Airway Scope vs GlideScope for Intubation
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine whether the Airway Scope or the GlideScope allows doctors to place breathing tubes more quickly in individuals with a BMI of 40 or higher. Both tools are video laryngoscopes equipped with a camera to guide the tube into the windpipe. Adults with a BMI of 40 or more who are scheduled for surgery requiring general anesthesia may qualify for this study.
As an unphased trial, this study provides an opportunity to contribute to important research that could enhance surgical outcomes for individuals with higher BMIs.
Do I need to stop taking my current medications for this trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that these intubation devices are safe for obese patients?
Previous studies have examined the safety of using both the Airway Scope and the GlideScope for intubation. For the Airway Scope, potential issues include incorrect tube placement, low oxygen levels, or tissue damage, though these problems are generally uncommon during the procedure.
Similarly, research on the GlideScope shows that it usually results in successful intubations, despite occasional equipment issues. Both devices guide a tube into the airway, a delicate task. However, video laryngoscopes like these often succeed on the first try and typically cause fewer problems compared to other methods.
Overall, while some risks exist with both devices during intubation, they are generally considered safe and effective.12345Why are researchers excited about this trial?
Researchers are excited about this trial because it compares two advanced tools for intubation: the Airway Scope and the GlideScope. Both devices are designed to make intubation easier and more efficient by providing better visualization of the airway, which can be a challenge with traditional laryngoscopes. The Airway Scope features a unique built-in channel for the tube, potentially simplifying the procedure, while the GlideScope offers a high-resolution video feed that enhances visibility. By comparing these two technologies, researchers aim to determine which tool offers the best performance, ultimately improving patient safety and outcomes during intubation.
What evidence suggests that these intubation devices are effective for obese patients?
This trial will compare the effectiveness of two intubation devices: the Airway Scope and the GlideScope. Research has shown that the Airway Scope effectively helps doctors place a breathing tube into the windpipe, with one study reporting a 100% success rate. This tool is particularly beneficial for beginners, as it speeds up the process and eases the procedure, while also reducing strain on the heart. Meanwhile, participants using the GlideScope in another arm of this trial will find it promising, with a study showing an 88.6% success rate compared to the Airway Scope. It is known for providing a better view of the space between the vocal cords. Both devices aim to make placing a breathing tube safer and more efficient, especially for individuals with challenging airways.678910
Are You a Good Fit for This Trial?
This trial is for adults (18+) with a BMI of 40 or higher who are scheduled for surgery under general anesthesia. People can't join if they have had major neck surgery, tracheostomy, serious lung diseases, heart failure, recent heart attack, pregnancy, facial/airway birth defects, or are prisoners.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants undergo intubation using either the Airway Scope or GlideScope device
Follow-up
Participants are monitored for safety and effectiveness after intubation
What Are the Treatments Tested in This Trial?
Interventions
- Intubation with Airway Scope
- Intubation with GlideScope
Trial Overview
The study compares two devices—the GlideScope and Airway Scope—used to help place breathing tubes in obese patients during surgery. It looks at how long each device takes to complete intubation.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Intubation with Airway Scope
Intubation with GlideScope
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of New Mexico
Lead Sponsor
Citations
Airway scope and Macintosh laryngoscope for tracheal ...
Both the Airway Scope and the Macintosh laryngoscope offer high success rates in adequately prepared paralyzed patients lying supine at ground level in the ...
Comparative analysis of airway scope and Macintosh ...
095). Ultimate success rate was slightly lower with the AWS (96.4%) than with the MLS (100%) (P = .496), while the first attempt success rate was significantly ...
a randomized trial of the Airway Scope® and the GlideScope
Tracheal intubation was successful with the Airway Scope® in 35 (100%) patients compared with 31 (88.6%) patients with the GlideScope® (P=0.114). Tracheal ...
Comparative effectiveness of laryngoscopes for successful ...
Endotracheal intubation (ETI) is a life-saving emergency procedure performed to protect the airway from aspiration and to provide adequate oxygenation and ...
Evaluation of the Airway Scope, a new video laryngoscope ...
The AWS device appears to be useful for beginners because it enables quicker and easier tracheal intubation than does the Macintosh laryngoscope.
Comparing the effectiveness and safety of videolaryngoscopy ...
Potential adverse events following intubation include: oesophageal intubation, hypoxaemia, aspiration, tissue trauma, and failure to secure the ...
Peri-intubation adverse events and clinical outcomes in ... - PMC
We defined major peri-intubation adverse events as severe hypoxemia, new hemodynamic instability, or cardiac arrest occurring within 30 min of ...
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apsf.org
apsf.org/article/airway-safety-in-the-or-and-beyond-balancing-innovation-safety-and-core-skills/Airway Safety in the OR and Beyond: Balancing Innovation ...
The 2022 ASA guidelines advise limiting intubation or supraglottic airway attempts to 3 or fewer if possible.3 Repeatedly attempting to intubate or an ...
Efficacy and adverse events profile of videolaryngoscopy in ...
Tracheal intubation is a high-risk procedure in the critically ill, with increased intubation failure rates and a high risk of other adverse events.
Endotracheal Intubation Strategy, Success, and Adverse ...
First-pass success was not different between those who were and were not known or suspected of COVID-19 (87% versus 86%, difference 0.6%; 95% CI ...
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