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Comparison of Simultaneous Endotracheal Tube Insertion With GlideScope Use

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ClinicalTrials.gov Identifier: NCT02787629
Recruitment Status : Completed
First Posted : June 1, 2016
Last Update Posted : March 1, 2019
Sponsor:
Information provided by (Responsible Party):
Lawson Health Research Institute

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.

Condition or disease Intervention/treatment Phase
Intubation Videolaryngoscopy Procedure: Simultaneous Intubation Procedure: Standard Intubation Not Applicable

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

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 50 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Comparison of Simultaneous Endotracheal Tube Insertion With GlideScope Use: a Pilot Study
Actual Study Start Date : October 1, 2016
Actual Primary Completion Date : June 30, 2018
Actual Study Completion Date : June 30, 2018

Arm Intervention/treatment
Experimental: Simultaneous
Simultaneous Intubation with GlideScope and ETT inserted simultaneously
Procedure: Simultaneous Intubation
Intubation with GlideScope and ETT inserted simultaneously

Active Comparator: Control Standard
Standard Intubation with GlideScope inserted first and ETT inserted after the GlideScope view is obtained
Procedure: Standard Intubation
Intubation with GlideScope inserted first and ETT insertion after the GlideScope view is obtained




Primary Outcome Measures :
  1. Duration of Intubation [ Time Frame: During the intubation ]
    Duration of Intubation from mask removal to confirmation of ETCO2


Secondary Outcome Measures :
  1. Ease of Intubation [ Time Frame: Within 5 minutes of the completion of the intubation ]
    100 mm visual analog scale

  2. Number of intubation attempts [ Time Frame: Within 5 minutes of the completion of the intubation ]
    Number of intubation attempts

  3. Failure to intubate [ Time Frame: Within 5 minutes of the completion of the intubation ]
    Failure to intubate

  4. Laryngoscopic Grade [ Time Frame: Within 5 minutes of the completion of the intubation ]
    Cormack & Lehane grade

  5. Oropharyngeal Trauma [ Time Frame: Within 5 minutes of the completion of the intubation ]
    Blind suction of the oropharynx immediately post intubation



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
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.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02787629


Locations
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Canada, Ontario
St. Joseph's Health Care
London, Ontario, Canada, N6A 4V2
London Health Sciences Center University Hospital
London, Ontario, Canada, N6A5A5
Sponsors and Collaborators
Lawson Health Research Institute
Investigators
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Principal Investigator: Timothy Turkstra University of Western Ontario, Canada
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Lawson Health Research Institute
ClinicalTrials.gov Identifier: NCT02787629    
Other Study ID Numbers: 107322
First Posted: June 1, 2016    Key Record Dates
Last Update Posted: March 1, 2019
Last Verified: February 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Keywords provided by Lawson Health Research Institute:
D007440