Airtraq Versus Fiberoptic for Awake Tracheal Intubation
NCT ID: NCT03539185
Last Updated: 2020-10-19
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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COMPLETED
NA
78 participants
INTERVENTIONAL
2018-06-01
2020-05-18
Brief Summary
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The Airtraq® videolaryngoscope is commonly used for difficult orotracheal intubation. Cases of awake intubation by Airtraq® have been described.
Furthermore, the French Society of Anesthesia-Resuscitation, in its last formalized expert recommendations (2017) on difficult intubation, proposes the use of video laryngoscopes as an alternative to the fiberoptic bronchoscope.
We propose a non-inferiority study evaluating the use of Airtraq® for the realization of a awake intubation compared to the gold standard (fiberoptic bronchoscope). This prospective randomized study should include 78 patients in two groups. The purpose of this study is to improve the comfort of patient and practitioner during an awake tracheal intubation, to facilitate the learning of the technique.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
NONE
Study Groups
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Airtraq
Awake tracheal intubation using airtraq videolaryngoscope.
Videolaryngoscope Airtraq
Awake orotracheal intubation with laryngeal nerve block and remifentanil sedation
Fiberoptic
Awake nasotracheal tracheal intubation using flexible fiberoptic bronchoscope.
Fiberoptic bronchoscope
Awake nasotracheal intubation with laryngeal nerve block and remifentanil sedation
Interventions
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Videolaryngoscope Airtraq
Awake orotracheal intubation with laryngeal nerve block and remifentanil sedation
Fiberoptic bronchoscope
Awake nasotracheal intubation with laryngeal nerve block and remifentanil sedation
Eligibility Criteria
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Inclusion Criteria
* Major patient
* Patient able to understand oral and written information
Exclusion Criteria
* Surgery requires nasotracheal intubation
* Loco-regional anesthesia of larynx impossible
18 Years
ALL
No
Sponsors
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University Hospital, Caen
OTHER
Responsible Party
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Principal Investigators
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Alexandre FRUGIER, Résident
Role: PRINCIPAL_INVESTIGATOR
University Hospital, Caen
Hervé KAMGA, Dr
Role: PRINCIPAL_INVESTIGATOR
University Hospital, Caen
Locations
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CHU de Caen
Caen, Normandy, France
Countries
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References
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Collins SR, Blank RS. Fiberoptic intubation: an overview and update. Respir Care. 2014 Jun;59(6):865-78; discussion 878-80. doi: 10.4187/respcare.03012.
Pintaric TS. UPPER AIRWAY BLOCKS FOR AWAKE DIFFICULT AIRWAY MANAGEMENT. Acta Clin Croat. 2016 Mar;55 Suppl 1:85-9.
Law JA, Morris IR, Brousseau PA, de la Ronde S, Milne AD. The incidence, success rate, and complications of awake tracheal intubation in 1,554 patients over 12 years: an historical cohort study. Can J Anaesth. 2015 Jul;62(7):736-44. doi: 10.1007/s12630-015-0387-y. Epub 2015 Apr 24.
Law JA, Morris IR, Milne AD. The complications of awake tracheal intubation. Can J Anaesth. 2015 Sep;62(9):1023. doi: 10.1007/s12630-015-0402-3. Epub 2015 May 12. No abstract available.
Allan AG. Reluctance of anaesthetists to perform awake intubation. Anaesthesia. 2004 Apr;59(4):413. doi: 10.1111/j.1365-2044.2004.03729.x. No abstract available.
Xu YC, Xue FS, Luo MP, Yang QY, Liao X, Liu Y, Zhang YM. Median effective dose of remifentanil for awake laryngoscopy and intubation. Chin Med J (Engl). 2009 Jul 5;122(13):1507-12.
Dawson AJ, Marsland C, Baker P, Anderson BJ. Fibreoptic intubation skills among anaesthetists in New Zealand. Anaesth Intensive Care. 2005 Dec;33(6):777-83. doi: 10.1177/0310057X0503300613.
Dimitriou VK, Zogogiannis ID, Liotiri DG. Awake tracheal intubation using the Airtraq laryngoscope: a case series. Acta Anaesthesiol Scand. 2009 Aug;53(7):964-7. doi: 10.1111/j.1399-6576.2009.02012.x. Epub 2009 Jun 3.
Suzuki A, Toyama Y, Iwasaki H, Henderson J. Airtraq for awake tracheal intubation. Anaesthesia. 2007 Jul;62(7):746-7. doi: 10.1111/j.1365-2044.2007.05155.x. No abstract available.
Other Identifiers
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2018-A00239-46
Identifier Type: -
Identifier Source: org_study_id
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