Ignite Creation Date:
2024-05-06 @ 6:40 PM
Last Modification Date:
2024-10-26 @ 2:52 PM
Study NCT ID:
NCT05744388
Status:
NOT_YET_RECRUITING
Last Update Posted:
2023-02-27
First Post:
2023-02-03
Brief Title:
Modification of the Stylet Shape of the Glidescope for Facilitating Difficult Intubation
Sponsor:
Ain Shams University
Organization:
Ain Shams University
Study Overview
Official Title:
Efficacy of Lubricating the Under Surface of Glidescope Blade Stylet Shape Modification to Facilitate Endotracheal Intubation for Suspected Difficult Intubation A Prospective Randomized Controlled Trial
Status:
NOT_YET_RECRUITING
Status Verified Date:
2023-02
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The undersurface of the disposable blade of the Glidescope will be lubricated by a jelly substance to facilitate its entrance to the mouth without trauma to the soft tissues In addition the stylet Gliderite shape will be modified to be an obtuse angle This technique modification will be applied for obese patients with suspected difficult intubation criteria who are scheduled for bariatric surgeries
Detailed Description:
Endotracheal tube diameter size 75 mm and disposable rigid blade size 3 for the female patients and ETT diameter size 800 mm and disposable rigid blade size 4 for the male patients will be prepared The under surface of the blade will be lubricated by soluble jelly taking care not to touch the camera source of light
The stylet will be more obtuse angle than the standard shape The stylet will be lubricated also before being fitted inside the endotracheal tube The blade will be introduced inside the mouth midline the tube will be held from the upper third and introduced in the midline also sliding over the blade and introduced inside the glottis Once the tip of the tube introduced inside the glottis the stylet will be removed and the tube will be advanced more inside the trachea The equality of air entry will be assessed by the stethoscope and the tube will by fixed by adhesive tape after inflating the cuff
If during intubation the used technique failed to introduce the tube we will do ETT rotation inside the mouth or upward stylet angulation outside the mouth then will be reintroduced again If Glidescope failed to intubate we will use intubating LMA to intubate the patients If all trials failed to intubate the patients Sugamadex 16 mgKg will be injected to awaken the patients After intubation the large gastric tube will be introduced in the esophagus under vision by the Glidescope help also
Group 2
The second group will be a control group they will be handled by the standard shape of the stylet and the blade without lubrication
The stylet will be more obtuse angle than the standard shape The stylet will be lubricated also before being fitted inside the endotracheal tube The blade will be introduced inside the mouth midline the tube will be held from the upper third and introduced in the midline also sliding over the blade and introduced inside the glottis Once the tip of the tube introduced inside the glottis the stylet will be removed and the tube will be advanced more inside the trachea The equality of air entry will be assessed by the stethoscope and the tube will by fixed by adhesive tape after inflating the cuff
If during intubation the used technique failed to introduce the tube we will do ETT rotation inside the mouth or upward stylet angulation outside the mouth then will be reintroduced again If Glidescope failed to intubate we will use intubating LMA to intubate the patients If all trials failed to intubate the patients Sugamadex 16 mgKg will be injected to awaken the patients After intubation the large gastric tube will be introduced in the esophagus under vision by the Glidescope help also
Group 2
The second group will be a control group they will be handled by the standard shape of the stylet and the blade without lubrication
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None