GlideScope® vs GlideScope® + aScope® for Managing Difficult Airways.
NCT ID: NCT02627755
Last Updated: 2017-02-23
Study Results
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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UNKNOWN
NA
160 participants
INTERVENTIONAL
2016-11-21
2017-11-21
Brief Summary
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Detailed Description
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Despite this positive rates, due to high comorbidity when intubation fails, both failure rates (inverse of success rate) are impermissible. 14% failure at the first attempt intubation as well as 4% overall intubation failure.
in this study the investigators try to show that new procedure associating aScope® (disposable fiberscope) together with GlideScope® increases the success intubation rate of both ( overall and first attempt).
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Glide group
Device: Glidescope® use
Glidescope®
use of Glidescope® in conventional manner to facilitate endotracheal intubation
Glide+aScope group
Device: combined use of two airway devices Glidescope® + aScope®
aScope®
we use the aScope® as a flexible and dirigible guide to facilitate the passage of the endotracheal tube through the vocal cords.
Glidescope®
use of Glidescope® in conventional manner to facilitate endotracheal intubation
Interventions
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aScope®
we use the aScope® as a flexible and dirigible guide to facilitate the passage of the endotracheal tube through the vocal cords.
Glidescope®
use of Glidescope® in conventional manner to facilitate endotracheal intubation
Eligibility Criteria
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Inclusion Criteria
* criteria 1: Arne test \>10 (Arne J,1998)
* criteria 2: Ratio between neck circumference and thyromental distance \> 4. (Kim WH, 2011)
Exclusion Criteria
* Patients with indication of flexible fiberoptic intubation with awake patient.
18 Years
ALL
No
Sponsors
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Instituto de Investigacion Sanitaria La Fe
OTHER
Hospital de Manises
OTHER
Responsible Party
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Principal Investigators
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Lucas Rovira Soriano, PhD MD
Role: STUDY_CHAIR
Hospital de Manises
Guido Mazzinari, PhD MD
Role: PRINCIPAL_INVESTIGATOR
Hospital de Manises
Locations
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Hospital de Manises
Manises, Valencia, Spain
Countries
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References
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Griesdale DE, Liu D, McKinney J, Choi PT. Glidescope(R) video-laryngoscopy versus direct laryngoscopy for endotracheal intubation: a systematic review and meta-analysis. Can J Anaesth. 2012 Jan;59(1):41-52. doi: 10.1007/s12630-011-9620-5. Epub 2011 Nov 1.
Aziz MF, Healy D, Kheterpal S, Fu RF, Dillman D, Brambrink AM. Routine clinical practice effectiveness of the Glidescope in difficult airway management: an analysis of 2,004 Glidescope intubations, complications, and failures from two institutions. Anesthesiology. 2011 Jan;114(1):34-41. doi: 10.1097/ALN.0b013e3182023eb7.
Niforopoulou P, Pantazopoulos I, Demestiha T, Koudouna E, Xanthos T. Video-laryngoscopes in the adult airway management: a topical review of the literature. Acta Anaesthesiol Scand. 2010 Oct;54(9):1050-61. doi: 10.1111/j.1399-6576.2010.02285.x. Epub 2010 Jul 28.
Kim WH, Ahn HJ, Lee CJ, Shin BS, Ko JS, Choi SJ, Ryu SA. Neck circumference to thyromental distance ratio: a new predictor of difficult intubation in obese patients. Br J Anaesth. 2011 May;106(5):743-8. doi: 10.1093/bja/aer024. Epub 2011 Feb 24.
Arne J, Descoins P, Fusciardi J, Ingrand P, Ferrier B, Boudigues D, Aries J. Preoperative assessment for difficult intubation in general and ENT surgery: predictive value of a clinical multivariate risk index. Br J Anaesth. 1998 Feb;80(2):140-6. doi: 10.1093/bja/80.2.140.
Guay J, Williams SR, Robin F, Ruel M. Effect of Intravenous Dexamethasone on the Regression of Isobaric Bupivacaine Spinal Anesthesia: A Randomized Controlled Trial. Anesth Analg. 2019 Jun;128(6):e100-e103. doi: 10.1213/ANE.0000000000003670.
Mazzinari G, Rovira L, Henao L, Ortega J, Casasempere A, Fernandez Y, Acosta M, Belaouchi M, Esparza-Minana JM. Effect of Dynamic Versus Stylet-Guided Intubation on First-Attempt Success in Difficult Airways Undergoing Glidescope Laryngoscopy: A Randomized Controlled Trial. Anesth Analg. 2019 Jun;128(6):1264-1271. doi: 10.1213/ANE.0000000000004102.
Other Identifiers
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ROV-GLI-2015-02
Identifier Type: -
Identifier Source: org_study_id
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