Establish Whether Hyperangulated Videolaryngoscopy (HAVL) Can be Used to Facilitate Tracheal Intubation Effectively and Safely in Unselected Adult Patients; Describe the Population in Whom HAVL Fails to Facilitate Tracheal Intubation Successfully, Identifying Any Contributory Characteristics.
McGrath X-blade Study
When patients have a general anaesthetic (go to sleep for surgery), the anaesthetist often places a small tube into their windpipe (intubation) to help them breathe. To see exactly where to put the tube, the anaesthetist uses a device called a laryngoscope.
A commonly used laryngoscope is the McGrath videolaryngoscope. It has a small camera and screen to help guide safe placement of the tube. It comes in two different shapes - one shaped in the same way laryngoscopes have been shaped for the last 80 years, and another newer design (McGrath X-blade) that matches the curve of patients' tongues better.
All different classes of videolaryngoscope have been shown to have benefits to patients; however, the best videolaryngoscope shape has yet to be determined.
The McGrath X-blade is currently recommended in patients in whom the anaesthetist thinks it might be slightly more difficult to place the tube, but some anaesthetists already prefer to use it in all their patients. This is not a new device or a new technique.
In this study, the investigators wish to explore if there is any special benefit of using it in all patients, by collecting some information when the device is used.
研究概览
研究类型
注册 (估计的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名:Patrick A Ward
- 电话号码:+44(0)1506523064
- 邮箱:patrick.ward@nhs.scot
研究联系人备份
- 姓名:Pamela Milligan
- 电话号码:+44(0)1506523064
- 邮箱:pamela.milligan@nhs.scot
学习地点
-
-
-
Livingston、英国
- St John's Hospital
-
接触:
- Murray Geddes
- 电话号码:+44(0)1506523064
-
-
参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
描述
Inclusion Criteria:
- Adult patients undergoing surgical procedures requiring tracheal intubation as part of their routine anaesthetic care
- Patients undergoing either naso- or oro-tracheal intubation
- Patients undergoing tracheal intubation with or without administration of neuromuscular blocking agents (e.g. those undergoing surgery where facial nerve or recurrent laryngeal nerve monitoring will be utilised)
Exclusion Criteria:
- Patients <18 years of age
- Patients in whom tracheal intubation is not required as part of their routine anaesthetic care
- Patients in whom tracheal intubation was not planned as part of their routine anaesthetic care, but was required as a rescue technique (e.g. for failed insertion of a supraglottic airway) since appropriate patient consent will not have been obtained · Patients that are physiologically unstable (where clinical care must take priority and/or patient is unable to consent for inclusion in the study)
学习计划
研究是如何设计的?
设计细节
- 主要用途:其他
- 分配:不适用
- 介入模型:单组作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的:Use of McGrath X-blade to facilitate tracheal intubation
Unselected adult patients who have been assessed as requiring tracheal intubation for their surgical intervention/ongoing care, will undergo their intubation procedure facilitated by McGrath X-blade
|
Hyperangulated videolaryngoscopy using McGrath X-blade
|
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 |
|---|---|---|
|
First-pass success
大体时间:5 minutes
|
Incidence of successful tracheal intubation at the first attempt (without complications) using the McGrath-X blade
|
5 minutes
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Overall incidence of tracheal intubation success
大体时间:5 minutes
|
Overall incidence of tracheal intubation success with the McGrath-X blade without complications (maximum of 3 attempts with the device)
|
5 minutes
|
|
Incidence of complications
大体时间:5 minutes
|
Incidence of immediate airway-related complications
|
5 minutes
|
合作者和调查者
出版物和有用的链接
一般刊物
- Hansel J, Rogers AM, Lewis SR, Cook TM, Smith AF. Videolaryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation: a Cochrane systematic review and meta-analysis update. Br J Anaesth. 2022 Oct;129(4):612-623. doi: 10.1016/j.bja.2022.05.027. Epub 2022 Jul 9.
- Saul SA, Ward PA, McNarry AF. Airway Management: The Current Role of Videolaryngoscopy. J Pers Med. 2023 Aug 29;13(9):1327. doi: 10.3390/jpm13091327.
研究记录日期
研究主要日期
学习开始 (估计的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- 350850
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)?
药物和器械信息、研究文件
研究美国 FDA 监管的药品
研究美国 FDA 监管的设备产品
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.