Comparison of Early Endotracheal Tube Insertion With GlideScope Use

London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's160 enrolled

Overview

Patients presenting for elective surgery will be randomized to having the breathing tube inserted partly into the throat prior to GlideScope insertion, or having it inserted fully after GlideScope insertion.

Patients presenting for elective surgery requiring orotracheal intubation will be randomized to having the Early Endotracheal Tube (ETT) inserted into the pharynx prior to GlideScope insertion and then having the ETT advanced under GlideScope guidance into the trachea, or, being intubated in the standard fashion with the GlideScope being inserted first and having the ETT then advanced via the pharynx into the trachea. The primary outcome is time to intubation.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

160

Conditions

Endotracheal Intubation

Interventions

ETT First (GlideScope)DEVICE

Patients will have the endotracheal tube (ETT) introduced into the pharynx under direct vision prior to GlideScope insertion. The ETT will then be advanced under GlideScope guidance into the trachea.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 85 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Any adult patient booked for elective surgery requiring orotracheal intubation. 2. Any operator who has performed ≥ 20 GlideScope intubations. Exclusion Criteria: 1. Any patient in whom the use of the GlideScope is contraindicated in the opinion of the attending anesthesiologist. 2. Any patient with cervical spine abnormalities. 3. Any patients with known or probable difficult airways. 4. Any patient requiring rapid sequence induction.

Locations (2)

St. Joseph's Health Care

London, Ontario, Canada

London Health Sciences Center

London, Ontario, Canada

Outcomes

Primary Outcomes

Time to Intubation

Duration of intubation of the patient

Time frame: Day 1

Secondary Outcomes

Ease of intubation

Ease of intubation, measured on a Visual analog scale

Time frame: Day 1

Number of intubation attempts

Time frame: Day 1

Use of external laryngeal pressure

Time frame: Day 1

Sore throat

Post operative sore throat, as rated by the patient.

Time frame: Day 3

Data from ClinicalTrials.gov

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