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
252 participants
INTERVENTIONAL
2022-06-01
2025-09-30
Brief Summary
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Detailed Description
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Videolaryngoscopes can be classified as standard or hyperangulated based on blade angulation. The results of clinical studies on hyperangulated videolaryngoscopes for DLT placement have been inconsistent, particularly regarding intubation time. While some hyperangulated videolaryngoscopes have demonstrated superiority over the macintosh (Mac) blade laryngoscope in normal airway patients, others have not. These discrepancies may stem from the use of manikins in some studies, variations in clinician experience with videolaryngoscopes, or differences in intubation techniques.
In patients without predicted difficult airways undergoing thoracic surgery, direct laryngoscopy with a Mac blade remains the recommended technique for DLT placement. The C-MAC videolaryngoscope is designed based on the Mac blade and has been associated with improved laryngeal visualization and reduced need for additional maneuvers to facilitate intubation. The D-blade and Mac blade are adapted for use with the C-MAC system. The C-MAC Mac and D-blade may be a viable alternative to direct laryngoscopy with the Mac blade in routine practice.
This randomized controlled study aimed to compare the C-MAC D-Blade and the C-MAC Mac blade with the conventional direct laryngoscopy Mac blade in patients with predicted normal airways undergoing thoracic surgery requiring DLT placement. The primary outcome measure was intubation time. Additional parameters assessed included exposure time, the ease of intubation, number of laryngoscopy attempts, and maneuvers.
Conditions
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Study Design
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RANDOMIZED
SEQUENTIAL
OTHER
SINGLE
Study Groups
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Group D blade
DLT (with the stylet in place) was molded along the blade convexity, and sequential rotation was performed for insertion. After the bronchial lumen tip engaged the glottis, the stylet was removed, and the DLT was rotated 180° counterclockwise to facilitate passage of the bronchial cuff. The DLT was then rotated 90° clockwise to ensure it entered the left main bronchus
C-MAC Macintosh blade Video Laryngoscope
videolaryngoscopes have been increasingly used in thoracic surgery, particularly in patients with difficult airways, as they enhance visualization of laryngeal structures and facilitate lung separationThe D-blade and Mac blade are adapted for use with the C-MAC system.10 The C-MAC Mac and D-blade may be a viable alternative to direct laryngoscopy with the Mac blade in routine practice.
DİRECT Laryngoscopy
In patients without predicted difficult airways undergoing thoracic surgery, direct laryngoscopy with a Mac blade remains the recommended technique for DLT placement
Group M
once the bronchial cuff had passed through the vocal cords, the double-lumen tube was inserted using the conventional method
DİRECT Laryngoscopy
In patients without predicted difficult airways undergoing thoracic surgery, direct laryngoscopy with a Mac blade remains the recommended technique for DLT placement
D blade CMac videolaryngoscopy
videolaryngoscopes have been increasingly used in thoracic surgery, particularly in patients with difficult airways, as they enhance visualization of laryngeal structures and facilitate lung separation
Group DL (Direct laryngoscopy macintosch blade, conventional . placebo)
once the bronchial cuff had passed through the vocal cords, the double-lumen tube was inserted using the conventional method
C-MAC Macintosh blade Video Laryngoscope
videolaryngoscopes have been increasingly used in thoracic surgery, particularly in patients with difficult airways, as they enhance visualization of laryngeal structures and facilitate lung separationThe D-blade and Mac blade are adapted for use with the C-MAC system.10 The C-MAC Mac and D-blade may be a viable alternative to direct laryngoscopy with the Mac blade in routine practice.
D blade CMac videolaryngoscopy
videolaryngoscopes have been increasingly used in thoracic surgery, particularly in patients with difficult airways, as they enhance visualization of laryngeal structures and facilitate lung separation
Interventions
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C-MAC Macintosh blade Video Laryngoscope
videolaryngoscopes have been increasingly used in thoracic surgery, particularly in patients with difficult airways, as they enhance visualization of laryngeal structures and facilitate lung separationThe D-blade and Mac blade are adapted for use with the C-MAC system.10 The C-MAC Mac and D-blade may be a viable alternative to direct laryngoscopy with the Mac blade in routine practice.
DİRECT Laryngoscopy
In patients without predicted difficult airways undergoing thoracic surgery, direct laryngoscopy with a Mac blade remains the recommended technique for DLT placement
D blade CMac videolaryngoscopy
videolaryngoscopes have been increasingly used in thoracic surgery, particularly in patients with difficult airways, as they enhance visualization of laryngeal structures and facilitate lung separation
Eligibility Criteria
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Inclusion Criteria
* Patients requiring one-lung ventilation via DLT intubation
Exclusion Criteria
* Patients with severe pulmonary ventilation dysfunction,
* Patients with a risk of pulmonary aspiration patients
18 Years
75 Years
ALL
No
Sponsors
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Inonu University
OTHER
Responsible Party
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FERAY AKGUL ERDIL
Clinical Professor Doctor
Principal Investigators
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Yeliz tunc ozer, doctor
Role: PRINCIPAL_INVESTIGATOR
Inonu University
Locations
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inonu University
Malatya, Battalgazi, Turkey (Türkiye)
Countries
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Other Identifiers
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INU-AR-FAE-01
Identifier Type: -
Identifier Source: org_study_id