Does McGRATH® MAC Videolaryngoscope Decrease the Number of People Required to Perform Intubation During Anesthesia ?

Hopital Foch300 enrolled

Overview

The main objective of this study is to compare the proportion of tracheal intubations for which more than one person is necessary when using the McGRATH® MAC videolaryngoscope.

Videolaryngoscopes, such as McGRATH® MAC videolaryngoscope, are used to facilitate tracheal intubations. This study is designed to evaluate the proportion of cases requiring more than one member of the anesthesiology team when the video feature of McGRATH® MAC is available during laryngoscopy in a population of patients without a predicted difficult intubation (Arne's score \<11). General anesthesia from induction until tracheal intubation is recorded on a video for further analysis. Analysis includes characteristics of intubation, patient's monitoring and cooperation between anesthesiologists in two groups. In the control group, the screen of the McGRATH® MAC videolaryngoscope is hidden. In the experimental group, the McGRATH® MAC videolaryngoscope is used with its video feature.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

300

Conditions

Anesthesia

Interventions

Laryngoscope with videoDEVICE

Intubation with video-laryngoscope McGrath with use of the video feature

Laryngoscope without videoDEVICE

Endotracheal intubation with video-laryngoscope McGrath without use of the video feature

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Aged 18 years old minimum * Requiring general anesthesia and orotracheal intubation with a single lumen tube * Having signed an inform consent form * Having a telephone and agreeing to communicate their phone number * Benefiting from a social insurance scheme or beneficiary Exclusion Criteria: * Pregnant or breast-feeding women * Patients taken care in ambulatory surgery who could not be contacted within 24 hours following surgery * Patients having a predicted difficult intubation (Arné's score ≥ 11) or predicted difficult mask ventilation * patients requiring a rapid-sequence intubation * patients for whom general anesthesia using sufentanil, propofol, atracurium or rocuronium is not suitable.

Locations (4)

Institut Hospitalier Franco Britannique

Levallois-Perret, France

Fondation Ophtalmologique Adolphe de Rothschild

Paris, France

Centre Clinical

Soyaux, France

Hopital Foch

Suresnes, France

Outcomes

Primary Outcomes

Number of people needed for tracheal intubation when the video feature of McGRATH® MAC videolaryngoscope is available

Intubation is video and audio recorded for further analysis. The availability of the video feature of McGRATH® MAC is hidden from the recording. Only the number of people required and the intubation characteristics can be seen on the video.

Time frame: 30 minutes

Secondary Outcomes

Cooperation between members of the anesthesiology team during intubation

Based on the video recording: Use of the Kraus Scale (based on "Kraus M, Huang C, Keltner D: Tactile Communication, Cooperation and Performance. Emotion, 2010, 10, 745-9") evaluating communication and gestures within the team

Time frame: 30 minutes

Intubation difficulty Scale (IDS)

Time frame: 30 minutes

Number of hands necessary for tracheal intubation

Based on the video recording: 2 hands when one person intubates by itself without any help, 3 or 4 hands when assistance is given by a second anesthesiologist. 5 to 6 hands when a third person is needed.

Time frame: 30 minutes

Time to intubate

Based on the video recording: from the entrance of the blade in the patient's mouth until the presence of the first capnogram

Time frame: 30 minutes

Esophageal intubation

No capnograms during mechanical ventilation once intubation is performed

Time frame: 30 minutes

Intubation failure

Based on the video recording

Data from ClinicalTrials.gov

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