Clinical Trial: Comparison by Neuromonitoring of Two Techniques of Tracheal Intubation in Patients With Unstable Cervical Spine

Study Status: Completed
Recruit Status: Unknown status
Study Type: Interventional

Official Title: Comparison by Neuromonitoring of Two Techniques of Tracheal Intubation in Patients With Unstable Cervical Spine

Brief Summary:

Patients who present with an unstable cervical spine following an accident need a general anesthesia for the necessary surgery.

Commonly, the management of the tracheal intubation is performed by a fiberoptic technique.

However, changes in equipment availability and quality may challenge the fiberoptic intubation technique.

The investigators wish to compare the tracheal intubations performed with the Airtraq in comparison with the fiberscopic technique.


Detailed Summary:

Patients who present with an unstable cervical spine following an accident need a general anesthesia for the necessary surgery.

Commonly, the management of the tracheal intubation is performed by a fiberoptic technique (historic gold standard technique).

However, changes in equipment availability and quality may challenge the fiberoptic intubation technique.

We wish to compare the tracheal intubations performed with the Airtraq in comparison with the fiberscopic technique.

Primary outcomes will be the changes in neurophysiologic responses monitored by a neurophysiologist in 5 specific phases:

  1. Basal potential (BM): neuromonitoring while the patient is anesthetized, no movements
  2. Ventilation potential (VM): neuromonitoring while the patient is anesthetized and a bag-mask ventilation is performed
  3. Intubation potential (IP): neuromonitoring while the patient is being intubated with one of the two randomized devices
  4. Post Intubation (PI): neuromonitoring after the patient has been intubated
  5. Post Positioning (PP): neuromonitoring after the patient has been properly positioned on the operating table and is ready for surgery

Sponsor: University of Lausanne Hospitals

Current Primary Outcome: Neuromonitoring modifications (modifications appearing on the neuromonitoring) [ Time Frame: 30 seconds ]

modifications appearing on the neuromonitoring during the 5 different phases


Original Primary Outcome: Same as current

Current Secondary Outcome:

  • time necessary for tracheal intubation [ Time Frame: 180 seconds ]
  • tracheal inlet view (best view during intubation) [ Time Frame: 10 seconds ]
    best view during intubation
  • number of attempts necessary [ Time Frame: 180 seconds ]


Original Secondary Outcome: Same as current

Information By: University of Lausanne Hospitals

Dates:
Date Received: March 3, 2015
Date Started: March 2009
Date Completion: December 2015
Last Updated: March 6, 2015
Last Verified: March 2015