The purpose of this study is to compare the GlideScope ® and the Fastrach TM for intubation of morbidly obese. Mainly we will try to clarify which of the instruments that produce the shortest intubationtime and lowest number of intubationattempts. The hypothesis is that intubation would be 1) quicker and 2) with the lowest number of attempts, using the GlideScope®.
The number of obese people rises. Thus 25.2% of Danish 9th graders are obese. As a result, surgery and anesthesia in obese patients becomes more frequent. Several potential problems related to anesthesia in this patient group exists, including airway management and sufficient oxygenation. Anaesthesia of obese patients are more likely to require intubation. In light of the foregoing, it is therefore important to find the methods that provide the fewest complications related to intubation. Therefore this study compare two instruments (Fastrach TM and GlideScope ®) to find out which of the methods that provides the best airway management, measured primarily in time and numbers of intubation attempts.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
100
The GlideScope is an anatomically shaped, rigid, fibreoptic videolaryngoscope.
The Fastrach is an intubation laryngeal mask.
Department of Anesthesiology, Copenhagen University Hospital
Glostrup, Region Sjælland, Denmark
Privathospitalet Hamlet
Soeborg, Region Sjælland, Denmark
Number of Patients Intubated in the First Attempt
The intubation attempt was considered a failure if the GS or the FT was removed from the patient's mouth and required reinsertion or if the cuff had been inflated and the tube needed to be replaced (e.g., in oesophageal intubation).
Time frame: please see description
Time to Intubate
Time frame: From when the anaesthetist picked up the GS / FT until a typical capnogram was seen on the capnograph.
Lowest Saturation During Intubation.
Time frame: measured on the monitor
Mucosal Lesion
Time frame: inspection during intubation and one hour postop.
Subjectively Intubation Difficulty
Time frame: measured immediately on a visual analogue scale.
Intubation of the Esophagus.
Time frame: detected immediately
Postoperative Hoarseness.
Time frame: one hour postoperative.
Postoperative Throat Pain.
Time frame: one hour postoperative
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