Video Laryngoscope Versus USB Borescope in Difficult Intubation

April 13, 2022 updated by: mohamed abdelghany ali, Cairo University

Video Laryngoscope Versus a USB Borescope Aided Endotracheal Intubation in Adults With Anticipated Difficult Airway

Video Laryngoscope Versus a USB Borescope Aided Endotracheal Intubation in Adults With Anticipated Difficult Airway

Study Overview

Status

Completed

Detailed Description

For patients allocated to the USB-borescope technique, a proper size endotracheal tube will be placed over the USB-borescope (with an external diameter of 5.5 mm) which will be coated externally with water-soluble lubricant. The proper size laryngoscope blade will be inserted. The USB-borescope will be placed through the oral cavity and will be advanced while tracking it on a mobile phone, it will be advanced to the glottic opening. If needed, rotation of USB-borescope and/or external laryngeal manipulation will be used to align it with the vocal cord.

For patients allocated to the intubation over Video Laryngoscope technique, video laryngoscope (Insighters insight is3) proper size blade will be placed and introduction of the Video Laryngoscope till viewing the glottis opening then insertion of a proper sized endotracheal tube

Study Type

Interventional

Enrollment (Actual)

120

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

      • Cairo, Egypt, 11562
        • Faculty of Medicine

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 and older (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • 1.American Society of Anesthesiologist ASA physical status I-II patients. 2.Both genders. 3.Age18-60 years old 4.BMI <35 5.patients with El-Ganzouri score more than or equal to 4

Exclusion Criteria:

  • Presence of pulmonary diseases
  • Uncontrolled hypertension
  • Ischemic heart disease
  • Cervical spine fracture
  • Limited mouth opening
  • known to have tumors or polyps in the upper airway
  • History of difficult intubation or difficult bag-mask ventilation
  • Patients with difficult bag-mask ventilation after induction of anesthesia

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: HEALTH_SERVICES_RESEARCH
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: SINGLE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
ACTIVE_COMPARATOR: Borescope group
Using an Endotracheal tube mounted over Borescope with the aid of conventional laryngoscope for intubation
Endotracheal intubation using borescope
ACTIVE_COMPARATOR: Videolaryngoscope group
Using videolaryngoscope for intubation
Endotracheal intubation using video laryngoscope

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Time of intubation
Time Frame: 5 minutes
in seconds
5 minutes

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Blood pressure before intubation, every 5 minutes after intubation till 15 minutes after intubation
Time Frame: 15 minutes
Systolic, diastolic, and mean arterial blood pressures
15 minutes
Heart rate Heart rate
Time Frame: 15 minutes
Heart rate before intubation, every 5 minutes after intubation till 15 minutes after intubation
15 minutes
The degree of view clarity
Time Frame: 1 minute
Cormack-Lehane grading
1 minute
Incidence of complications
Time Frame: 48 hours
Incidence of complications as bleeding, failure
48 hours
Number of trials for correct endotracheal intubation
Time Frame: 2 minutes
Number of trial till successful intubation
2 minutes

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

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)

December 20, 2021

Primary Completion (ACTUAL)

March 28, 2022

Study Completion (ACTUAL)

April 1, 2022

Study Registration Dates

First Submitted

August 22, 2021

First Submitted That Met QC Criteria

December 10, 2021

First Posted (ACTUAL)

December 15, 2021

Study Record Updates

Last Update Posted (ACTUAL)

April 15, 2022

Last Update Submitted That Met QC Criteria

April 13, 2022

Last Verified

April 1, 2022

More Information

Terms related to this study

Other Study ID Numbers

  • N-15-2021/MSc

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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