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| Name | Class |
|---|---|
| Krankenhaus der Borromaerinnen Trier | UNKNOWN |
| University Medical Center Freiburg | OTHER |
| BundeswehrZentralkrankenhaus Koblenz | OTHER |
| Krankenhaus Hetzelstift |
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Videolaryngoscope (Macintosh-type blade) compared with direct laryngoscopy for rapid sequence intubation in the operating room
Video laryngoscopy (VL) is a etablished method of achieving tracheal intubation and there is evidence to show that visualisation of larynx can be improved using VL in failed tracheal Intubation (NAP 4 Report). VL has been shown to improve first attempt success compared to direct laryngoscopy in many clinical settings including intensive care unit (ICU) and emergency department (ED). This is a proposed comparison study of a VL, use in patients with a high risk for pulmonary Aspiration and requiring tracheal Intubation. An national, multi-center, prospective randomized comparative trial is proposed testing the superiority of oral tracheal intubation with the McGrath® MAC versus conventional laryngoscope in adult patients under general anesthesia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| McGrath MAC | Experimental | First pass success rate using the McGrath Mac |
|
| Macintosh Laryngoscope | Experimental | First pass success rate using the Macintosh laryngoscope |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| McGrath Mac | Device | in a randomized order we evaluate the first pass success rate of the tracheal tube into the trachea. |
|
| Measure | Description | Time Frame |
|---|---|---|
| First pass Intubation success rate | successful tracheal intubation at the first attempt, compared to more than one attempt | at intubation in 60 seconds |
| Measure | Description | Time Frame |
|---|---|---|
| Time to ventilation | From Insertion of the blase into the mouth until first ventilation | at intubation in 120 seconds |
| Cormack and Lehane Classification | after insert the device the user describe the glottis visualisation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marc Kriege, MD, PhD | University JG, Mainz | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Anesthesiology,Prof. C. Werner, Universitätsmedizin of the JG University | Mainz | Rhineland-Palatinate | D55131 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34615684 | Derived | Kriege M, Lang P, Lang C, Pirlich N, Griemert EV, Heid F, Wittenmeier E, Schmidtmann I, Schmidbauer W, Janig C, Jungbecker J, Kunitz O, Strate M, Schmutz A. Anaesthesia protocol evaluation of the videolaryngoscopy with the McGrath MAC and direct laryngoscopy for tracheal intubation in 1000 patients undergoing rapid sequence induction: the randomised multicentre LARA trial study protocol. BMJ Open. 2021 Oct 6;11(10):e052977. doi: 10.1136/bmjopen-2021-052977. |
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| ID | Term |
|---|---|
| D063466 | Respiratory Aspiration of Gastric Contents |
| ID | Term |
|---|---|
| D057045 | Laryngopharyngeal Reflux |
| D005764 | Gastroesophageal Reflux |
| D015154 | Esophageal Motility Disorders |
| D003680 | Deglutition Disorders |
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| OTHER |
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| Macintosh Laryngoscope | Device | in a randomized order we evaluate the first pass success rate of the tracheal tube into the trachea. |
|
| < 120 seconds |
| Overall success rate | after two attempts using defined rescue techniques (e.g. rigid stylet, laryngeal mask) | < 120 seconds |
| Intubation difficult score | Based on parameters known to be associated with difficult intubation (0=easy intubation to 5=difficult intubation | < 120 seconds |
| adverse events | sore throat | after 24 hours |
| complications | mucosal injury | < 120 seconds |
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D053120 | Respiratory Aspiration |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |