This study evaluates success rates of tracheal intubation (passing a breathing tube)for patients who may be more challenging to intubate while utilizing one of two devices that facilitate placement of the tube with video technology.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
DOUBLE
Enrollment
1,100
C-MAC arm
Glidescope arm
Oregon Health & Science University
Portland, Oregon, United States
Intubation Success Rate
Success rate is defined as a single blade insertion with successful tracheal tube placement confirmed by return of end-tidal carbon dioxide
Time frame: 1 week
Intubation Time
Intubation time is defined as the time from blade insertion to first return of end-tidal carbon dioxide
Time frame: 1 week
Graded Score of Laryngeal View Achieved
Laryngeal view is defined by the modified Cormack and Lehane scale (1-4) and is assessed by the clinician and the study team. Grade 1 is considered to be a good view while grade 4 is considered to be a poor view.
Time frame: 1 week
Number of Particpants Requiring Adjuncts to Assist Intubation
The need for use of a gum-elastic bougie or external laryngeal manipulation to facilitate tube placement will be measured by the study team.
Time frame: 1 week
Number of Participants With Observed Complications
Patients will be examined for evidence of mucosal or dental injury upon intervention. Patients will be asked if they have a sore throat in the recovery room, and their medical record will be reviewed to determine if any other airway related complications were observed by the clinical team including the need for reintubation or steroid administration to reduce swelling.
Time frame: 1 week
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