Video Laryngoscope Versus USB Borescope in Difficult Intubation

Cairo University120 enrolled

Overview

Video Laryngoscope Versus a USB Borescope Aided Endotracheal Intubation in Adults With Anticipated Difficult Airway

For patients allocated to the USB-borescope technique, a proper size endotracheal tube will be placed over the USB-borescope (with an external diameter of 5.5 mm) which will be coated externally with water-soluble lubricant. The proper size laryngoscope blade will be inserted. The USB-borescope will be placed through the oral cavity and will be advanced while tracking it on a mobile phone, it will be advanced to the glottic opening. If needed, rotation of USB-borescope and/or external laryngeal manipulation will be used to align it with the vocal cord. For patients allocated to the intubation over Video Laryngoscope technique, video laryngoscope (Insighters insight is3) proper size blade will be placed and introduction of the Video Laryngoscope till viewing the glottis opening then insertion of a proper sized endotracheal tube

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Enrollment

120

Conditions

Intubation; Difficult or Failed

Interventions

BorescopeDEVICE

Endotracheal intubation using borescope

Video laryngoscopeDEVICE

Endotracheal intubation using video laryngoscope

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * 1.American Society of Anesthesiologist ASA physical status I-II patients. 2.Both genders. 3.Age18-60 years old 4.BMI \<35 5.patients with El-Ganzouri score more than or equal to 4 Exclusion Criteria: * Presence of pulmonary diseases * Uncontrolled hypertension * Ischemic heart disease * Cervical spine fracture * Limited mouth opening * known to have tumors or polyps in the upper airway * History of difficult intubation or difficult bag-mask ventilation * Patients with difficult bag-mask ventilation after induction of anesthesia

Locations (1)

Faculty of Medicine

Cairo, Egypt

Outcomes

Primary Outcomes

Time of intubation

in seconds

Time frame: 5 minutes

Secondary Outcomes

Blood pressure before intubation, every 5 minutes after intubation till 15 minutes after intubation

Systolic, diastolic, and mean arterial blood pressures

Time frame: 15 minutes

Heart rate Heart rate

Heart rate before intubation, every 5 minutes after intubation till 15 minutes after intubation

Time frame: 15 minutes

The degree of view clarity

Cormack-Lehane grading

Time frame: 1 minute

Incidence of complications

Incidence of complications as bleeding, failure

Time frame: 48 hours

Number of trials for correct endotracheal intubation

Number of trial till successful intubation

Time frame: 2 minutes

Data from ClinicalTrials.gov

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