- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05243758
Who is Rapid And Success? The Comparison Of Video Fiberscope And Video Laryngoscope
February 7, 2022 updated by: Halil CEBECI, Ondokuz Mayıs University
The Comparison Of Video Fiberscope And Video Laryngoscope,With Egri Score> 4
Endotracheal intubation plays an important role in general anesthesia.
Complications can be prevented by using alternative airway devices in predetermined difficult intubation cases.
In this study, the investigators aimed to compare the results of endotracheal intubation with video fiberscope and DCI video laryngoscope devices of two different experienced physicians (E and H).
Study Overview
Status
Completed
Detailed Description
In this randomized and prospective study, 60 patients with EGRI score> 4 and ASA score <4, operated between 1 October 2018 and 1 March 2019 in Ondokuz Mayıs University Medical Faculty Hospital were included.
Endotracheal intubation was performed by two practitioners using two different devices.
Intubation times, number of attempts, failed attempts, postoperative complications and hemodynamic responses were recorded.
Study Type
Interventional
Enrollment (Actual)
60
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
-
-
Atakum
-
Samsun, Atakum, Turkey, 55200
- Ondokuz Mayis University 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 to 65 years (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Operated in the operating room of our hospital,
- Aged 18-65,
- EGRI score>4,
- ASA (American Society of Anesthesiologists) score<4
Exclusion Criteria:
Cerebrovascular disease (cerebral ischemia, hemorrhage or stroke), presence of carotid stenosis or history of coronary artery disease,
- Neurological disorders (history of chronic headache, epilepsy or head trauma), alcohol or psychoactive drug addiction,
- Serious heart and/or lung diseases, liver and/or kidney failure,
- Uncontrolled diabetes and/or hypertension,
- Dental abscess,
- Mouth opening <1.5 cm,
- Known bleeding disorder,
- Pregnancy,
- Mental retardation,
- Contraindications to drugs, allergy to drugs used,
- Patient rejection
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: Screening
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Group video fiberscope of experienced practitioner
More experienced physician: endotracheal intubation with video fiberscope Assoc.
Dr.
The group in which Ersin Köksal performed endotracheal intubation using a video fiberscope( Karl Storz GmbH &Co.
KG, Tuttlingen, Germany) consisted of 15 patients.Endotracheal intubation was performed by two practitioners using two different devices.
Intubation times, number of attempts, failed attempts, postoperative complications and hemodynamic responses were recorded.
|
One of the classical alternatives to laryngoscopy in difficult endotracheal intubation is video laryngoscopyvideo fiberscope( Karl Storz GmbH &Co.
KG, Tuttlingen, Germany).
Reaching the image from the patient with pre- and from the cervical point of view, or from the cervical point of view, to be completed with a good view from a large screen to be completed with an image before and within intubation.
It also facilitates learning in education.
One of the classical alternatives to laryngoscopy in difficult endotracheal intubation is video laryngoscopy video fiberscope( Karl Storz GmbH &Co.
KG, Tuttlingen, Germany).
Reaching the image from the patient with pre- and from the cervical point of view, or from the cervical point of view, to be completed with a good view from a large screen to be completed with an image before and within intubation.
It also facilitates learning in education.
|
Active Comparator: Group video laryngoscope of experienced practitioner
More experienced physician: Endotracheal intubation with DCI video laryngoscopeThe group in which Assoc.
Dr. Ersin Köksal performed endotracheal intubation using a DCI video laryngoscope(Storz DCI Video Laryngoscope (Karl Storz GmbH &Co.
KG, Tuttlingen, Germany) consisted of 15 patients.Endotracheal intubation was performed by two practitioners using two different devices.
Intubation times, number of attempts, failed attempts, postoperative complications and hemodynamic responses were recorded.
|
Intubation Pending Difficult as well as challenging .
Fiberoptic (fiberscope) intubation is the gold standard in difficult airway.
Lacking this supplement, it will be widely used for practice, as it is suitable for video laryngeal.
Entubation pending difficult as well as challenging .
Fiberoptic (fiberscope) intubation is the gold standard in difficult airway.
Lacking this supplement, it will be widely used for practice, as it is suitable for video laryngeal.Storz DCI Video Laryngoscope (Karl Storz GmbH &Co.
KG, Tuttlingen, Germany)
|
Active Comparator: Group video fiberscope of less experienced practitioner
Endotracheal intubation with video fiberscope: The group in which DrHalil Cebeci applied endotracheal intubation using a video fiberscope( Karl Storz GmbH &Co.
KG, Tuttlingen, Germany) consisted of 15 patients.
Endotracheal intubation was performed by two practitioners using two different devices.
