Trial Outcomes & Findings for Comparison Study in Adult Surgical Patients of 5 Airway Devices (NCT NCT00602979)

NCT ID: NCT00602979

Last Updated: 2017-05-19

Results Overview

Percentage distribution of Cook's modification of Cormack-Lehane's grading system. This is a classification that records the best laryngeal view obtained with or without anterior laryngeal pressure. Each study subject will receive a grade of 1, 2A, 2B, 3A, 3B, or 4 in the Cormack-Lehane grading system. Grades 1 and 2A classify as an easy view: when the laryngeal inlet is visible. Grades 2B and 3A classify as restricted: when the posterior glottic structures are visible or the epiglottis is visible and can be lifted. Grades 3B and 4 classify as difficult: when the epiglottis cannot be lifted or when no laryngeal structures are visible. Cook's modification of Cormack-Lehane's Grades 1=1, 2=2A,3=2B, 4=3A, 5=3B, 6=4.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

240 participants

Primary outcome timeframe

1 time during laryngoscopy

Results posted on

2017-05-19

Participant Flow

Participant milestones

Participant milestones
Measure
Macintosh Laryngoscope
Macintosh laryngoscope (control group/direct laryngoscopy) - current standard Macintosh laryngoscope: Used during laryngoscopy to facilitate intubation.
Airtraq Optical Laryngoscope
Airtraq® Optical Laryngoscope (an experimental group/indirect laryngoscopy) Airtraq® Optical Laryngoscope: Used during laryngoscopy to facilitate intubation.
Storz DCI Video Laryngoscope
Storz DCI Video Laryngoscope® (an experimental group/indirect laryngoscopy) Storz DCI Video Laryngoscope®: Used during laryngoscopy to facilitate intubation
GlideScope Video Laryngoscope
GlideScope® Video Laryngoscope (an experimental group/indirect laryngoscopy) GlideScope® Video Laryngoscope: Used during laryngoscopy to facilitate intubation
McGRATH Video Laryngoscope
McGRATH® Video Laryngoscope (an experimental group/indirect laryngoscopy) McGRATH® Video Laryngoscope: Used during laryngoscopy to facilitate intubation
Overall Study
STARTED
48
48
48
48
48
Overall Study
COMPLETED
45
45
45
45
45
Overall Study
NOT COMPLETED
3
3
3
3
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Macintosh Laryngoscope
Macintosh laryngoscope (control group/direct laryngoscopy) - current standard Macintosh laryngoscope: Used during laryngoscopy to facilitate intubation.
Airtraq Optical Laryngoscope
Airtraq® Optical Laryngoscope (an experimental group/indirect laryngoscopy) Airtraq® Optical Laryngoscope: Used during laryngoscopy to facilitate intubation.
Storz DCI Video Laryngoscope
Storz DCI Video Laryngoscope® (an experimental group/indirect laryngoscopy) Storz DCI Video Laryngoscope®: Used during laryngoscopy to facilitate intubation
GlideScope Video Laryngoscope
GlideScope® Video Laryngoscope (an experimental group/indirect laryngoscopy) GlideScope® Video Laryngoscope: Used during laryngoscopy to facilitate intubation
McGRATH Video Laryngoscope
McGRATH® Video Laryngoscope (an experimental group/indirect laryngoscopy) McGRATH® Video Laryngoscope: Used during laryngoscopy to facilitate intubation
Overall Study
Lost to Follow-up
3
2
3
2
3
Overall Study
Failed Intubation
0
1
0
1
0

