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Comparison of Flex-It Stylet to Malleable Stylet for GlideScope Intubation: A Randomized Controlled Trial
This study is currently recruiting participants.
Verified by Lawson Health Research Institute, October 2008
Sponsors and Collaborators: Lawson Health Research Institute
London Health Sciences Centre
St. Joseph Hospital
Information provided by: Lawson Health Research Institute
ClinicalTrials.gov Identifier: NCT00771628
  Purpose

Patients presenting for elective surgery requiring tracheal intubation will be randomized to one of two different ETT stylets. The primary outcome is time to intubation.

The null hypothesis is that there will be no difference.

The GlideScope video laryngoscope (Verathon) is a widely used intubating device that uses a high-resolution camera embedded into a plastic laryngoscope blade. An LED provides illumination. The GlideScope often provides a good laryngoscopic view, but passing the endotracheal tube (ETT) through the vocal cords is sometimes difficult. Because of the 60 degree anterior curvature of the GlideScope's blade, ETT's must have stylets inserted so that the ETT distal tip can be positioned anteriorly. Various authors have recommended different angles of the ETT to optimally place it into the trachea, including matching the GlideScope's 60 degree angle, or configuring the ETT with a 90 degree bend. Previous studies demonstrated that 90 degree sharp bend was both faster and subjectively easier in a heterogeneous group of intubators. With the introduction of the Flex-It stylet by Parker Medical, the question arises as to the the best configuration of stylet for the ETT. Therefore, this prospective, randomized, single-blinded trial is proposed.


Condition Intervention
Intubation
Device: Flex-It Stylet
Device: Standard malleable stylet

U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Single Blind (Investigator), Active Control, Parallel Assignment
Official Title: Comparison of Flex-It Stylet to Malleable Stylet for GlideScope Intubation: A Randomized Controlled Trial

Further study details as provided by Lawson Health Research Institute:

Primary Outcome Measures:
  • Time to Intubation [ Time Frame: Prospective 10-150 seconds ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Ease of Intubation Visual Analog Scale [ Time Frame: Prospective ] [ Designated as safety issue: No ]

Estimated Enrollment: 80
Study Start Date: January 2008
Estimated Study Completion Date: December 2008
Estimated Primary Completion Date: December 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Flex-It Stylet: Experimental
Patients will be intubated using the GlideScope with an ETT fitted with a Flex-It stylet.
Device: Flex-It Stylet
Patients will be intubated using the GlideScope with an ETT fitted with a Flex-It stylet.
2 Malleable: Active Comparator Device: Standard malleable stylet
Patients will be intubated using the GlideScope with an ETT fitted with a standard malleable stylet.

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. * Any adult patient scheduled for elective surgery.
  2. ETT is indicated for the procedure in the opinion of the attending anesthesiologist.
  3. Any operator who has performed ≥ 10 GlideScope intubations.

Exclusion Criteria:

  1. Any patient in whom the use of the GlideScope is contraindicated in the opinion of the attending anesthesiologist.
  2. * Patient with known cervical spine abnormalities.
  3. * Any patients with known or probable difficult airways (this rare occurrence is unlikely to be evenly distributed between the groups and could skew the data).
  4. Any patient requiring rapid sequence induction.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00771628

Contacts
Contact: Timothy P Turkstra, MD 519 685-8500 ext 35677
Contact: Philip M Jones, MD 519 685-8500 ext 36306

Locations
Canada, Ontario
London Health Sciences Center Recruiting
London, Ontario, Canada
Contact: Timothy P Turkstra, MD     519 685-8500 ext 35677        
Sponsors and Collaborators
Lawson Health Research Institute
London Health Sciences Centre
St. Joseph Hospital
Investigators
Principal Investigator: Timothy P Turkstra, MD University of Western Ontario, Canada
  More Information

No publications provided

Responsible Party: University of Western Ontario ( Timothy Turkstra )
Study ID Numbers: R-08-111, 13949
Study First Received: October 10, 2008
Last Updated: October 10, 2008
ClinicalTrials.gov Identifier: NCT00771628  
Health Authority: Canada: Ethics Review Committee

Keywords provided by Lawson Health Research Institute:
Intubation, Flex-It, stylet, GlideScope

ClinicalTrials.gov processed this record on February 12, 2009