Condition: Acute Respiratory Failure · Intubation · Intubation; Difficult or Failed · Sponsor: Hospital Clinico Universitario de Santiago
Tracheal intubation in the intensive care unit (ICU) is associated with high incidence of difficult intubation and complications. Videolaryngoscopes (VLs) devices have been proposed to improve airway management, and the use of VLs are recommended as first-line or after a first-attempt failure using direct laryngoscopy in ICU airway management algorithms. Although until relatively few years ago there were doubts about whether videolaryngoscopes had advantages over direct laryngoscopy for endotracheal intubation (ETI) in critically ill patients, two recent studies (DEVICE (1), INTUBATE (2)), and a Cochrane review (3) have confirmed that videolaryn should be used?, and what is the best blade? . There are two types of blades commonly used with videolaryngoscopes: the "Macintosh" blade with a slight curvature, and hyperangulated blades. The "Macintosh" blades have a lower angle of vision, but they have the advantage of being similar to the blades commonly used in direct laryngoscopy, making them easy to use for the person performing the ETI. Hyperangulated blades have a greater angle of vision, improving glottic visualization, especially in patients with an anterior glottis. However, the need to overcome this angulation could potentially hinder the passage of the endotracheal tube to the vocal cords. It is unknown if either blade has any advantage for intubating critically ill patients.
This description comes directly from the study's public registry record.
Manuel Taboada, Ph.D. · 678195618 · manutabo@yahoo.es
Manuel Taboada · 678195618 · manuel.taboada.muniz@sergas.es
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| University Clinical Hospital of Santiago de Compostela | Santiago de Compostela, A Coruña, Spain | Recruiting |
| Complexo Hospitalario Universitario de A Coruña | A Coruña, Spain | Recruiting |
| Hospital General de Albacete | Albacete, Spain | Not Yet Recruiting |
| Hospital de la Santa Creu i Sant Pau, Barcelona | Barcelona, Spain | Not Yet Recruiting |
| Hospital Universitario de Cáceres | Cáceres, Spain | Not Yet Recruiting |
| Hospital de Denia | Denia, Spain | Not Yet Recruiting |
| Hospital General Universitario de Eche | Elche, Spain | Not Yet Recruiting |
| Hospital Universitario de Cabueñes, Gijón | Gijón, Spain | Not Yet Recruiting |
| Hospital Virgen de las Nieves, Granada | Granada, Spain | Not Yet Recruiting |
| Hospital Universitario de Gran Canaria Doctor Negrín | Las Palmas de Gran Canaria, Spain | Not Yet Recruiting |
| Complejo Asistencial Universitario de León | León, Spain | Not Yet Recruiting |
| Hospital Universitario Lucus Augusti, Lugo | Lugo, Spain | Recruiting |
+ 17 more locations — full list on the registry record.
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Source record: clinicaltrials.gov/study/NCT06322719