Intraoperative Video Laryngoscopy as Adjunct for Nerve Monitoring

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

125 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-17

Study Completion Date

2022-01-18

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study is to describe the impact of adding intraoperative video laryngoscopy (IOVL) to intraoperative laryngeal nerve monitoring (IOLNM) during neck procedures when IOLNM is routinely used, including thyroidectomy and re-operative parathyroidectomy. Specifically, the study team seeks to assess how frequently the use of IOVL provided confirmatory or additional information that may affect surgeon decision-making when IOLNM alone is ambiguous, or when there is equipment malfunction or failure. The IOVL is a disposable, otherwise standard fiberoptic laryngoscope (Larynxview, Neurovision Medical, Ventura CA) that is inserted alongside the endotracheal tube following intubation for surgical procedures. It allows assessment of vocal cord movement in response to nerve stimulation. Currently, the use of IOLNM is based on audio cues, and visual assessment of external laryngeal muscle movement during surgery in response to stimulation, but no direct assessment of vocal cord movement is routinely possible. This information can be ambiguous and subject to judgement of the surgeon. The addition of IOVL provides direct assessment to vocal cord movement in response to stimulus, and may be useful in light of ambiguous IOLNM data, or limited visualization of external laryngeal muscles.

Related Clinical Trials

Explore similar clinical trials based on study characteristics and research focus.

Evaluation of Video Laryngoscopy in Patients With Head and Neck Pathology

NCT03265938

Difficult Intubation

COMPLETED

Improvement of the Glottic View by Video Laryngoscope

NCT04620434

Laryngoscope Intubation Laryngoscopy

UNKNOWN

Safety and Efficacy of Endotracheal Intubation Using Glidescope Video-Laryngoscope

NCT01683526

Respiratory Failure

COMPLETED NA

The Videolaryngoscopy Versus Direct Laringoscopy for Residents Intubation Study

NCT06842082

Intubation Intratracheal Airway Management

RECRUITING NA

The Effect of McGrath Video Laryngoscope on the Glottic View at Thyroid Surgery Position

NCT05251194

Thyroid Surgery

COMPLETED NA

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Vocal Cord Function in Neck Procedures

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NA

Intervention Model

SINGLE_GROUP

All patients enrolled in the study will be in a single group.

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Intraoperative Video Laryngoscopy

Participants undergoing neck procedures

Group Type EXPERIMENTAL

Intraoperative Video Laryngoscopy

Intervention Type DEVICE

The IOVL is a disposable, otherwise standard fiberoptic laryngoscope that is inserted alongside the endotracheal tube following intubation for surgical procedures.

Glycopyrrolate

Intervention Type DRUG

0.004mg/kg as per routine prior to intubation

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Intraoperative Video Laryngoscopy

The IOVL is a disposable, otherwise standard fiberoptic laryngoscope that is inserted alongside the endotracheal tube following intubation for surgical procedures.

Intervention Type DEVICE

Glycopyrrolate

0.004mg/kg as per routine prior to intubation

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

IOVL

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Age 18 and older with capacity to make all medical decisions
* Medical indication for partial or total thyroidectomy, re-operative parathyroidectomy, or neck dissection