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| ID | Type | Description | Link |
|---|---|---|---|
| 2018-A01683-52 | Other Identifier | ID-RCB number, ANSM |
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| Name | Class |
|---|---|
| Vygon GmbH & Co. KG | INDUSTRY |
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News techniques of intubation by indirect laryngoscopy have arrived in operating rooms but they are still too restricted to situations (difficult intubation criteria ..). It wanted to focus on indirect laryngoscopy by Airtraq. This technique allows better exposure during intubation while limiting mouth opening and cervical hyper extension, but also dental trauma and lip wounds. It also reduces the duration of laryngoscopy and therefore at the same time the apnea time. After a review of the literature, it has been proven that its use reduces haemodynamic changes during intubation. But these studies have been realized only in very particular patients (obese, heart failure) and with induction protocols that are not used routinely in our operating theaters.
Reasons why it decided to carry out this study, on the one hand to find these results and especially to be able to extend them to the whole population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| orotracheal intubation direct | Other |
| |
| orotracheal intubation indirect | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| orotracheal intubation by direct laryngoscopy | Device | Orotracheal intubation by direct laryngoscopy by metal blade type Macintosch |
|
| Measure | Description | Time Frame |
|---|---|---|
| change from intubation mean blood pressure at 1 min after intubation | between the values before intubation (T0) and 1min after intubation. |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of patients with hemodynamic reaction post intubation (minimal variation of mean blood pressure or heart rate of 20% | between values before intubation and 1, 2, 5, 10 minutes after intubation. | |
| Variation of blood pressure (PAM) | between the values before intubation (T0) and 2, 5 and 10 minutes of intubation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Elsa Jozefowicz, MD | University Hospital, Lille | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital Roger Salengro, CHU | Lille | France |
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| orotracheal intubation by indirect laryngoscopy | Device | orotracheal intubation by indirect laryngoscopy by Airtraq |
|
| Variation of heart rate (HR) | between the values before intubation (T0) and 1, 2, 5 and 10 minutes of intubation |
| Mean of the arterial blood pressure and heart rate | delta defined by the difference between the values | before intubation and at 1,2,5 and 10 minutes from intubation. |
| Intubation time in seconds from introduction of the intubation device into the mouth with inflation of the balloon | at 1 min after intubation |
| Frequency of patients with dental trauma and / or an injury to the lips due to the intubation device. | at 10 min after intubation |
| instantaneous ANI delta | between ANI before intubation and 1,2,5 and 10 min after intubation |