Comparison Airway Devices in Nasotracheal Intubation in Manikin

NCT ID: NCT01311284

Last Updated: 2012-01-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

63 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2011-12-31

Brief Summary

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Nasotracheal intubation is usually required in oral surgery to allow an unrestricted surgical approach. The standard method is generally performed using the Macintosh laryngoscope supported by Magill forceps. However, it is recommended to perform awake tracheal intubation in situations where a difficult airway is predicted, a scenario where this technique may be poorly tolerated by the patient. Although fibreoptic intubation is considered the "gold standard", sometimes it is difficult to perform and,therefore, alternatives are necessary. The hypothesis is that optical laryngoscopes as the Airtraq nasotracheal and Mcgrath can improve the time and/or success of nasotracheal intubation in a manikin.

Detailed Description

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Conditions

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Nasotracheal Intubation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Blinding Strategy

NONE

Study Groups

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Macintosh

Group Type ACTIVE_COMPARATOR

Macintosh laryngoscope, Airtraq NT, Mcgrath laryngoscope

Intervention Type DEVICE

Each participant will use the Macintosh laryngoscope (blade No. 3), laryngoscope Airtraq NT and Mcgrath Laryngoscope under conditions of normal and difficult airway in different simulated scenarios.

Macintosh laryngoscope

Intervention Type DEVICE

intubate with the macintosh laryngoscope

Mcgrath

Group Type ACTIVE_COMPARATOR

Macintosh laryngoscope, Airtraq NT, Mcgrath laryngoscope

Intervention Type DEVICE

Each participant will use the Macintosh laryngoscope (blade No. 3), laryngoscope Airtraq NT and Mcgrath Laryngoscope under conditions of normal and difficult airway in different simulated scenarios.

McGrath

Intervention Type DEVICE

Intubate with McGrath device

Airtraq Nasotracheal

Group Type ACTIVE_COMPARATOR

Macintosh laryngoscope, Airtraq NT, Mcgrath laryngoscope

Intervention Type DEVICE

Each participant will use the Macintosh laryngoscope (blade No. 3), laryngoscope Airtraq NT and Mcgrath Laryngoscope under conditions of normal and difficult airway in different simulated scenarios.

Airtraq Nasotracheal

Intervention Type DEVICE

intubate with Airtraq Nasotracheal

Interventions

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Macintosh laryngoscope, Airtraq NT, Mcgrath laryngoscope

Each participant will use the Macintosh laryngoscope (blade No. 3), laryngoscope Airtraq NT and Mcgrath Laryngoscope under conditions of normal and difficult airway in different simulated scenarios.

Intervention Type DEVICE

Macintosh laryngoscope

intubate with the macintosh laryngoscope

Intervention Type DEVICE

McGrath

Intubate with McGrath device

Intervention Type DEVICE

Airtraq Nasotracheal

intubate with Airtraq Nasotracheal

Intervention Type DEVICE

Other Intervention Names

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Macintosh Airtraq NT Mcgrath

Eligibility Criteria

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Inclusion Criteria

* Be Component of service of anesthesiology C.H.U. A Coruña
* Give voluntary consent to participate in the study

Exclusion Criteria

* Not meet the above criteria
Minimum Eligible Age

23 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Manuel Ángel Gómez-Ríos

OTHER

Sponsor Role lead

Responsible Party

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Manuel Ángel Gómez-Ríos

MD

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Complexo Hospitalario Universitario de A Coruña

A Coruña, A Coruña, Spain

Site Status

Countries

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Spain

References

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Hall CE, Shutt LE. Nasotracheal intubation for head and neck surgery. Anaesthesia. 2003 Mar;58(3):249-56. doi: 10.1046/j.1365-2044.2003.03034.x.

Reference Type BACKGROUND
PMID: 12603455 (View on PubMed)

Gomez-Rios MA, Serradilla LN. Use of the Airtraq(R) optical laryngoscope for nasotracheal intubation in predicted difficult airway management in oral surgery. Can J Anaesth. 2010 Dec;57(12):1136-7. doi: 10.1007/s12630-010-9390-5. Epub 2010 Oct 2. No abstract available.

