Videolaryngoscope Versus Fiberoptic Bronchoscope for the Awake Intubation

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2015-12-31

Brief Summary

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Endotracheal intubation of the morbidly obese is often performed awake. Fiberoptic bronchoscope assisted endotracheal intubation, a commonly utilized technique for securing an airway while a patient is awake, has many limitations. The video laryngoscope is a device that is similar to a conventional laryngoscope but uses a video system to visualize the larynx. Because of its low cost, ease of use, and usefulness in the presence of edema or bleeding that may obstruct the airway, video assisted laryngoscopy has been shown to be useful for awake endotracheal intubations. However, a direct comparison of the fiberoptic bronchoscope with video assisted laryngoscopy has not been performed for awake endotracheal intubations in of obese patients. Patients undergoing laparoscopic gastric bypas andrecquiring awake intubations will be randomized for either fiberoptic bronchoscope or video assisted laryngoscopy. The investigators primary outcome will be the time required for successful intubation.

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Detailed Description

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Conditions

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Need of Awake Intubation for Difficult Airways

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Participants

Study Groups

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Videolaryngoscope

Intubation by videolaryngoscope

Group Type ACTIVE_COMPARATOR

Videolaryngoscope

Intervention Type DEVICE

Fiberoptic

Intubation by fibroscope

Group Type ACTIVE_COMPARATOR

Fiberoptic

Intervention Type DEVICE

Interventions

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Videolaryngoscope

Intervention Type DEVICE

Fiberoptic

Intervention Type DEVICE

Other Intervention Names

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Intubation by Glidoscope

Eligibility Criteria

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Inclusion Criteria

* morbidly obese patient presenting for bariatric surgery at the Royal Victoria Hospital

Exclusion Criteria

* moderate to severe systemic illness, i.e. American Society of Anesthesiologists (ASA) score of 4 or higher
* inability to communicate in English or French
* contraindications to the drugs used in the study

Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No