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Trial registered on ANZCTR
Registration number
ACTRN12608000066381
Ethics application status
Not yet submitted
Date submitted
3/02/2008
Date registered
6/02/2008
Date last updated
8/12/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
Comparison of McCoy and Airtraq Laryngoscopes in Patients with Cervical Spine Immobilisation
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Scientific title
Comparison of McCoy and Airtraq laryngoscopes with respect to intubation time and intubation difficulty scale (IDS) scores in patients with cervical spine immobilisation
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Secondary ID [1]
288093
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Nil known
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Universal Trial Number (UTN)
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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:
Cervical spine immobilisation
2788
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Condition category
Condition code
Anaesthesiology
2924
2924
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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
A single tracheal intubation using the Airtraq laryngoscope. The process of intubation involves placing a breathing tube in the 'windpipe' and it occurs after the patient is anaesthetised. The intubation procedure takes less than 2 minutes to complete. Intubation is usually aided by a device called a laryngoscope, which is placed in the patient's mouth. The Airtraq is a novel, single-use optical laryngoscope with a number of design features that suggest its utility in the setting of cervical spine immobilisation.
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Intervention code [1]
2531
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Treatment: Devices
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Comparator / control treatment
A single tracheal intubation using the McCoy laryngoscope. The process of intubation involves placing a breathing tube in the 'windpipe' and it occurs after the patient is anaesthetised. The intubation procedure takes less than 2 minutes to complete. Intubation is usually aided by a device called a laryngoscope, which is placed in the patient's mouth. The McCoy laryngoscope is a standard anaesthetic tool with an established place in the airway management of patients with immobilised cervical spines.
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Control group
Active
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Outcomes
Primary outcome [1]
3803
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Intubation time
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Assessment method [1]
3803
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Timepoint [1]
3803
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at time of tracheal intubation
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Primary outcome [2]
3804
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Intubation Difficulty Scale (IDS) score
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Assessment method [2]
3804
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Timepoint [2]
3804
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at time of tracheal intubation
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Secondary outcome [1]
6414
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Rate of successful placement of the tracheal tube
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Assessment method [1]
6414
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Timepoint [1]
6414
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at the time of tracheal intubation
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Secondary outcome [2]
6415
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Cormack & Lehane grade at laryngoscopy
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Assessment method [2]
6415
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Timepoint [2]
6415
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at time of laryngoscopy
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Secondary outcome [3]
6416
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Number of intubation attempts
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Assessment method [3]
6416
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Timepoint [3]
6416
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at the time of tracheal intubation
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Secondary outcome [4]
6417
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Number of optimisation manoeuvres required to aid tracheal intubation
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Assessment method [4]
6417
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Timepoint [4]
6417
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at time of tracheal intubation
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Eligibility
Key inclusion criteria
Adult patients (American Society of Anesthesiologists Physical Status 1 & 2) presenting for elective surgery requiring tracheal intubation
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Minimum age
18
Years
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Maximum age
N/A
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Patients with a past history of difficult tracheal intubation, or with clinical signs of potential difficulty with tracheal intubation
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Study design
Purpose of the study
Treatment
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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)
Sealed envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomisation will occur according to a sealed envelope selection process
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Masking / blinding
Blinded (masking 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
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Withdrawn
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Reason for early stopping/withdrawal
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Date of first participant enrolment
Anticipated
3/01/2008
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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
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
755
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4029
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Funding & Sponsors
Funding source category [1]
3050
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Hospital
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Name [1]
3050
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Royal Brisbane and Women's Hospital
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Address [1]
3050
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Butterfield Street, Herston QLD 4029
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Country [1]
3050
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Australia
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Primary sponsor type
Individual
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Name
Dr Michael Bishop
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Address
Department of Anaesthesia and Perioperative Medicine, Royal Brisbane and Women's Hospital, Butterfield Street, Herston QLD 4029
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Country
Australia
