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This study is a prospective, randomized, parallel-group clinical trial comparing videolaryngoscope and videoLMA for endotracheal intubation in adult patients undergoing surgery. Patients will be randomly assigned into two groups. The primary outcome is intubation time. Secondary outcomes include first attempt success rate, number of attempts, oxygen desaturation, hemodynamic changes, and postoperative complications.
Airway management is a critical component of anesthesia practice. Videolaryngoscopes and videoLMA devices are widely used tools for endotracheal intubation. While videolaryngoscopes provide improved visualization of the glottis, videoLMA devices can facilitate both airway management and guided intubation.
In this prospective randomized study, 100 patients will be assigned to either videolaryngoscope or videoLMA groups. Standard anesthesia induction will be applied. Intubation time, success rates, hemodynamic responses, and complications will be recorded and analyzed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Videolaryngoscope Group | Experimental | Patients undergoing endotracheal intubation using videolaryngoscope |
|
| VideoLMA Group | Experimental | Patients undergoing endotracheal intubation using videoLMA |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Videolaryngoscope | Device | Patients undergoing endotracheal intubation using videolaryngoscope |
|
| Measure | Description | Time Frame |
|---|---|---|
| Intubation Time | Time from insertion of the airway device into the patient's mouth until successful placement of the endotracheal tube, confirmed by continuous capnography. | From insertion of the airway device to confirmation of endotracheal tube placement (during anesthesia induction, within approximately 0-5 minutes) |
| Measure | Description | Time Frame |
|---|---|---|
| First Attempt Success | Successful placement of the endotracheal tube on the first attempt without the need for additional airway maneuvers. | During first intubation attempt (within 0-2 minutes) |
| Number of Attempts |
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Inclusion Criteria:
Adults aged 18 years and older ASA physical status I-III Patients scheduled for surgery requiring endotracheal intubation Ability to provide written informed consent
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ela Erdem Hidiroglu, MD | Ankara Etlik City Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Etlik city hospital | Yenimahalle | Ankara | 06000 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D052878 | Urolithiasis |
| ID | Term |
|---|---|
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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this study is conducted as an open label trial no masking is applied the clinicians performing the intubation and collecting the data are aware of the intervention
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| VideoLMA | Device | Patients undergoing endotracheal intubation using videoLMA |
|
Total number of attempts required to achieve successful endotracheal intubation.
| During intubation procedure (within approximately 0-10 minutes |
| Oxygen Desaturation | Occurrence of oxygen desaturation defined as peripheral oxygen saturation (SpO₂) below 92% during the intubation procedure. | During intubation procedure (from induction until successful intubation, approximately 0-10 minutes) |
| Heart rate | changes in heart rate measured at predefined time points | At baseline (pre-induction), immediately after intubation, and at 1, 3, and 5 minutes post-intubation |
| Postoperative Sore Throat | Presence of sore throat assessed using a standardized patient-reported scale. | At postoperative 1 hour and 2 hours |
| Hoarseness | Presence of voice changes (hoarseness) assessed based on patient self-report. | At postoperative 1 hour and 2 hours |
| Complications | Occurrence of airway-related complications including mucosal injury, dental trauma, or esophageal intubation observed during the procedure. | During intubation and intraoperative period (approximately 0-60 minutes) |
| mean arterial pressure | changes in mean arterial pressure measured at predefined time points | baseline, post intubation,1,3,5 min |
| D052801 | Male Urogenital Diseases |