- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03340207
Novel Airway Device to Aid Endotracheal Intubations
September 20, 2022 updated by: Nader D Nader, University at Buffalo
Clinical Trial of PneumaGlide: A Novel Airway Device to Aid Endotracheal Intubations for Novice Intubators
Pneumaglide is a device designed to facilitate intubation.
Patients who are undergoing a surgical procedure under general anesthesia and will require placement of endotracheal tube will be screened and upon fulfilling the inclusion criteria will be randomized to PneumaGlide group or non-PneumaGlide group.
After induction of anesthesia PneumaGlide device will placed in the mouth of the Pneumaglide assigned subject.
The time for intubation will be measured from the time that the laryngoscope is inserted into the mouth until the trachea is successfully intubated and compared between the groups.
Oxygen saturation drop below 90% and also gastric secretion spillage will be compared between two groups as well.
Study Overview
Status
Terminated
Conditions
Intervention / Treatment
Detailed Description
Patients who is undergoing a surgical procedure under general anesthesia and will require placement of endotracheal tube will be screened.
If the patient meets the inclusion criteria and does not have any exclusion criteria, after an informed consent is obtained he or she will be randomized to Pneumaglide group or non-Pneumaglide group .
Patients characteristics, anthropometric data and comorbid conditions wil be questioned and collected into data collection tool forms.
Airway difficulty will be assessed by the range of motion for atlanto axial joint (head flexion and extension), temporomandibular joint (mouth opening), thyromental distance and mallampati classification for visualisation of uvula, tonsillar pillars and soft palate.
After induction of anesthesia PneumaGlide device will placed in the mouth of the pneumaglide assigned subject.
The patients in non-pneumaglide will not have Pneumaglide insertion.
Laryngeal grading of the airway difficulty will be determined in both groups and the degree of difficulty will be graded from I-IV based on visibility of the vocal cords.
The time will be measured using a an electronic timer from the time that the laryngoscope is inserted into the mouth until the trachea is successfully intubated.
The spillage of of gastric contents will also be assessed by direct visualization at the time of intubation.
Oxygen Saturation will be monitored throughout the case and any events with oxygen saturation levels < 90% will be recorded and compared in the two study arms.
All Categorical variables will be analyzed using Fisher's exact test and the numerical values with normal distribution pattern will be analyzed with t-tests and expressed as mean ± standard deviation.
Numerical variables in which the normality is rejected will be analyzed using non-parametric test Wilcox Sum Rank and will be expressed as median [Interquartile Range].
Upon completion of the surgery, two Likert-based questionaires will be filled out.
One questionaire is completed by the person who performed intubation for the ease of use, and the level of comfort during its use.
The second questionaire is handed to the patient at the time of their discharge from the Ambulatory Surgery Unit and will accompany a self addressed envelope.
The patients will be asked for the presence of cough, shortness of breath, sore through, any unrecognized injury to the lip or mucosa of the mouth.
The patients will be instructed to complete and mail their questionaire along with their mailing address.
Study Type
Interventional
Enrollment (Actual)
32
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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New York
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Buffalo, New York, United States, 14215
- Buffalo VA Medical Center
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 75 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
* undergoing ambulatory surgery under general anesthesia
Exclusion Criteria:
- pregnant patients
- parturients with past 60 days,
- poorly controlled diabetic patient with neuropathy and HbA1c > 9.0%, *preexisting nausea and vomiting,
- intestinal obstruction
- acute alcohol toxicity
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Pneumaglide
After induction of anesthesia Pneumaglide device will be placed in the mouth of the pneumaglide assigned patients.
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The device is designed to facilitate intubation and reduce the time to intubation.
It works with traditional glidescope to make the process of intubation easier.
In this study patients scheduled for surgery and intubation, will be randomized to two groups.
The intervention group will be intubated with the help of the pneumaglide.
Yet, the other group will receive standard intubation.
We aim to evaluate the efficacy of the Pneumaglide to improve the ease of intubation in unskilled clinicians and skilled clinicians during difficult and routine intubations
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No Intervention: non-pneumaglide
The patients in non-pneumaglide will not have Pneumaglide insertion prior to intubation.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Time to Intubation
Time Frame: During procedure
|
After induction of anesthesia PneumaGlide device will be placed in the mouth of the pneumaglide assigned subject.
The patients in non-pneumaglide will not have Pneumaglide insertion.
Laryngeal grading of the airway difficulty will be determined in both groups and the degree of difficulty will be graded from I-IV based on visibility of the vocal cords.
Grade I is full visibility of glottis, grade II is partial visibility of glottis, grade III is when only epiglottis seen, none of glottis seen, and finally grade IV is when neither glottis nor epiglottis seen.
Accordingly higher values represent worse grade.
The time will be measured using a an electronic timer from the time that the laryngoscope is inserted into the mouth until the trachea is successfully intubated.
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During procedure
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Oxygen Saturation Drop
Time Frame: during procedure
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Oxygen Saturation will be monitored throughout the case and any events with oxygen saturation levels < 90% will be recorded and compared in the two study arms.
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during procedure
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Frequency of Lip/Dentition Injury
Time Frame: during procedure
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frequency of lip/dentition injury will be monitored and compared
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during procedure
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Frequency of Ask for Help and Repeated Intubation Attempt
Time Frame: during procedure
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Frequency of asking for help from seniors and repeated attempts for intubation will be recorded in each group
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during procedure
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Adverse Event Reports by the Patients (Likert Scale)
Time Frame: upon discharge from hospital up to two weeks
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questionaire is handed to the patient at the time of their discharge from the Ambulatory Surgery Unit and will accompany a self addressed envelope.
The patients will be asked for the presence of 1-cough, 2-shortness of breath, 3-sore through, 4-any unrecognized injury to the lip or mucosa of the mouth.
Each answer is on a scale of 1-5 with 1representing minimal and 5 representing extremely severe complaint.
Accordingly the score will be between 4-20.
The patients will be instructed to complete and mail their questionaire along with their mailing address.
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upon discharge from hospital up to two weeks
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Nader D Nader, MD, PhD, University at Buffalo
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
October 15, 2017
Primary Completion (Actual)
March 25, 2019
Study Completion (Actual)
August 25, 2019
Study Registration Dates
First Submitted
November 8, 2017
First Submitted That Met QC Criteria
November 8, 2017
First Posted (Actual)
November 13, 2017
Study Record Updates
Last Update Posted (Actual)
October 14, 2022
Last Update Submitted That Met QC Criteria
September 20, 2022
Last Verified
September 1, 2022
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 1092558
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
There is no plan to make data available to others
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
Yes
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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