Endotracheal Tube (ETT) 180: Stylet-loaded Endotracheal Tube Rotation Before Insertion

Conditions

• Anesthesia, Endotracheal

Eligibility Criteria

Sex

ALL

Age

18 Years - 90 Years

Healthy Volunteers

Not accepted

Interventions

• Direct Laryngoscope (DL) — DEVICE
  DL allows visualization of the larynx. It is used during general anesthesia, for surgical procedures of the larynx, and during resuscitation.
• Video laryngoscope (VL) — DEVICE
  VL facilitates intubation while allowing clinicians to share and record real-time high-resolution images and video.
• Endotracheal Tube (ETT) 180 — PROCEDURE
  A novel maneuver has been described to decrease the insult from stylet named Endotracheal Tube (ETT) 180; a clockwise rotation of the stylet-loaded Endotracheal Tube (ETT) 180 degrees on its axis right after the tip of Endotracheal Tube (ETT) passes the patient's vocal cords (glottis) before fully inserting the Endotracheal Tube (ETT) and then, pulling the stylet out. This maneuverer allows the stylet to match the posterior angulation of the trachea.

Study Details

The main objective of the proposed study is to clarify whether rotating a stylet-loaded endotracheal tube (ETT) 180 degrees prior to intubation will decrease the incidence of postoperative throat soreness, when compared to standard technique used in Standard of Care.

Key Dates

Start date

May 31, 2023

Status verified

Apr 2026

Primary completion

May 31, 2027

Completion

May 31, 2027

Study Design

Enrollment

357 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

PREVENTION

Arms

• Active Comparator: Direct Laryngoscopy (DL)
  Standard laryngoscope use to insert the endotracheal tube and removing the stylet without any rotation.
• Active Comparator: Direct laryngoscopy (DLE) plus Endotracheal Tube (ETT) 180 maneuver
  Standard laryngoscope use to insert the endotracheal tube and removing the stylet using a 180-degree rotation.
• Active Comparator: Video laryngoscopy plus Endotracheal Tube (ETT) 180 maneuver (VLE)
  Video laryngoscope use to insert the endotracheal tube and removing the stylet using a 180-degree rotation.

Primary Outcome Measure

Incidence of postoperative sore throat [ Time Frame: 24 hours after Endotracheal Tube (ETT) placement ]

Locations (1)

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