Endotracheal Tube (ETT) 180: Stylet-loaded Endotracheal Tube Rotation Before Insertion to Decrease the Risk of Postoperative Sore Throat: a Randomized Double-Blind Prospective Trial.
Ohio State University
Summary
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.
Description
The researcher who is not blinded will randomize the patient to one of the three groups. Specific technique and procedure: * Investigators anesthesiologists assigned to perform the laryngoscopies will be limited to 6 with minimum 2 years of attending experiences to balance the variability. The results of inter-operator bias will be analyzed. * Endotracheal Tube (ETT) size will be: 7.0 for men and women unless there will be clinical indications to use a different size of Endotracheal Tube. * Stylet preparation: 75-degree angulation shaped preoperatively and ready for use * Blade for either Mc…
Eligibility
- Age range
- 18–90 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * ASA I - III * Ambulatory patients undergoing general anesthesia with an Endotracheal Tube (ETT) placement * Admitted patients undergoing general anesthesia an Endotracheal Tube (ETT) placement * Age \> 18 and \< 90 years old * BMI \< 50 Exclusion criteria: * Age \< 18 years old or age \> 90 years old * Pregnant women * Prisoners * Any surgery involving the pharynx, larynx, vocal cords, trachea that will create confounding factors related to postoperative sore throat * History of difficult airway * Critically ill patients requiring intensive care
Interventions
- DeviceDirect Laryngoscope (DL)
DL allows visualization of the larynx. It is used during general anesthesia, for surgical procedures of the larynx, and during resuscitation.
- DeviceVideo laryngoscope (VL)
VL facilitates intubation while allowing clinicians to share and record real-time high-resolution images and video.
- ProcedureEndotracheal Tube (ETT) 180
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.
Location
- The Ohio State University Wexner Medical CenterColumbus, Ohio