"Neutral Head Position" and "Head-lift Position" for Orotracheal Intubation With "Trachway" Intubating Stylet in Adults
2016年10月17日 更新者:Wei-Hung Chan、Tri-Service General Hospital
"Neutral Head Position" and "Head-lift Position" for Orotrachwal Intubation With "Trachway" Intubating Stylet in Adults
The purpose of this study is to investigate two different patient's head and neck positions(neutral head position and head-lift position) for the effectiveness of orotracheal intubation with using the "Clarus Video System (Trachway®)" intubating stylet.
研究概览
详细说明
The sniffing position has traditionally been considered the optimal head position for direct laryngoscopy, However, it may aggravate cervical spine injury.
The Trachway® video stylet is an intubating device that may avoid cervical movement during intubation.
Nonetheless, the effectiveness of limited neck movement in patients with neutral head or head-lift position using the Trachway® video stylet remains unclear.
The purpose of this study was to compare the intubation time of the two positions with the Trachway® video stylet.
研究类型
介入性
注册 (实际的)
130
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。
学习地点
-
-
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Taipei、台湾、114
- Tri-Service General Hospital
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-
参与标准
研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
20年 至 80年 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
- patients scheduled for various surgeries requiring general anesthesia with tracheal intubation
- American Society of Anesthesiologists(ASA) physical status classification I-III
Exclusion Criteria:
- pneumothorax
- room air saturation by pulse oximeter saturation less than 96%
- vocal cord palsy
- craniofacial anomaly
- congenital upper airway anomaly
- upper airway disease
- cervical spine pathology
- head and neck tumor status post radiotherapy
- an increased risk of regurgitation or pulmonary aspiration
- a history of difficult tracheal intubation
学习计划
本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:单身的
武器和干预
参与者组/臂 |
干预/治疗 |
---|---|
实验性的:Head-lift Position
The patients' head was placed in the head-lift position(A 7 cm high pillow was set beneath the patients' head with head in neutral position) and then the patient was intubated with Trachway by single-handed chin lift technique
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A 7 cm high pillow was set beneath the patients' head with head in neutral position for intubation.
A 7 cm high pillow was set beneath the patients' head with head in neutral position for intubation.
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无干预:Neutral Position
The patients' head was placed in the neutral position and then the patient was intubated with Trachway by single-handed chin lift technique
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Intubation Time
大体时间:from the intubating stylet touched the mouth to the capnogram shown, up to 30 seconds, and the sum of all attempts
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the interval from the intubating stylet touched the mouth to capnogram shown, with all attempts, and was recorded by an independent observer with a stop watch.
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from the intubating stylet touched the mouth to the capnogram shown, up to 30 seconds, and the sum of all attempts
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Modified Cormack-Lehane Grade
大体时间:during intubation, after epiglottis was identified on the video monitor
|
The laryngeal view was graded by the observer with modified Cormack-Lehane grade after epiglottis was identified on the video monitor. Scale range (1, 2, 3, 4). Grade 1 is considered to be a better outcome while grade 4 is considered to be a worse outcome. |
during intubation, after epiglottis was identified on the video monitor
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Mean Arterial Pressure
大体时间:before and after intubation, up to 5 minutes
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compare the mean arterial pressure between two groups.
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before and after intubation, up to 5 minutes
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Visual Analog Scale of Sore Throat
大体时间:after anesthesia emergence 30 minutest, at post-anesthesia care unit
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All patients were asked to rate the degree of sore throat, using a visual analogue scale after anesthesia emergence in the post-anesthesia care unit. Scale range: 0-10. 0 is considered to be a better outcome while 10 is a worse outcome. |
after anesthesia emergence 30 minutest, at post-anesthesia care unit
|
合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2014年12月1日
初级完成 (实际的)
2015年10月1日
研究完成 (实际的)
2015年10月1日
研究注册日期
首次提交
2015年10月13日
首先提交符合 QC 标准的
2015年10月16日
首次发布 (估计)
2015年10月19日
研究记录更新
最后更新发布 (估计)
2016年12月9日
上次提交的符合 QC 标准的更新
2016年10月17日
最后验证
2016年10月1日
更多信息
与本研究相关的术语
其他研究编号
- 2-103-05-125
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.
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