Baseline Characteristics

Comparison Study in Adult Surgical Patients of 5 Airway Devices

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Macintosh Laryngoscope
n=48 Participants
Macintosh laryngoscope (control group/direct laryngoscopy) - current standard Macintosh laryngoscope: Used during laryngoscopy to facilitate intubation.
Airtraq Optical Laryngoscope
n=48 Participants
Airtraq® Optical Laryngoscope (an experimental group/indirect laryngoscopy) Airtraq® Optical Laryngoscope: Used during laryngoscopy to facilitate intubation.
Storz DCI Video Laryngoscope
n=48 Participants
Storz DCI Video Laryngoscope® (an experimental group/indirect laryngoscopy) Storz DCI Video Laryngoscope®: Used during laryngoscopy to facilitate intubation
GlideScope Video Laryngoscope
n=48 Participants
GlideScope® Video Laryngoscope (an experimental group/indirect laryngoscopy) GlideScope® Video Laryngoscope: Used during laryngoscopy to facilitate intubation
McGRATH Video Laryngoscope
n=48 Participants
McGRATH® Video Laryngoscope (an experimental group/indirect laryngoscopy) McGRATH® Video Laryngoscope: Used during laryngoscopy to facilitate intubation
Total
n=240 Participants
Total of all reporting groups
Age, Continuous
50.3 years
STANDARD_DEVIATION 16.9 • n=5 Participants
46.1 years
STANDARD_DEVIATION 13.5 • n=7 Participants
47.8 years
STANDARD_DEVIATION 15.4 • n=5 Participants
50.0 years
STANDARD_DEVIATION 15.2 • n=4 Participants
49.3 years
STANDARD_DEVIATION 15.8 • n=21 Participants
48.7 years
STANDARD_DEVIATION 15.4 • n=10 Participants
Sex: Female, Male
Female
20 Participants
n=5 Participants
25 Participants
n=7 Participants
21 Participants
n=5 Participants
25 Participants
n=4 Participants
23 Participants
n=21 Participants
114 Participants
n=10 Participants
Sex: Female, Male
Male
28 Participants
n=5 Participants
23 Participants
n=7 Participants
27 Participants
n=5 Participants
23 Participants
n=4 Participants
25 Participants
n=21 Participants
126 Participants
n=10 Participants

PRIMARY outcome

Timeframe: 1 time during laryngoscopy

Percentage distribution of Cook's modification of Cormack-Lehane's grading system. This is a classification that records the best laryngeal view obtained with or without anterior laryngeal pressure. Each study subject will receive a grade of 1, 2A, 2B, 3A, 3B, or 4 in the Cormack-Lehane grading system. Grades 1 and 2A classify as an easy view: when the laryngeal inlet is visible. Grades 2B and 3A classify as restricted: when the posterior glottic structures are visible or the epiglottis is visible and can be lifted. Grades 3B and 4 classify as difficult: when the epiglottis cannot be lifted or when no laryngeal structures are visible. Cook's modification of Cormack-Lehane's Grades 1=1, 2=2A,3=2B, 4=3A, 5=3B, 6=4.

Outcome measures

Outcome measures
Measure
Macintosh Laryngoscope
n=45 Participants
Macintosh laryngoscope (control group/direct laryngoscopy) - current standard Macintosh laryngoscope: Used during laryngoscopy to facilitate intubation.
Airtraq Optical Laryngoscope
n=45 Participants
Airtraq® Optical Laryngoscope (an experimental group/indirect laryngoscopy) Airtraq® Optical Laryngoscope: Used during laryngoscopy to facilitate intubation.
Storz DCI Video Laryngoscope
n=45 Participants
Storz DCI Video Laryngoscope® (an experimental group/indirect laryngoscopy) Storz DCI Video Laryngoscope®: Used during laryngoscopy to facilitate intubation
GlideScope Video Laryngoscope
n=45 Participants
GlideScope® Video Laryngoscope (an experimental group/indirect laryngoscopy) GlideScope® Video Laryngoscope: Used during laryngoscopy to facilitate intubation
McGRATH Video Laryngoscope
n=45 Participants
McGRATH® Video Laryngoscope (an experimental group/indirect laryngoscopy) McGRATH® Video Laryngoscope: Used during laryngoscopy to facilitate intubation
Percentage Distribution of Cook's Modification of Cormack-Lehane's Grading System. Each Study Subject Will Receive a Grade of 1, 2A, 2B, 3A, 3B, or 4 in the Cormack-Lehane Grading System.
1.98 units on a scale
Standard Deviation 1.96
1.18 units on a scale
Standard Deviation 0.44
1.27 units on a scale
Standard Deviation 0.54
1.47 units on a scale
Standard Deviation 0.59
1.13 units on a scale
Standard Deviation 0.34