Reference Type BACKGROUND
PMID: 20890692 (View on PubMed)

Lewis AR, Hodzovic I, Whelan J, Wilkes AR, Bowler I, Whitfield R. A paramedic study comparing the use of the Airtraq, Airway Scope and Macintosh laryngoscopes in simulated prehospital airway scenarios. Anaesthesia. 2010 Dec;65(12):1187-93. doi: 10.1111/j.1365-2044.2010.06514.x. Epub 2010 Oct 19.

Reference Type BACKGROUND
PMID: 20958276 (View on PubMed)

Ueshima H, Asai T. Tracheal intubation in daylight and in the dark: a randomised comparison of the Airway Scope, Airtraq, and Macintosh laryngoscope in a manikin. Anaesthesia. 2010 Jul;65(7):684-7. doi: 10.1111/j.1365-2044.2010.06366.x. Epub 2010 May 28.

Reference Type BACKGROUND
PMID: 20528836 (View on PubMed)

Lopez-Negrete IL, Salinas Aguirre U, Castrillo Villan JL, Rodriguez Delgado T, Colomino Alumbreros J, Aguilera Celorrio L. [Comparison of the view of the glottic opening through Macintosh and AirTraq laryngoscopes in patients undergoing scheduled surgery]. Rev Esp Anestesiol Reanim. 2010 Mar;57(3):147-52. doi: 10.1016/s0034-9356(10)70189-4. Spanish.

Reference Type BACKGROUND
PMID: 20422847 (View on PubMed)

Liu L, Tanigawa K, Kusunoki S, Tamura T, Ota K, Yamaga S, Kida Y, Otani T, Sadamori T, Takeda T, Iwasaki Y, Hirohashi N. Tracheal intubation of a difficult airway using Airway Scope, Airtraq, and Macintosh laryngoscope: a comparative manikin study of inexperienced personnel. Anesth Analg. 2010 Apr 1;110(4):1049-55. doi: 10.1213/ANE.0b013e3181d2aad7.

Reference Type BACKGROUND
PMID: 20357149 (View on PubMed)

McElwain J, Malik MA, Harte BH, Flynn NM, Laffey JG. Comparison of the C-MAC videolaryngoscope with the Macintosh, Glidescope, and Airtraq laryngoscopes in easy and difficult laryngoscopy scenarios in manikins. Anaesthesia. 2010 May;65(5):483-9. doi: 10.1111/j.1365-2044.2010.06307.x. Epub 2010 Mar 19.

Reference Type BACKGROUND
PMID: 20337620 (View on PubMed)

Savoldelli GL, Schiffer E, Abegg C, Baeriswyl V, Clergue F, Waeber JL. Learning curves of the Glidescope, the McGrath and the Airtraq laryngoscopes: a manikin study. Eur J Anaesthesiol. 2009 Jul;26(7):554-8. doi: 10.1097/eja.0b013e3283269ff4.

Reference Type BACKGROUND
PMID: 19522050 (View on PubMed)

Turkstra TP, Pelz DM, Jones PM. Cervical spine motion: a fluoroscopic comparison of the AirTraq Laryngoscope versus the Macintosh laryngoscope. Anesthesiology. 2009 Jul;111(1):97-101. doi: 10.1097/ALN.0b013e3181a8649f.

Reference Type BACKGROUND
PMID: 19512871 (View on PubMed)

Savoldelli GL, Schiffer E, Abegg C, Baeriswyl V, Clergue F, Waeber JL. Comparison of the Glidescope, the McGrath, the Airtraq and the Macintosh laryngoscopes in simulated difficult airways*. Anaesthesia. 2008 Dec;63(12):1358-64. doi: 10.1111/j.1365-2044.2008.05653.x.

Reference Type BACKGROUND
PMID: 19032306 (View on PubMed)

Ndoko SK, Amathieu R, Tual L, Polliand C, Kamoun W, El Housseini L, Champault G, Dhonneur G. Tracheal intubation of morbidly obese patients: a randomized trial comparing performance of Macintosh and Airtraq laryngoscopes. Br J Anaesth. 2008 Feb;100(2):263-8. doi: 10.1093/bja/aem346.

