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This study is prospective randomized trial study. "O" type tracheal intubation tube is anatomically consistent and will able to increase the success rate of first intubation without any other external help.
This study is divided into two groups. : control vs. "O" shape endotracheal tube.
The investigator was studied 238 consecutive the American Society of Anesthesiologists' physical grades I and II adult patients scheduled to undergo general anesthesia requiring tracheal intubation for elective surgery. Exclusion criteria included a gross anatomical abnormality, before surgery of the head, neck and cervical spine, previously difficult tracheal intubation, loose teeth, or those requiring a rapid sequence or awake intubation, moderate or severe obstructive/restrictive pulmonary disease accompanied by pulmonary function tests. Anesthesia was induced with remifentanyl 3ng/kg, propopol 1-2 mg/kg or TIVA 2% fresopol 4ug/dL, remifentanyl 3ng/dL and rocuronium 0.8 mg/kg to facilitate tracheal intubation. Laryngoscopy was performed after the loss of the fourth twitch in the train-of-four in response to ulnar nerve stimulation. All laryngoscopies using a #4 Macintosh blade were performed with the patient placed in the sniffing position. Tracheal intubation was performed without assistance (ex. External laryngeal manipulation, Used stylet). A single experienced anesthesiologist, blinded to each group, performed all of the direct laryngoscopies and classified the laryngoscopic view according to the modified Cormack and Lehane grade, measured number of attempts, intubation time and blood pressure and heart rate before/ after intubation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | No Intervention | Use in the shape of an endotracheal tube. | |
| Group "O" | Experimental | Just before the induction of medicine is injected, the assistant makes endotracheal tube into "O" shape. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| group "O" | Other | Endotracheal tube was made "O" shape by assistants. |
|
| Measure | Description | Time Frame |
|---|---|---|
| First intubation success rate for each between two group | First laryngoscope tries was success using detection of end tidal CO2 | Immediately after intubation |
| Measure | Description | Time Frame |
|---|---|---|
| First intubation time | After intubation, appearing end tidal CO2 at monitoring | within 60 seconds |
| Number of attempts | Number of intubation try |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yu-Kyung Bae | Contact | +821057054801 | vansuri27@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Yu-Kyung Bae | Seoul National University Bundang Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Bundang Hospital | Recruiting | Seongnam-si | Gyeongggi-do | 13620 | South Korea |
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| ID | Term |
|---|---|
| C106365 | O-antigen, Acinetobacter strain 90 |
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| From the first tracheal intubation failure to the next successful tracheal intubation |
| Measured vital sign | Blood pressure in mmHg and heart rate in bpm were recorded immediately before and after intubation. | immediately before intubation and within 5 minites after intubation |