Comparison Between McGrath and Macintosh Laryngoscopes for DLT Intubation in Thoracic Surgery Patients.
Primary Purpose
Thoracic Diseases, Thoracic Neoplasms, Thoracic Empyema
Status
Recruiting
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
MaCintosh Laryngoscope (DL)
McGrath Laryngoscope (VL)
Sponsored by
About this trial
This is an interventional other trial for Thoracic Diseases
Eligibility Criteria
Inclusion Criteria: Age 18-65 years American Society of Anaesthesiologists physical status (ASA) I, II, III Elective thoracic surgery patients, requiring one lung ventilation. Exclusion Criteria: Patients requiring rapid sequence induction Patients with a structural problem in the airway on chest radiography History of difficult intubation Planned tracheostomy \ the presence of a tracheostomy Patients with a BMI >35 kg\m2. Who at risk of regurgitation\ Aspiration Anticipated Difficult Airway (Mallampati IV) Pre-existing sore throat or hoarseness, or recent respiratory infection (<15 days)
Sites / Locations
- Aga Khan University HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Group A
Group B
Arm Description
Outcomes
Primary Outcome Measures
Time required for correct placement of the Double Lumen Tube (DLT).
Time will be measured in seconds during laryngoscopy while placement of Double Lumen Tube (DLT) until appearance of end tidal carbon dioxide on capnograph.
Successful Intubation at first attempt.
The number of times the laryngoscope will be inserted.
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05988736
Brief Title
Comparison Between McGrath and Macintosh Laryngoscopes for DLT Intubation in Thoracic Surgery Patients.
Official Title
Comparison Between McGrath and Macintosh Laryngoscopes for Double-lumen Tube Intubation in Patients Undergoing Thoracic Surgery, A Prospective Randomized Controlled Trial
Study Type
Interventional
2. Study Status
Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 15, 2022 (Actual)
Primary Completion Date
December 1, 2023 (Anticipated)
Study Completion Date
December 31, 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Aga Khan University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The goal of this RCT is to compare outcome with McGrath vs Macintosh laryngoscopes among patients undergoing thoracic surgery. The main questions it aims to answer are,
Rate of successful intubation at first attempt and
Time for intubation required with each device. Participants are required to sign the informed consent for, they will be placed in two groups, Group A: Macintosh (DL) Group B: McGrath (VL) Researchers will compare in Group A: Macintosh (DL) and Group B: McGrath (VL) the differences in rate of successful intubation at first attempt and time for intubation required with each device.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Thoracic Diseases, Thoracic Neoplasms, Thoracic Empyema
7. Study Design
Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
84 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Group A
Arm Type
Experimental
Arm Title
Group B
Arm Type
Active Comparator
Intervention Type
Device
Intervention Name(s)
MaCintosh Laryngoscope (DL)
Intervention Description
A conventional Laryngoscope. It is battery powered, with a detachable MaCintosh blade that contains a light source.
Intervention Type
Device
Intervention Name(s)
McGrath Laryngoscope (VL)
Intervention Description
A video Laryngoscope that has a high-resolution video camera, and a light source at the cone end of the blade allowing for direct and indirect viewing of the glottis
Primary Outcome Measure Information:
Title
Time required for correct placement of the Double Lumen Tube (DLT).
Description
Time will be measured in seconds during laryngoscopy while placement of Double Lumen Tube (DLT) until appearance of end tidal carbon dioxide on capnograph.
Time Frame
During intervention time period
Title
Successful Intubation at first attempt.
Description
The number of times the laryngoscope will be inserted.
Time Frame
immediately after Intervention.
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Age 18-65 years
American Society of Anaesthesiologists physical status (ASA) I, II, III
Elective thoracic surgery patients, requiring one lung ventilation.
Exclusion Criteria:
Patients requiring rapid sequence induction
Patients with a structural problem in the airway on chest radiography
History of difficult intubation
Planned tracheostomy \ the presence of a tracheostomy
Patients with a BMI >35 kg\m2. Who at risk of regurgitation\ Aspiration
Anticipated Difficult Airway (Mallampati IV)
Pre-existing sore throat or hoarseness, or recent respiratory infection (<15 days)
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
sadique Wadho, MBBS
Phone
+923322792932
Email
sadique.ali@aku.edu
First Name & Middle Initial & Last Name or Official Title & Degree
Khalid Samad, MBBS, FCPS
Phone
+923343311603
Email
khalid.samad@aku.edu
Facility Information:
Facility Name
Aga Khan University Hospital
City
Karachi
State/Province
Sindh
Country
Pakistan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
sadique Wadho, MBBS
Phone
+923322792932
Email
sadique.ali@aku.edu
First Name & Middle Initial & Last Name & Degree
Khalid Samad, MBBS. FCPS
Phone
+923343311603
Email
khalid.samad@aku.edu
First Name & Middle Initial & Last Name & Degree
sadique Wadho, MBBS
First Name & Middle Initial & Last Name & Degree
Khalid Samad, MBBS, FCPS
12. IPD Sharing Statement
Learn more about this trial
Comparison Between McGrath and Macintosh Laryngoscopes for DLT Intubation in Thoracic Surgery Patients.
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