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A semi-rigid cervical collar is recommended for immobilization of the cervical spine in patients with cervical spine injury. It has been suggested that a reduction in mouth opening is the major contributing factor to the deterioration in the glottic view obtained. Fiberoptic intubation is among the most versatile techniques for managing both the anticipated and the unanticipated difficult airway. Recently, combination of fiberoptic bronchoscope with videolaryngoscope has been suggested to permit visual control of the passage of the tube over the fibrescope into the laryngeal inlet. The aim of this study is to compare the intubation time and ease of intubation between fiberoptic bronchoscope alone and bronchoscope with pentax airwayscope.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| fiberoptic bronchoscope | Active Comparator | Tracheal intubation in patients with semi-rigid collar immobilization of the cervical spine using fiberoptic bronchoscope |
|
| fiberoptic bronchoscope with pentax-AWS | Experimental | Tracheal intubation in patients with semi-rigid collar immobilization of the cervical spine using fiberoptic bronchoscope with pentax-AWS |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| fiberoptic bronchoscope | Device | Tracheal intubation using fiberoptic bronchoscope |
|
| Measure | Description | Time Frame |
|---|---|---|
| time to intubation | Time from device passing the mouth until confirmation of tracheal intubation by bronchoscope will be measured, about 2 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| ease of intubation | Numeric rating scale 0-10 (0:easy without any difficulty, 10: impossible to intubate) | Numeric rating scale will be assessed by practioner of fiberoptic bronchoscope for intubation immediately after intubation. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ajou University School of Medicine | Suwon | Gyeonggi-do | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28981579 | Derived | Kim DH, Yoo JY, Ha SY, Chae YJ. Comparison of the paediatric blade of the Pentax-AWS and Ovassapian airway in fibreoptic tracheal intubation in patients with limited mouth opening and cervical spine immobilization by a semi-rigid neck collar: a randomized controlled trial. Br J Anaesth. 2017 Nov 1;119(5):993-999. doi: 10.1093/bja/aex272. |
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| pentax-airway scope | Device | Tracheal intubation using pentax-AWS |
|
| semi-rigid collar | Procedure | semi-rigid collar immobilization of the cervical spine |
|
| ID | Term |
|---|---|
| D002764 | Cholecystitis |
| ID | Term |
|---|---|
| D005705 | Gallbladder Diseases |
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
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