Comparison of Two Different Lightwand Intubation Techniques in Cervical Immobilized Patients

N/ACompletedNCT06119360

Kyung Hee University Hospital at Gangdong176 enrolled

Overview

This study compares two different approaches of lightwand intubation techniques in cervical immobilized patients.

This study compares two approaches in lightwand intubation techniques in cervical immobilized patients. One is a conventional approach that involves scooping movement with mandible protraction. The other is a face-to-face approach that inserts lightwand with a front-facing position. This study is conducted as a randomized, prospective, single-blinded design.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

176

Conditions

Intubation; Difficult or Failed

Interventions

Face-to-face approachPROCEDURE

A front-facing approach and insert the lightwand following the patient's tongue base curvature without scooping movement

Conventional approachPROCEDURE

Patients were positioned supine and the intubator stood above the patient's head. Opening the mouth and slightly pulling the mandible with one hand, the intubator inserted the lightwand-tracheal tube assembly at midline into the patient's mouth under the ambient light being turned off. To identify the location of the lighted tip, the intubator could move the lightwand back and forth gently, Once the red light of the tip was located at the midline of the patient's neck, the pre-launched tube was inserted smoothly into the patient's airway unless there was no resistance

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * adults with American Society of Anesthesiologists physical status 1-3 * patients who received scheduled spine surgery under general anesthesia Exclusion Criteria: * patients with body mass index \<18.5 kg/m2 or \>35.0 kg/m2, * patients who previously had head and neck surgery, * patients who are at high risk of aspiration, * patients with pathologic conditions such as tumors, polyps, or inflammation in the airway, * patients who cannot sit due to severe spine deformity, * patients who have compromised cardiopulmonary function patients with clinically significant neurovascular disease

Locations (1)

Kyung Hee University Gangdong Hospital

Seoul, South Korea

Outcomes

Primary Outcomes

Initial success rate

Intubation success rate at the first attempt

Time frame: during intubation

Secondary Outcomes

Intubation time

Total time to the successful intubation

Time frame: during intubation

Data from ClinicalTrials.gov

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