Videolaryngoscopy results in less forces exerted on the upper teeth during intubation compared to direct laryngoscopy

ISRCTN ISRCTN28037056
DOI https://doi.org/10.1186/ISRCTN28037056
Secondary identifying numbers N/A
Submission date
26/09/2010
Registration date
29/10/2010
Last edited
29/10/2010
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Miss Barbe Pieters
Scientific

P. Debyelaan 25
Maastricht
6229 HX
Netherlands

Study information

Study designSingle centre randomised controlled cross-over study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleVideolaryngoscopy results in less forces exerted on the upper teeth during intubation compared to direct laryngoscopy: a single centre randomised controlled cross-over study
Study objectivesThree videolaryngoscopes (McGrath, C-Mac and Glidescope Cobalt) exert reduced forces on both upper and lower teeth, compared to a classic Macintosh laryngoscope blade.
Ethics approval(s)Catharina Hospital Eindhoven (Netherlands)
Health condition(s) or problem(s) studiedIntubation technique
InterventionAfter three minutes of oxygen administration via facemask, intravenous (iv) induction of general anesthesia (1 µg/kg fentanyl, 3 mg/kg propofol and 0.7 mg/kg rocuronium) the following interventions will be performed:

Direct laryngoscopy:
1. Macintosh classic laryngoscope (blade III)

Indirect laryngoscopy with one of three indirect videolaryngoscopes:
1. McGrath (Aircraft Medical, Edinburgh, UK)
2. C-MAC (Karl Storz, Tuttlingen, Germany)
3. Glidescope Cobalt (Verathon, Bothell, WA, USA)

Intubation: endotracheal tube 7.5 mm (female) or 8.0 mm (male). After two unsuccessful attempts a stylet will be inserted into the endotracheal tube.
Intervention typeProcedure/Surgery
Primary outcome measureDifferences between direct and indirect laryngoscopies with respect to the frequency with which forces are applied on the upper and lower teeth. The measurement of forces will be performed with Flexiforce (r) sensors (A201-25, Tekscan, MA) fixed to the blade of the laryngoscope at the possible area of contact with the teeth.
Secondary outcome measuresFor the cases in which forces are being applied, differs the magnitude of forces between the laryngoscopes?
Overall study start date01/11/2010
Completion date01/01/2011

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants150
Key inclusion criteria1. American Society of Anaesthesiologists (ASA) grade I - II
2. Normal airway
3. Undergoing a surgical intervention for which endotracheal intubation is indicated
4. Aged 18 years or above, either sex
Key exclusion criteria1. Younger than 18 years
2. Patients requiring more than blade size III of laryngoscope
3. Patients with pre-operative predictors of a difficult airway (Mallampati score IV, thyromental distance less than 65 mm, interincisor/interdental distance less than 35 mm)
4. Patients with inadequate neck movement
5. ASA III - IV
6. Patients requiring surgery of the face and throat
Date of first enrolment01/11/2010
Date of final enrolment01/01/2011

Locations

Countries of recruitment

  • Netherlands

Study participating centre

P. Debyelaan 25
Maastricht
6229 HX
Netherlands

Sponsor information

Catharina Hospital Eindhoven (Netherlands)
Hospital/treatment centre

Department of Anesthesiology, ICU and Pain Therapy
Michelangelolaan 2
Eindhoven
5623 EJ
Netherlands

ROR logo "ROR" https://ror.org/01qavk531

Funders

Funder type

Hospital/treatment centre

Catharina Hospital Eindhoven (Netherlands) - Department of Anesthesiology, ICU and Pain Therapy

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan