An interventional study of Patients will be intubated using Air-Q airway in Fekry VS the Air-Q Intubating Airways, sponsored by Cairo University. Completed at 1 site in Egypt. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-06-30.
Sponsored by Cairo University · Not applicable, Interventional, and Diagnostic
The fibreoptic bronchoscope remains one of the most important methods of intubating patients particularly when there is difficulty with intubation.
Facilitating fiberoptic oropharyngeal intubation procedure, specific airways have been devised to push the tongue anteriorly to clear a passage for the fibrescope into the trachea.
Of these airways the Air-Q Intubating Laryngeal Airway (Air-Q) (Cookgas, St. Louis, MO, USA) and Fekry Oral Intubating Airway (Ameco Technology, Cairo, Egypt).
The Air-Q Intubating Laryngeal Airway (Air-Q):
The Air-Q™ Intubating Laryngeal Airway (Air-Q) (Cookgas, St. Louis, MO, USA) is a SAD that was designed primarily to act as a conduit for the passage of a cuffed tracheal tube during tracheal intubation (1), Compared with the LMA, the Air-Q has a shorter silicon airway tube that allows an easy visualization of vocal cords and intubation and removal of the device after tracheal tube insertion. The device has a removable color coded connector, allows intubation through the airway tube. The device is also wider, C-curved and has an integrated bite block which makes it easier to place reinforces the tube and diminishes the need for a separate bite block, with an elevation ramp that facilitates intubation and directs the tube toward the laryngeal inlet. It also has a built-up mask for improved seal. All of these features facilitate the passage of the tracheal tube through the device and into the trachea.
Fekry airway (Oral Intubating Airway; Egyptian Patent 28118):
Several modifications of oropharyngeal airways aiming to allow facilitation of intubation and easy removal of the airway after placement of ETT.
In Fekry airway, modification of the Williams airway facilitates the airway removal after ETT insertion without need to remove the international part of the ETT (this reduce risk of ETT dislodgement during airway removal).
The modification made to the Williams airway is that the roof of the proximal cylindrical tunnel is opened from its upper part to allow one step insertion of the tube. There is no need for removal of the tube connector after tube insertion. It allows passage of the suction catheter and may allow oxygen insufflations through a catheter.
As mastering airway management in difficult cases is an essential job to anesthesiologist, we think it is important to find an easy adjunct to this hard job.
investigators hypothesized that Fekry airway could offer a better conduit to flexible fiberoptic intubation rather than the air-Q device, because it needs less experience in how to use, less intubation time.
Cairo University is the lead sponsor of 4,780 studies on the registry; 1,427 are open to participants now.
Of its 36 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Patients will be intubated using Air-Q airway
Device: Patients will be intubated using Air-Q airway
Patients will be intubated using Fekry airway
Device: Patients will be intubated using Air-Q airway
Both groups: Grade 1: Split airway provides an unobstructed path for bronchoscope from mouth to glottis. Grade 2: Tongue rests against posterior pharyngeal wall causing partial obstruction to bronchoscope. Grade 3: Epiglottis rests against posterior pharyngeal wall causing partial obstruction to bronchoscope. Grade 4: Tongue and epiglottis rest against posterior pharyngeal wall, both causing partial obstruction to bronchoscope. Grade 5: Tongue rests against posterior pharyngeal wall causing total obstruction to bronchoscope (failure). Grade 6: Epiglottis rests against posterior pharyngeal wall causing total obstruction to bronchoscope (failure)
Endoscopy insertion time
Time from introducing the tip of scope through the proximal end of the airway device or mouth until the visualization of carina (multiple attempts will be added to compute this time
Time frame: Withen 15 seconds from induction og Generel Anesthesia
ITHIN Intubation time
Timing of complete intubation
Time frame: Withen 15 seconds from induction og Generel Anesthesia
Grade of endoscopic view
Endoscopic view grading
Time frame: Withen 15 seconds from induction og Generel Anesthesia
Success rate of intubation from 1st trial
1st trial Success
Time frame: Withen 15 seconds from induction og Generel Anesthesia
Score of success of endotracheal intubation
Endotracheal intubation Score of success
Time frame: Withen 15 seconds from induction og Generel Anesthesia till Study Completion
Number of intubation and device insertion attempts
Attempts Number of intubation and device insertion
Time frame: Withen 15 seconds from induction og Generel Anesthesia
Complications
Coughing, laryngospasm, stridor, hoarseness, bronchospasm, arterial desaturation (SpO2\<92), aspiration, bleeding or swelling to the lips, tongue, teeth, or blood staining the airway.
Time frame: Withen 15 seconds from induction og Generel Anesthesia
Plan to share: Undecided — Till Publication
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Cairo University