Actively Recruiting
C-MAC Videolaryngoscopy Versus Direct Laryngoscopy for Percutaneous Tracheostomy
Led by Hospital Clinico Universitario de Santiago · Updated on 2025-09-15
90
Participants Needed
2
Research Sites
234 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
When preparing an ICU patient for percutaneous dilational tracheostomy, correct positioning of the endotracheal tube is important. During the procedure, it is possible to puncture the cuff. Tracheal tube cuff puncture can lead to failure of ventilation, loss of positive end-expiratory pressure, and possible aspiration of gastric contents blood or secretions. To minimize the risk, in our ICU, we withdraw the endotracheal tube under direct laryngoscopic vision until the cuff is visible at the vocal cords. This maneuver would also facilitate insertion of the Seldinger needle and insertion of the tracheostomy tube below the endotracheal tube. However, this maneuver to remove the endotracheal tube under direct laryngoscopy can sometimes be difficult. ICU patients present frecuently difficult laryngoscopic vision due to airway edema or secretions. In ICU, the videolaryngopy has been shown to be superior to direct laryngoscopy in visualization the upper airway, allowing better laryngoscopic vision.
CONDITIONS
Official Title
C-MAC Videolaryngoscopy Versus Direct Laryngoscopy for Percutaneous Tracheostomy
Who Can Participate
Eligibility Criteria
You may qualify if you...
- ICU intubated patients that require a percutaneous dilational tracheostomy for clinical reasons such as prolonged mechanical ventilation, airway protection, or weaning failure
You will not qualify if you...
- Patients younger than 18 years and older than 85 years
- Trachea and neck abnormalities
- Soft tissue infection in the neck
- History of neck surgery
- Coagulation disorders or changes in coagulation parameters (platelet count < 50,000 mm3, activated partial thromboplastin time 1.5-fold longer than control value, international normalized ratio > 1.5)
- Consent refusal for participating in the trial
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 2 locations
1
University Clinical Hospital of Santiago de Compostela
Santiago de Compostela, A Coruña, Spain, 15866
Actively Recruiting
2
University Clinical Hospital of Santiago de Compostela
Santiago de Compostela, A Coruña, Spain, 15866
Actively Recruiting
Research Team
M
Manuel Taboada, Ph.D.
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
Not the Right Trial for You?
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here