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Secondary sponsor category [1]
2748
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None
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Name [1]
2748
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Address [1]
2748
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Country [1]
2748
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Other collaborator category [1]
192
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Individual
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Name [1]
192
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Dr Linda Beckmann
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Address [1]
192
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Department of Anaesthesia and Perioperative Medicine, Royal Brisbane and Women's Hospital, Butterfield Street, Herston QLD 4029
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Country [1]
192
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Australia
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Other collaborator category [2]
193
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Individual
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Name [2]
193
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Dr Keith Greenland
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Address [2]
193
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Wesley Anaesthesia and Pain Management Group, Wesley Medical Centre, 40 Chasely Street, Auchenflower QLD 4066
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Country [2]
193
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Australia
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
5001
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Royal Brisbane and Women's Health Service District Human Research Ethics Committee
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Ethics committee address [1]
5001
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Level 7, Block 7, Royal Brisbane and Women's Hospital, Butterfield Street, Herston QLD 4029
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Ethics committee country [1]
5001
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Australia
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Date submitted for ethics approval [1]
5001
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15/11/2007
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Approval date [1]
5001
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Ethics approval number [1]
5001
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Summary
Brief summary
Failure to immobilise the neck during tracheal intubation in patients with cervical spine injuries (CSI) can result in a devastating neurologic outcome. One method to immobilise the neck during laryngoscopy and tracheal intubation is manual in-line neck stabilisation (MILNS). With MILNS, however, it is often more difficult to visualise the larynx using conventional laryngoscopy. Consequently, the application of MILNS may result in failure to secure the airway, which may result in substantial morbidity or even mortality. These issues highlight the need to develop alternative approaches to securing the airway in patients with CSI. The purpose of the proposed study is to compare the performance of the Airtraq and McCoy laryngoscopes for tracheal intubation in patients with cervical spine immobilisation using MILNS. The McCoy laryngoscope, introduced into clinical practice in 1993, is a modification of the standard Macintosh blade. It is a familiar anaesthetic tool with an established place in the airway management of patients with immobilised cervical spines. The Airtraq, in contrast, is a novel intubation device. It is a single-use optical laryngoscope with a number of design features that suggest its utility in the setting of cervical spine immobilisation. A limited amount of research to date has generally supported this proposition. We hypothesise that, in comparison with the McCoy, the Airtraq laryngoscope will be associated with faster intubations of reduced complexity. We intend to test our hypothesis by conducting a randomised, single-blind, controlled clinical trial. All patients will receive a standardised general anaesthetic with routine non-invasive monitoring. The neck will be immobilised using MILNS applied by an experienced assistant. Participants will be randomly assigned to tracheal intubation with either the Airtraq or the McCoy laryngoscope. All intubations will be performed by one of two consultant anaesthetists experienced in the use of both laryngoscopes. The primary outcome measures will be intubation time and the Intubation Difficulty Scale score. Any complications or difficulties will be recorded.
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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 Michael Bishop
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Address
28348
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Department of Anaesthesia and Perioperative Medicine, Royal Brisbane and Women's Hospital, Butterfield Street, Herston QLD 4029
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Country
28348
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Australia
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Phone
28348
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+61736468111
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Fax
28348
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Email
28348
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[email protected]
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Contact person for public queries
Name
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Keith Greenland
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Address
11505
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Wesley Anaesthesia and Pain Management Group, Wesley Medical Centre, 40 Chasely Street, Auchenflower QLD 4066
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Country
11505
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Australia
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Phone
11505
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+61733770500
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Fax
11505
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+61738703139
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Email
11505
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[email protected]
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Contact person for scientific queries
Name
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Michael Bishop
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Address
2433
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Department of Anaesthesia and Perioperative Medicine, Royal Brisbane and Women's Hospital, Butterfield Street, Herston QLD 4029
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Country
2433
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Australia
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Phone
2433
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+61736468111
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Fax
2433
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+61736461308
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Email
2433
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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
No additional documents have been identified.
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