GlideScope Versus Direct Laryngoscope for Emergency Intubation

NCT ID: NCT01235065

Last Updated: 2023-06-01

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 623 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2008-07-31
• Study Completion Date: 2016-11-16

Brief Summary

The purpose of this study is to assess if the GlideScope video laryngoscope is superior to the Macintosh direct laryngoscope for definitive airway management in acutely-injured patients.

Detailed Description

On admission to the emergency department following traumatic injury, many patients require placement of an artificial airway to support their breathing, provide oxygen and protect their airway. This procedure is accomplished through a number of different techniques and few studies have compared these techniques in order to establish the best method. We will compare an older technique using a metal handle and blade that allows for direct visualization of the vocal cords (direct laryngoscopy) to a newer technique that employs a fiberoptic bundle imbedded in a handle that allows indirect visualization of the vocal cords during placement of the artificial airway. The newer technique has the theoretical advantage of being more useful in patients with abnormal airways which are frequently encountered in trauma patients. Since both techniques are currently employed routinely in our institution, we will randomize all trauma admission to have an initial attempt with one of the two techniques in order to perform a randomized, unblinded trial.

Conditions

Oral Intubation

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

direct laryngoscope

emergency intubation with direct laryngoscopy technique

Group Type: ACTIVE_COMPARATOR

type of laryngoscope

Intervention Type: DEVICE

Patients who require emergency rapid sequence intubation are randomized to intubation with either the direct laryngoscope or the video laryngoscope

video laryngoscope

emergency intubation with video laryngoscopy technique

Group Type: ACTIVE_COMPARATOR

type of laryngoscope

Intervention Type: DEVICE

Patients who require emergency rapid sequence intubation are randomized to intubation with either the direct laryngoscope or the video laryngoscope

Interventions

type of laryngoscope

Patients who require emergency rapid sequence intubation are randomized to intubation with either the direct laryngoscope or the video laryngoscope

Intervention Type: DEVICE

Other Intervention Names

Macintosh direct laryngoscope vs. GlideScope video laryngoscope

Eligibility Criteria

Inclusion Criteria

• require emergency intubation

Exclusion Criteria

• age < 18
• require surgical airway on initial assessment
• have known or strongly suspected spinal cord injury

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Maryland, Baltimore

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Dale Yeatts, MD

Role: PRINCIPAL_INVESTIGATOR

University of Maryland

Locations

R Adams Cowley Shock Trauma Center

Baltimore, Maryland, United States

Countries

United States

Other Identifiers

HP-00042451

Identifier Type: -

Identifier Source: org_study_id