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Trial registered on ANZCTR
Registration number
ACTRN12610000136000
Ethics application status
Approved
Date submitted
27/12/2009
Date registered
10/02/2010
Date last updated
10/02/2010
Type of registration
Prospectively registered
Titles & IDs
Public title
Use of the Airtraq laryngoscope for bariatric surgery: influence of positioning
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Scientific title
Assessing the time to intubation between intubation with the airtraq laryngoscope compared to the Macintosh laryngoscope in obese candidates for bariatric surgery
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Secondary ID [1]
1222
0
None
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Universal Trial Number (UTN)
U1111-1113-0857
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Difficulties in intubation in obese patients with Airtraq laryngoscope
256450
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Condition category
Condition code
Anaesthesiology
256619
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0
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Anaesthetics
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Observe: Time to intubation, visual conditions, and oxygen levels, during the use of the Airtraq(trademark), laryngoscope, in obese patients at sniffing position. The time to intubation with the airtraq usually is made in 120 seconds. We will observe teh use of this device when the patient is at the called "sniffing position". This position is obteined with put pillows and blankets under back, neck and head.
The airtraq is a rigid device and we need a bucal aperture of 2cm at least. Its needs less cervical and head movimentation for tracheal tube introdution. The anesthesiologist can see the larynx through a small screen. The larynx image cames to screen from a prisma
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Intervention code [1]
255740
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Treatment: Devices
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Comparator / control treatment
We will compare with the traditional Macintosh laryngoscope. This is the traditional aproach of the airway in obese patients positioned in the sniffing position. Its takes about 1 to 3 minutos to do (intubation), and sometimes its can fail. Because the risk of failure and hypoxia we decided to try an alternative device (airtraq)
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Control group
Active
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Outcomes
Primary outcome [1]
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Time to procedure intubation. When we are to proced an anesthesia in the obese patient, the time to intubation is very important because after the anesthetics effects, the abdominal fat pushes the lungs up and the tongue and larynx soft tissue falls and makes the ventilantion and oxygenations difficult, sometimes impossible. To avoid it we need to proced the intubation quickie. Our study aim is the compare between airtraq and macintosh laryngoscopes, wich one can make it easier and faster.
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Assessment method [1]
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Timepoint [1]
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At baseline
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Secondary outcome [1]
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Visual field of the larynx.
There are a classification pourposed by Cormak and Lehane, about the vision of the laryngeal structures during a laryngoscopy. It is universaly used. The classifications have 4 grades. Grade I, we can see all structures. Grade II, we can see just the vocal cords partially. Grade III, we see only the epiglotys, and Grade IV, we can not see the larynx. All airway devices try to do a best vision, Grade I
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Assessment method [1]
262731
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Timepoint [1]
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At baseline
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Secondary outcome [2]
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Oxygen level during intubation time.
Using a non invasive continuous pulse oximeter (Dash 3000, General Eletric, USA)
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Assessment method [2]
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Timepoint [2]
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At baseline
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Eligibility
Key inclusion criteria
Obese patients scheduled for bariatric surgery, after signed the Ethical Reconmendations
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Refuse to participate.Non trated hiatal reflux, history of allergic reactions to succinilcoline or difficult intubation, bucal aperture less than 2cm.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
By sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computerised sequence generation
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
4/03/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
120
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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Brazil
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State/province [1]
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Santa Catarina
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Dante Ranieri Junior
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Address [1]
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XV Novembro (street)
Number 222, apartment 10
(City) Itajai
(State) Santa Catarina
ZIP 88301420
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Country [1]
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Brazil
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Funding source category [2]
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Self funded/Unfunded
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Name [2]
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Address [2]
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Country [2]
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Brazil
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Primary sponsor type
Individual
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Name
Dante Ranieri Junior
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Address
Rua XV de Novembro, 222 apartment 10
Itajai - Santa catarina - Brazil
ZIP 88301420
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Country
Brazil
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Hospital do Coracao de Balneario Camboriu
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Address [1]
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Rua Arthur Maxdoose, 215
Balneario Camboriu
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Country [1]
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Brazil
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Comite de Etica em Pesquisa da Univali
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Ethics committee address [1]
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Rua Uruguai, 458 BL 27 - terreo ZIP 88302202 Itajai Santa Catarina
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Ethics committee country [1]
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Brazil
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Date submitted for ethics approval [1]
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02/07/2009
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Approval date [1]
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16/10/2009
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Ethics approval number [1]
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362/09A
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Summary
Brief summary
Tracheal intubation in obese patients will may be difficult. We have many devices to facilitate, and we should to put the patient at the sniffing position (pillows under back, neck and head). Our objective in this study is to identify if have differences between the new device Airtraq(trademark), and tradicional macintosh laryngoscope in obese patients intubation on sniffing position.
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Trial website
etica@univali.br
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dante Ranieri Junior
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Address
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XV Novembro, 222 ap 10
Itajai
Santa Catarina
ZIP 88301420
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Country
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Brazil
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Phone
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55-47-33492176
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Fax
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55-47-33492176
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dante Ranieri Junior
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Address
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XV Novembro, 222 ap 10
Itajai
Santa catarina
ZIP 88301420
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Country
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Brazil
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Phone
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55-47-33492176
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Fax
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55-47-33492176
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Preanesthetic assessment data do not influence the time for tracheal intubation with Airtraq video laryngoscope in obese patients.
2014
N.B. These documents automatically identified may not have been verified by the study sponsor.
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