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N/A N=7,908 Randomized Other

Endotracheal Intubation Using Videolaryngoscopy Versus Conventional Direct Laryngoscopy

Intubation · Laryngoscopy

Enrolled (actual)
7,908
Serious AEs
0.0%
Results posted
Sep 2024
Primary outcome: Primary: The Number of Intubation Attempts With the Initial Laryngoscopy Instrument. — 4336; 3710; 70; 277 Surgical procedures — p=<0.001

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
GlideScope videolaryngoscope (Verathon, Bothell, Washington 98011) (Device); Direct laryngoscopy (Device)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
The Cleveland Clinic
Primary completion
Dec 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
The Number of Intubation Attempts With the Initial Laryngoscopy Instrument.
4336; 3710; 70; 277; 3; 27 <0.001 sig
SECONDARY
Intubation Failure
12; 161 <0.001 sig
SECONDARY
Any Dental or Airway Injury
41; 42 0.53

Summary

The investigators will evaluate the endotracheal intubation using video laryngoscopy versus conventional direct laryngoscopy on intubation success, quantified by the number of intubation attempts. The question is important because video laryngoscopes are more expensive than conventional direct laryngoscopes. The additional cost might be justified if video systems improve intubation success and reduce airway trauma. But if they do not, the extra cost would not be justified

Eligibility Criteria

Inclusion Criteria

  • Elective or emergent surgery requiring oral endotracheal intubation for general anesthesia.

Exclusion Criteria

  • The attending anesthesiologist prefers a specific approach for a particular patient
  • Awake fiberoptic intubation is clinically indicated
  • Insertion of double-lumen tube.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04701762). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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