Hyperangulated vs. Macintosh blades for obstetric intubation
Official title: HyperANGulated Versus Macintosh styLE blaDes for INtubation in OBstetric Patients: a Cluster Randomized Feasibility Study
Run by Samuel Lunenfeld Research Institute, Mount Sinai Hospital · NCT07667010 · Data updated 2026-11-12
This study tests whether a hyperangulated blade or a Macintosh-style blade helps obstetric patients get an endotracheal tube placement more safely during cesarean deliveries under general anesthesia.
Quick facts
| Study type | Interventional |
|---|---|
| Sex | Women only |
| Enrollment | 100 (estimated) |
| Sponsor | Samuel Lunenfeld Research Institute, Mount Sinai Hospital Academic / other |
| Locations | 1 site (Toronto, Ontario) |
| Status | Recruiting |
| Started | June 22, 2026 |
| Main results expected | January 31, 2028 |
| Study ends | June 30, 2028 |
| Registry record updated | October 28, 2026 |
| Trial ID | NCT07667010 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Pregnant patients undergoing emergency or urgent cesarean delivery under general anesthesia who require tracheal intubation.
✕Probably not a fit
Patients who do not receive general anesthesia or do not undergo tracheal intubation may not benefit from this comparison.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a single-site feasibility study at Mount Sinai Hospital in Toronto comparing two video laryngoscope blade designs for the first attempt at tracheal intubation during urgent or emergency cesarean deliveries under general anesthesia. Patients are assigned to a blade type based on time-block clusters (four 4-month periods), with one-month washouts between periods; clinicians may deviate if patient safety requires. Data on airway variables and perioperative factors will be collected from electronic records by a trained research assistant. The design aims to reflect real-world workflow while minimizing contamination from rapid decision-making in obstetric emergencies.
Why it matters
Potential benefit: If successful, the study could identify a blade type that improves first-attempt intubation success and airway safety for cesarean deliveries under general anesthesia.
How similar studies have gone: Previous use of video laryngoscope blades in obstetric anesthesia is established; this study addresses a specific head-to-head blade comparison in a focused obstetric setting.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1\. Pregnant patients undergoing emergency or urgent cesarean delivery under general anesthesia requiring tracheal intubation. Exclusion Criteria: 1. No tracheal intubation performed and (ii) patient refusal of consent. 2. Patients not receiving general anesthesia. 3. Patients that previously participated in the study.
Where it's running
-
Mount Sinai Hospital
Toronto, Ontario, Canada Recruiting
Study contacts
- Study coordinator: Fabricio B Zasso, MD
- Email: fabricio.zasso@uhn.ca
- Phone: (416) 586-4800
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.