Patients presenting for elective surgery requiring orotracheal intubation will be randomized to having the ETT inserted into the pharynx simultaneous to GlideScope insertion and then having the ETT advanced under GlideScope guidance into the trachea, or, being intubated in the more common fashion with the GlideScope being inserted first and having the ETT then advanced via the pharynx into the trachea.
Patients presenting for elective surgery requiring orotracheal intubation will be randomized to having the ETT inserted into the pharynx simultaneous to GlideScope insertion and then having the ETT advanced under GlideScope guidance into the trachea, or, being intubated in the more common 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. Secondary outcomes include: 1) Ease of intubation as noted by operator (measured on a 10-cm Visual Analogue Scale) 2) Number of intubation attempts 3) Number of failures to intubate 4) Use of external laryngeal pressure 5) Laryngoscopic grade distribution
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
50
Intubation with GlideScope and ETT inserted simultaneously
Intubation with GlideScope inserted first and ETT insertion after the GlideScope view is obtained
St. Joseph's Health Care
London, Ontario, Canada
London Health Sciences Center University Hospital
London, Ontario, Canada
Duration of Intubation
Duration of Intubation from mask removal to confirmation of ETCO2
Time frame: During the intubation
Ease of Intubation
100 mm visual analog scale
Time frame: Within 5 minutes of the completion of the intubation
Number of intubation attempts
Number of intubation attempts
Time frame: Within 5 minutes of the completion of the intubation
Failure to intubate
Failure to intubate
Time frame: Within 5 minutes of the completion of the intubation
Laryngoscopic Grade
Cormack \& Lehane grade
Time frame: Within 5 minutes of the completion of the intubation
Oropharyngeal Trauma
Blind suction of the oropharynx immediately post intubation
Time frame: Within 5 minutes of the completion of the intubation
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