Comparing two methods for intubation in patients with cervical spine injuries
Comparison of Video Stylet to Flexible Bronchoscopy for Intubation of Patients With Potential Cervical Spine Injury
This study is testing which method, the C-MAC Video Stylet or Flexible Bronchoscopy, works better for safely intubating patients with neck injuries during surgery.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 50 (estimated) |
| Ages | 18 Years to 80 Years |
| Sex | All |
| Sponsor | London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's Academic / other |
| Locations | 1 site (London, Ontario) |
| Trial ID | NCT03992092 on ClinicalTrials.gov |
What this trial studies
This clinical trial compares the effectiveness of the C-MAC Video Stylet and Flexible Bronchoscopy for intubating patients with cervical spine injuries undergoing elective non-cardiac surgery. Patients will be randomly assigned to one of the two groups, and their cervical spine movement during intubation will be recorded using fluoroscopy for analysis. Additionally, the duration of the intubation process will be timed to assess efficiency. The goal is to determine which method minimizes cervical spine movement and improves intubation outcomes.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18-80 undergoing elective non-cardiac surgery that requires oral intubation.
Not a fit: Patients with a body mass index over 35 kg/m2, unstable cervical spines, or previous neck surgeries may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to safer intubation techniques for patients with cervical spine injuries.
How similar studies have performed: While there have been studies on intubation techniques, this specific comparison of the C-MAC Video Stylet and Flexible Bronchoscopy is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Elective Surgery requiring oral intubation * undergoing elective non-cardiac surgery * American Society of Anesthesiologists physical status 1-3 * age 18-80 years Exclusion Criteria: * gastro-esophageal reflux disease * body mass index \> 35 kg/m2 * possibility of pregnancy * previous neck surgery * unstable C-spine * known or predicted difficult airway.
Where this trial is running
London, Ontario
- University Hospital — London, Ontario, Canada (Recruiting)
Study contacts
- Principal investigator: Timothy Turkstra, MD — Lhsc
- Study coordinator: Timothy Turkstra, MD
- Email: timothy.turkstra@lhsc.on.ca
- Phone: 5196858500
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.