Intubation times, number of attempts, failed attempts, postoperative complications and hemodynamic responses were recorded.
|
One of the classical alternatives to laryngoscopy in difficult endotracheal intubation is video laryngoscopyvideo fiberscope( Karl Storz GmbH &Co.
KG, Tuttlingen, Germany).
Reaching the image from the patient with pre- and from the cervical point of view, or from the cervical point of view, to be completed with a good view from a large screen to be completed with an image before and within intubation.
It also facilitates learning in education.
One of the classical alternatives to laryngoscopy in difficult endotracheal intubation is video laryngoscopy video fiberscope( Karl Storz GmbH &Co.
KG, Tuttlingen, Germany).
Reaching the image from the patient with pre- and from the cervical point of view, or from the cervical point of view, to be completed with a good view from a large screen to be completed with an image before and within intubation.
It also facilitates learning in education.
|
Active Comparator: Group video laryngoscope of less experienced practitioner
Endotracheal intubation with DCI video laryngoscope:The group in which Dr.Halil Cebeci applied endotracheal intubation using a DCI video laryngoscope(Karl Storz GmbH &Co.
KG, Tuttlingen, Germany) consisted of 15 patients.Endotracheal intubation was performed by two practitioners using two different devices.
Intubation times, number of attempts, failed attempts, postoperative complications and hemodynamic responses were recorded.
|
Intubation Pending Difficult as well as challenging .
Fiberoptic (fiberscope) intubation is the gold standard in difficult airway.
Lacking this supplement, it will be widely used for practice, as it is suitable for video laryngeal.
Entubation pending difficult as well as challenging .
Fiberoptic (fiberscope) intubation is the gold standard in difficult airway.
Lacking this supplement, it will be widely used for practice, as it is suitable for video laryngeal.Storz DCI Video Laryngoscope (Karl Storz GmbH &Co.
KG, Tuttlingen, Germany)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Intubation times,
Time Frame: during intubation
|
The moment when the endotracheal intubation tube was passed between the vocal cords following the vocal cord image obtained with the device was recorded in seconds.
In endotracheal intubation performed with a video fiberscope, the end of the fiberscope with a camera passing through the vocal cords, and in endotracheal intubation performed with a DCI video laryngoscope, the intubation tube passing between the vocal cords was counted as successful intubation time.
|
during intubation
|
Number of attempts
Time Frame: during intubation for patients,
|
The procedure will be considered unsuccessful if intubation is unsuccessful in three attempts, if the intubation process exceeds three minutes, or if the peripheral oxygen saturation (SpO2) is <90% during this period.
If this situation was encountered, it was planned to ventilate the patient with an anesthesia mask until the oxygen saturation approached 100% and to use alternative airway devices.
|
during intubation for patients,
|
Time to find the glottis:
Time Frame: during intubation for patients
|
The time from the moment the device entered between the patient's anterior incisors until the vocal cords were seen was recorded in seconds.
|
during intubation for patients
|
Blood pressure
Time Frame: During intubation, at 1st, 2nd and 5th minutes after intubation
|
Hemodynamic parameters; heart rate (/min), systolic blood pressure (mmHg), diastolic blood pressure (mmHg), mean arterial pressure (mmHg), and SpO2 were recorded before induction (baseline), during intubation, at 1st, 2nd and 5th minutes after intubation
|
During intubation, at 1st, 2nd and 5th minutes after intubation
|
Pulse oximeter
Time Frame: Before induction (baseline), during intubation, at 1st, 2nd and 5th minutes after intubation
|
Oximetry is a convenient and painless alternative to needlesticks, is simple to use, and provides immediate data.
These advantages make oximetry an invaluable tool for determination the client's need for oxygen therapy and assessing effectiveness of therapy.
The oximeter registers arterial oxygen saturation (SaO2).
An SaO2 greater than 95% is considered normal, whereas values lower than 93% usually indicate the need for oxygen therapy and further assessment.
|
Before induction (baseline), during intubation, at 1st, 2nd and 5th minutes after intubation
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: ERSIN KOKSAL, PROFFOSOR, Ondokuz Mayıs University
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)
November 1, 2018
Primary Completion (Actual)
March 1, 2019
Study Completion (Actual)
March 1, 2019
Study Registration Dates
First Submitted
December 5, 2021
First Submitted That Met QC Criteria
February 7, 2022
First Posted (Actual)
February 17, 2022
Study Record Updates
Last Update Posted (Actual)
February 17, 2022
Last Update Submitted That Met QC Criteria
February 7, 2022
Last Verified
November 1, 2018
More Information
Terms related to this study
Other Study ID Numbers
- B.30.2.ODM.0.20.08/1822
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
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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