Predictive Factors of the Difficult Intubation When Using the Videolaryngoscope

NCT ID: NCT03215823

Last Updated: 2019-02-12

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

Total Enrollment

808 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-07-17

Study Completion Date

2018-11-14

Brief Summary

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The usefulness of videolaryngoscope has been verified by several studies, and the frequency of videolaryngoscopy is increasing in clinical practice. Data on the use of videolaryngoscopes, however, were not sufficiently accumulated when compared with data on the use of previously used macintosh laryngoscopes. In addition, videolaryngoscopy increases the success rate of endotracheal intubation compared to conventional macintosh laryngoscopy, but endotracheal intubation with videolaryngoscope is not successful in all cases with one intubation attempt. Therefore, if the difficult endotracheal intubation with the videolaryngoscope can be predicted in advance, it may be possible to improve the success rate of intubation by reducing unnecessary use of the videolaryngoscope and preparing other equipment. There are many studies on the preoperative examination that can predict the difficulty of intubation when using a macintosh laryngoscope. However, there are still attempts to find screening tests that predict precisely the difficult endotracheal intubation because the accuracy of screening tests is not high. In particular, there is a lack of research on factors that can predict difficult endotracheal intubation when using videolaryngoscope. Therefore, the investigators aimed to investigate the factors predictive of difficult endotracheal intubation when attempting intubation using videolaryngoscope.

Detailed Description

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Conditions

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Endotracheal Intubation Using Videolaryngoscope for General Anesthesia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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1. Easy endotracheal intubation

Easy endotracheal intubation

No interventions assigned to this group

2. Difficult endotracheal intubation

Difficult endotracheal intubation

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1\. Patients who are scheduled for endotracheal intubation using a videolaryngoscope for general anesthesia

Exclusion Criteria

1. Patients who are planned to receive awake intubation
2. Patients who have a tracheostomy tube
3. Patients who do not cooperate in evaluating the head and neck due to mental retardation
4. Trauma patient wearing a neck collar due to cervical fracture
5. Pregnancy
Minimum Eligible Age

19 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yonsei University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Department of Anesthesiology and Pain Medicine

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Stoneham MD. The nasopharyngeal airway. Assessment of position by fibreoptic laryngoscopy. Anaesthesia. 1993 Jul;48(7):575-80. doi: 10.1111/j.1365-2044.1993.tb07119.x.

Reference Type RESULT
PMID: 8346770 (View on PubMed)

Reed DB, Clinton JE. Proper depth of placement of nasotracheal tubes in adults prior to radiographic confirmation. Acad Emerg Med. 1997 Dec;4(12):1111-4. doi: 10.1111/j.1553-2712.1997.tb03691.x.

Reference Type RESULT
PMID: 9408424 (View on PubMed)

Han DW, Shim YH, Shin CS, Lee YW, Lee JS, Ahn SW. Estimation of the length of the nares-vocal cord. Anesth Analg. 2005 May;100(5):1533-1535. doi: 10.1213/01.ANE.0000149900.68354.33.

Reference Type RESULT
PMID: 15845720 (View on PubMed)

Kim HJ, Kim HR, Kim SY, Kim HY, Park WK, Lee MH, Kim HJ. Predictors of difficult intubation when using a videolaryngoscope with an intermediate-angled blade during the first attempt: a prospective observational study. J Clin Monit Comput. 2022 Aug;36(4):1121-1130. doi: 10.1007/s10877-021-00742-9. Epub 2021 Jul 12.

Reference Type DERIVED
PMID: 34251587 (View on PubMed)

Other Identifiers

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1-2017-0035

Identifier Type: -

Identifier Source: org_study_id

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