Reference Type BACKGROUND
PMID: 18211999 (View on PubMed)

Maharaj CH, Costello JF, Harte BH, Laffey JG. Evaluation of the Airtraq and Macintosh laryngoscopes in patients at increased risk for difficult tracheal intubation. Anaesthesia. 2008 Feb;63(2):182-8. doi: 10.1111/j.1365-2044.2007.05316.x.

Reference Type BACKGROUND
PMID: 18211450 (View on PubMed)

Maharaj CH, Buckley E, Harte BH, Laffey JG. Endotracheal intubation in patients with cervical spine immobilization: a comparison of macintosh and airtraq laryngoscopes. Anesthesiology. 2007 Jul;107(1):53-9. doi: 10.1097/01.anes.0000267529.71756.f0.

Reference Type BACKGROUND
PMID: 17585215 (View on PubMed)

Maharaj CH, O'Croinin D, Curley G, Harte BH, Laffey JG. A comparison of tracheal intubation using the Airtraq or the Macintosh laryngoscope in routine airway management: A randomised, controlled clinical trial. Anaesthesia. 2006 Nov;61(11):1093-9. doi: 10.1111/j.1365-2044.2006.04819.x.

Reference Type BACKGROUND
PMID: 17042849 (View on PubMed)

Maharaj CH, Costello JF, Higgins BD, Harte BH, Laffey JG. Learning and performance of tracheal intubation by novice personnel: a comparison of the Airtraq and Macintosh laryngoscope. Anaesthesia. 2006 Jul;61(7):671-7. doi: 10.1111/j.1365-2044.2006.04653.x.

Reference Type BACKGROUND
PMID: 16792613 (View on PubMed)

Maharaj CH, Higgins BD, Harte BH, Laffey JG. Evaluation of intubation using the Airtraq or Macintosh laryngoscope by anaesthetists in easy and simulated difficult laryngoscopy--a manikin study. Anaesthesia. 2006 May;61(5):469-77. doi: 10.1111/j.1365-2044.2006.04547.x.

Reference Type BACKGROUND
PMID: 16674623 (View on PubMed)

Maharaj CH, Costello J, Higgins BD, Harte BH, Laffey JG. Retention of tracheal intubation skills by novice personnel: a comparison of the Airtraq and Macintosh laryngoscopes. Anaesthesia. 2007 Mar;62(3):272-8. doi: 10.1111/j.1365-2044.2007.04938.x.

Reference Type BACKGROUND
PMID: 17300305 (View on PubMed)

Maassen R, Lee R, Hermans B, Marcus M, van Zundert A. A comparison of three videolaryngoscopes: the Macintosh laryngoscope blade reduces, but does not replace, routine stylet use for intubation in morbidly obese patients. Anesth Analg. 2009 Nov;109(5):1560-5. doi: 10.1213/ANE.0b013e3181b7303a. Epub 2009 Aug 27.

Reference Type BACKGROUND
PMID: 19713258 (View on PubMed)

Ray DC, Billington C, Kearns PK, Kirkbride R, Mackintosh K, Reeve CS, Robinson N, Stewart CJ, Trudeau T. A comparison of McGrath and Macintosh laryngoscopes in novice users: a manikin study. Anaesthesia. 2009 Nov;64(11):1207-10. doi: 10.1111/j.1365-2044.2009.06061.x.

Reference Type BACKGROUND
PMID: 19825056 (View on PubMed)

Walker L, Brampton W, Halai M, Hoy C, Lee E, Scott I, McLernon DJ. Randomized controlled trial of intubation with the McGrath Series 5 videolaryngoscope by inexperienced anaesthetists. Br J Anaesth. 2009 Sep;103(3):440-5. doi: 10.1093/bja/aep191. Epub 2009 Jul 15.

Reference Type BACKGROUND
PMID: 19605408 (View on PubMed)

Other Identifiers

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MGR-AR-2010-A1

Identifier Type: -

Identifier Source: org_study_id

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