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Trial registered on ANZCTR
Registration number
ACTRN12621000018819
Ethics application status
Approved
Date submitted
30/10/2020
Date registered
13/01/2021
Date last updated
25/02/2022
Date data sharing statement initially provided
13/01/2021
Date results provided
25/02/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
Comparison of fibreoptic-guided intubation through an i-gel versus hyperangulated video laryngoscopy by emergency physicians: a prospective randomised study in cadavers.
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Scientific title
Comparison of fibreoptic-guided intubation through an i-gel versus hyperangulated video laryngoscopy by emergency physicians: a prospective randomised study in cadavers.
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Secondary ID [1]
302662
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None
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Universal Trial Number (UTN)
U1111-1260-5612
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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:
Difficult Airway
319573
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Condition category
Condition code
Emergency medicine
317518
317518
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0
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Resuscitation
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Standardised flexible airway scope guided intubation technique via an i-gel supraglottic airway device (SGA), placed orally by an emergency physician (EP) with preliminary training consisting of a 60 minute training session on scope familiarisation, practice on an airway mannequin, and then on a cadaver.
It is anticipated that the intubation technique will be completed within 2 minutes.
During the procedure the process will be supervised by an experienced emergency physician, familiar with the technique, who is able to offer advice on the procedure.
Regarding the 'wash out' period:
The individual physician will undertake both the intervention and comparator techniques on the cadavers as part of a randomised sequence of experiments. As such there will be no 'wash out'; In theory the random sequence could mean, for example, 'physician 2' to perform FAS then HAVL one immediately after the other on the same cadaver.
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Intervention code [1]
318948
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Treatment: Devices
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Comparator / control treatment
Standardised hyperangulated video laryngoscope (HAVL) guided intubation technique using a endotracheal tube (ETT) mounted on a stylet.
It is anticipated that the intubation technique will be completed within 2 minutes.
During the procedure the process will be supervised by an experienced emergency physician, familiar with the technique, who is able to offer advice on the procedure.
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Control group
Active
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Outcomes
Primary outcome [1]
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Time to successful placement of cuffed endotracheal tube, from start of procedure, using a digital stopwatch.
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Assessment method [1]
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Timepoint [1]
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Successful endotracheal tube insertion into the trachea with balloon inflation.
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Secondary outcome [1]
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Success or failure within two minutes of starting the procedure. A digital stopwatch will be used for this assessment.
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Assessment method [1]
388372
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Timepoint [1]
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Two minutes from disconnecting the bag-valve-mask.
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Eligibility
Key inclusion criteria
Emergency Physician with preliminary training on use of the flexible airway scope.
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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
None
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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)
Central randomisation by computer.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by computer.
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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
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
20/01/2021
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Actual
17/02/2021
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Date of last participant enrolment
Anticipated
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Actual
17/02/2021
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Date of last data collection
Anticipated
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Actual
17/02/2021
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Sample size
Target
4
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Accrual to date
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Final
4
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
17920
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The Alfred - Melbourne
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Recruitment postcode(s) [1]
31783
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3004 - Melbourne
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Funding & Sponsors
Funding source category [1]
307102
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Hospital
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Name [1]
307102
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Emergency & Trauma Centre
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Address [1]
307102
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The Alfred Hospital
55 Commercial Road
Melbourne
Victoria
3004
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Country [1]
307102
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Australia
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Primary sponsor type
Hospital
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Name
Emergency & Trauma Centre
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Address
The Alfred Hospital
55 Commercial Road
Melbourne
Victoria
3004
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Country
Australia
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Secondary sponsor category [1]
307671
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None
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Name [1]
307671
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Address [1]
307671
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Country [1]
307671
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
307216
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The University of Melbourne Human Ethics Advisory Group
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Ethics committee address [1]
307216
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The University of Melbourne Human Ethics Advisory Group Office of Research Ethics and Integrity (OREI) The University of Melbourne 1/21 Bedford St North Melbourne Victoria AUSTRALIA 3010
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Ethics committee country [1]
307216
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Australia
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Date submitted for ethics approval [1]
307216
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30/09/2020
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Approval date [1]
307216
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01/10/2020
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Ethics approval number [1]
307216
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2058001
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Summary
Brief summary
In this study we have chosen to compare a standard approach to the intubation of a difficulty airway, using hyperangulated video laryngoscopy (HAVL), with a novel method where the endoscope is guided into the trachea through a supraglottic airway device (SGA). We feel this is a scenario likely to be encountered by emergency physicians as these devices are commonly used in this setting as a ‘rescue device’, which can temporarily allow ventilation when traditional laryngoscopy has failed to secure a definitive airway. Our hypothesis is that intubation facilitated by a fiberoptic airway scope inserted via an SGA will allow an emergency physician to rapidly achieve a secure airway, when compared with HAVL, as these devices are designed to open directly at the laryngeal inlet and so may be an ideal conduit for endoscopic intubation of the trachea.
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Trial website
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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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Dr Christopher Groombridge
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Address
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The National Trauma Research Institute
Alfred Health
Commercial Road
Melbourne
Victoria
3004
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Country
106438
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Australia
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Phone
106438
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+61 390763405
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Fax
106438
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Email
106438
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[email protected]
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Contact person for public queries
Name
106439
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Christopher Groombridge
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Address
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The National Trauma Research Institute
Alfred Health
Commercial Road
Melbourne
Victoria
3004
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Country
106439
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Australia
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Phone
106439
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+61 390763405
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Fax
106439
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Email
106439
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[email protected]
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Contact person for scientific queries
Name
106440
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Christopher Groombridge
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Address
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The National Trauma Research Institute
Alfred Health
Commercial Road
Melbourne
Victoria
3004
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Country
106440
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Australia
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Phone
106440
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+61 390763405
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Fax
106440
0
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Email
106440
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Analysed data will be submitted for publication.
Individual participant data will not be made available in order to maintain the privacy of the small sample of physicians from this single centre emergency department.
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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
Dimensions AI
Global Research Highlights
2023
https://doi.org/10.1007/s43678-023-00532-z
N.B. These documents automatically identified may not have been verified by the study sponsor.
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