Adverse Events

Macintosh Laryngoscope

Serious events: 2 serious events
Other events: 0 other events
Deaths: 0 deaths

Airtraq Optical Laryngoscope

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Storz DCI Video Laryngoscope

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

GlideScope Video Laryngoscope

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

McGRATH Video Laryngoscope

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Macintosh Laryngoscope
n=48 participants at risk
Macintosh laryngoscope (control group/direct laryngoscopy) - current standard Macintosh laryngoscope: Used during laryngoscopy to facilitate intubation.
Airtraq Optical Laryngoscope
n=48 participants at risk
Airtraq® Optical Laryngoscope (an experimental group/indirect laryngoscopy) Airtraq® Optical Laryngoscope: Used during laryngoscopy to facilitate intubation.
Storz DCI Video Laryngoscope
n=48 participants at risk
Storz DCI Video Laryngoscope® (an experimental group/indirect laryngoscopy) Storz DCI Video Laryngoscope®: Used during laryngoscopy to facilitate intubation
GlideScope Video Laryngoscope
n=48 participants at risk
GlideScope® Video Laryngoscope (an experimental group/indirect laryngoscopy) GlideScope® Video Laryngoscope: Used during laryngoscopy to facilitate intubation
McGRATH Video Laryngoscope
n=48 participants at risk
McGRATH® Video Laryngoscope (an experimental group/indirect laryngoscopy) McGRATH® Video Laryngoscope: Used during laryngoscopy to facilitate intubation
Eye disorders
Corneal Laceration
2.1%
1/48 • Number of events 1
0.00%
0/48
0.00%
0/48
0.00%
0/48
0.00%
0/48
Vascular disorders
Iliac Vein Rupture
2.1%
1/48 • Number of events 1
0.00%
0/48
0.00%
0/48
0.00%
0/48
0.00%
0/48
Blood and lymphatic system disorders
Right Tonsillar Pillar Laceration
0.00%
0/48
0.00%
0/48
0.00%
0/48
0.00%
0/48
2.1%
1/48 • Number of events 1

Other adverse events

Other adverse events
Measure
Macintosh Laryngoscope
n=48 participants at risk
Macintosh laryngoscope (control group/direct laryngoscopy) - current standard Macintosh laryngoscope: Used during laryngoscopy to facilitate intubation.
Airtraq Optical Laryngoscope
n=48 participants at risk
Airtraq® Optical Laryngoscope (an experimental group/indirect laryngoscopy) Airtraq® Optical Laryngoscope: Used during laryngoscopy to facilitate intubation.
Storz DCI Video Laryngoscope
n=48 participants at risk
Storz DCI Video Laryngoscope® (an experimental group/indirect laryngoscopy) Storz DCI Video Laryngoscope®: Used during laryngoscopy to facilitate intubation
GlideScope Video Laryngoscope
n=48 participants at risk
GlideScope® Video Laryngoscope (an experimental group/indirect laryngoscopy) GlideScope® Video Laryngoscope: Used during laryngoscopy to facilitate intubation
McGRATH Video Laryngoscope
n=48 participants at risk
McGRATH® Video Laryngoscope (an experimental group/indirect laryngoscopy) McGRATH® Video Laryngoscope: Used during laryngoscopy to facilitate intubation
General disorders
Swollen Lip
0.00%
0/48
0.00%
0/48
0.00%
0/48
0.00%
0/48
2.1%
1/48 • Number of events 1

Additional Information

Michele Steinkamp

Weill Cornell Medicine

Phone: 212-746-2953

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place