Comparison of Two Different Lightwand Intubation Techniques in Cervical Immobilized Patients

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

Clinical Phase

NA

Total Enrollment

176 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-12

Study Completion Date

2019-08-31

Brief Summary

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This study compares two different approaches of lightwand intubation techniques in cervical immobilized patients.

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Detailed Description

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This study compares two approaches in lightwand intubation techniques in cervical immobilized patients. One is a conventional approach that involves scooping movement with mandible protraction. The other is a face-to-face approach that inserts lightwand with a front-facing position. This study is conducted as a randomized, prospective, single-blinded design.

Conditions

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Intubation; Difficult or Failed

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Participants

Study Groups

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Group Conventional

Conventional approach using group in lightwand intubation

Group Type OTHER

Conventional approach

Intervention Type PROCEDURE

Patients were positioned supine and the intubator stood above the patient's head. Opening the mouth and slightly pulling the mandible with one hand, the intubator inserted the lightwand-tracheal tube assembly at midline into the patient's mouth under the ambient light being turned off. To identify the location of the lighted tip, the intubator could move the lightwand back and forth gently, Once the red light of the tip was located at the midline of the patient's neck, the pre-launched tube was inserted smoothly into the patient's airway unless there was no resistance

Group Face-to-Face

Face-to-face approach using group in lightwand intubation

Group Type OTHER

Face-to-face approach

Intervention Type PROCEDURE

A front-facing approach and insert the lightwand following the patient's tongue base curvature without scooping movement

Interventions

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Face-to-face approach

A front-facing approach and insert the lightwand following the patient's tongue base curvature without scooping movement

Intervention Type PROCEDURE

Conventional approach

Patients were positioned supine and the intubator stood above the patient's head. Opening the mouth and slightly pulling the mandible with one hand, the intubator inserted the lightwand-tracheal tube assembly at midline into the patient's mouth under the ambient light being turned off. To identify the location of the lighted tip, the intubator could move the lightwand back and forth gently, Once the red light of the tip was located at the midline of the patient's neck, the pre-launched tube was inserted smoothly into the patient's airway unless there was no resistance

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* adults with American Society of Anesthesiologists physical status 1-3
* patients who received scheduled spine surgery under general anesthesia

Exclusion Criteria

* patients with body mass index \<18.5 kg/m2 or \>35.0 kg/m2,
* patients who previously had head and neck surgery,
* patients who are at high risk of aspiration,
* patients with pathologic conditions such as tumors, polyps, or inflammation in the airway,
* patients who cannot sit due to severe spine deformity,
* patients who have compromised cardiopulmonary function patients with clinically significant neurovascular disease

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No