C-MAC compared with direct laryngoscopy for intubation in patients with cervical spine immobilization: A manikin trial.
Jacek Smereka, Jerzy R Ladny, Amanda Naylor...
https://pubmed.ncbi.nlm.nih.gov/28341185Actively Recruiting
Phase Not Applicable
Age: 18Years - 60Years
All Genders
Healthy Volunteers
ID06759038
Comparison Between C-MAC Blade D Video Laryngoscope and Macintosh Laryngoscope for Double Lumen Tube Insertion in Patients Undergoing Elective Thoracic Surgeries
Led by Shaheed Mohtarma Benazir Bhutto Institue of Trauma · Updated on 2025-01-06
60
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are comparing two types of laryngoscopes to see which is better for inserting a Double Lumen Tube (DLT) during planned thoracic surgeries. The study focuses on whether the C-MAC blade D video laryngoscope is faster and causes fewer heart and blood pressure changes than the traditional Macintosh laryngoscope. This research is conducted to improve intubation safety and efficiency due to the challenges of DLT insertion, which can be difficult and risky. Participants are randomly assigned to one of two groups: one receives intubation with the C-MAC blade D video laryngoscope, and the other with the Macintosh laryngoscope. The procedures take place during anesthesia induction. The time to complete intubation is measured from the start of laryngoscope insertion until three full capnograph cycles occur. During the study, participants' heart rate and blood pressure are closely monitored at baseline, and at 1, 3, and 5 minutes after intubation. Data collection lasts approximately 24 hours from enrollment. The research team will analyze the collected data to compare the two devices based on intubation time and hemodynamic effects. The total study duration for participants is about one day after surgery.
CONDITIONS
Brief Title
C-MAC Blade D Video Vs Macintosh Laryngoscope for Double Lumen Tube Insertion
Who Can Participate
Age: 18Years - 60Years
All Genders
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
- Mallampati score of 1 or 2
- ASA physical status classification of 1 or 2
- Patients prepared for elective thoracic surgeries under general anesthesia
- Age between 18 and 60 years
You will not qualify if you...
- Pregnant patients
- Patients with anticipated difficult airway
- Patients with limited neck extension
- Thyromental distance less than 6.5 cm
- Body Mass Index (BMI) greater than 35
- Patients at risk of aspiration
- Failure to intubate after 3 attempts
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person) the day before surgery for enrollment and randomization
Implementation
Duration - Approximately 10 to 15 minutes during anesthesia induction
Participants undergo intubation using either the C-MAC blade D video laryngoscope or the Macintosh laryngoscope during elective thoracic surgery.
1 procedure visit during surgery
Post-Procedure Monitoring
Duration - 24 hours
Participants are monitored for heart rate and blood pressure changes for 24 hours following intubation.
Monitoring at baseline, 1st, 3rd, and 5th minute after intubation, plus observation until 24 hours post-procedure
Trial Site Locations
Total: 1 location
1
Shaheed Mohtarma Benazir Bhutto Institute of Trauma
Karachi, Sindh, Pakistan
Actively Recruiting
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Research Team
D
Dr Sidra Javed Consultant Anaesthetist, MBBS, FCPS, pain Fellow
D
Dr Mirza Shahzad Baig Consultant Anaesthetist, MBBS,MCPS, FCPS
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
OTHER
Number of Arms
2
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Published Research Related To This Trial
Different classes of videoscopes and direct laryngoscopes for double-lumen tube intubation in thoracic surgery: A systematic review and network meta-analysis.
Young Sung Kim, Jihyun Song, Byung Gun Lim...
https://pubmed.ncbi.nlm.nih.gov/32857788The use of ETView endotracheal tube for surveillance after tube positioning in patients undergoing lobectomy, randomized trial.
Hui-Hui Liu, Fang Dong, Jia-Yi Liu...
https://pubmed.ncbi.nlm.nih.gov/30544376Feasibility study of intubation in lateral position using Viva-sight double-lumen tube combined with video laryngoscope in patients undergoing pulmonary lobectomy.
Deqiang Tao, Guyue Zhang, Xiangli Zheng...
https://pubmed.ncbi.nlm.nih.gov/37696694