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The investigators suppose that direct laryngoscopy is connected with deeper insertion of endotracheal tube in comparison to videolaryngoscopy. Correction of this malposition can cause postoperative discomfort and further complications in some patients.Routine use of videolaryngoscopy could minimize these problems.
100 patients scheduled for elective neurosurgical procedures will be randomized into two groups. Patients in group A will be intubated by videolaryngoscopy (GlideScope), patients in group B by direct laryngoscopy, in both groups will be rigid stylet used. Intubation will be done under propofol anesthesia, targeted entropy 40 to 50, and deep relaxation (neuromuscular transmission target level 0). Sufentanil will be used to block tracheal reflexes. In both groups the depth of insertion of tracheal tube will be measured in the mouth corner immediately after intubation. Next day, the unpleasant sensations and complications will be recorded (sore throat, stridor, hoarseness, cough and nausea and vomiting) during control visit of patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GlideScope | Experimental | intubation with GlideScope |
|
| Direct laryngoscopy | Active Comparator | intubation with laryngoscope |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GlideScope | Device | videolaryngoscopy (GlideScope) will be used for intubation |
| |
| Measure | Description | Time Frame |
|---|---|---|
| the depth of primary insertion of tracheal tube | cm | in a minute after intubation |
| Measure | Description | Time Frame |
|---|---|---|
| sums of manipulation with tracheal tube | number | 2 minutes after intubation |
| complications after intubation | number | 24 hours after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pavel Dostal, MD, Ph.D. | University Hospital Hradec Kralove | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Hradec Kralove | Hradec Králové | 50005 | Czechia |
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Interventional group will be intubated by videolaryngoscopy, control group by direct laryngoscopy
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| Direct laryngoscopy |
| Device |
direct laryngoscopy will be used for intubation |
|