anaesthesia. 2006 Nov;61(11):1093-9.

Maharaj CH, Costello JF, Higgins BD, Harte BH, Laffey JG. Learning and performance of tracheal intubation by novice personnel: a comparison of the Airtraq and Macintosh laryngoscope. Anaesthesia. 2006 Jul;61(7):671-7.

Maharaj CH, Higgins BD, Harte BH, Laffey JG. Evaluation of intubation using the Airtraq or Macintosh laryngoscope by anaesthetists in easy and simulated difficult laryngoscopy--a manikin study. Anaesthesia. 2006 May;61(5):469-77.

Maharaj CH, Costello J, Higgins BD, Harte BH, Laffey JG. Retention of tracheal intubation skills by novice personnel: a comparison of the Airtraq and Macintosh laryngoscopes. Anaesthesia. 2007 Mar;62(3):272-8.

Maassen R, Lee R, Hermans B, Marcus M, van Zundert A. A comparison of three videolaryngoscopes: the Macintosh laryngoscope blade reduces, but does not replace, routine stylet use for intubation in morbidly obese patients. Anesth Analg. 2009 Nov;109(5):1560-5. Epub 2009 Aug 27.

Ray DC, Billington C, Kearns PK, Kirkbride R, Mackintosh K, Reeve CS, Robinson N, Stewart CJ, Trudeau T. A comparison of McGrath and Macintosh laryngoscopes in novice users: a manikin study. Anaesthesia. 2009 Nov;64(11):1207-10.

Walker L, Brampton W, Halai M, Hoy C, Lee E, Scott I, McLernon DJ. Randomized controlled trial of intubation with the McGrath Series 5 videolaryngoscope by inexperienced anaesthetists. Br J Anaesth. 2009 Sep;103(3):440-5. Epub 2009 Jul 15.

Responsible Party:	Manuel Ángel Gómez-Ríos, MD, Complexo Hospitalario Universitario de A Coruña
ClinicalTrials.gov Identifier:	NCT01311284 History of Changes
Other Study ID Numbers:	MGR-AR-2010-A1
Study First Received:	March 7, 2011
Last Updated:	January 3, 2012
Health Authority:	Spain: Spanish Agency of Medicines

Keywords provided by Complexo Hospitalario Universitario de A Coruña:

Nasotracheal intubation
Macintosh laryngoscope
Airtraq

McGrath
Manikin
airway management

ClinicalTrials.gov processed this record on June 17, 2013

Comparison Airway Devices in Nasotracheal Intubation in Manikin (MGR-AR2010A1)