Trial Outcomes & Findings for Effectiveness and Safety of the Levitan Scope for Laryngoscopy and Tracheal Intubation With a Simulated Difficult Airway (NCT NCT01491984)

NCT ID: NCT01491984

Last Updated: 2015-03-10

Results Overview

The anesthesiologist graded the laryngeal view after induction of anesthesia using Cormack-Lehane Scale. Grade 1 = full view of glottis Grade 2a = partial view of glottis Grade 2b = Only posterior extremity of glottis seen or only arytenoid cartilages Grade 3 = Only epiglottis seen, none of glottis seen Grade 4 = Neither glottis nor epiglottis seen

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

105 participants

Primary outcome timeframe

intraoperative

Results posted on

2015-03-10

Participant Flow

From July 29,2009 to March 12, 2010 we recruited women aged 16-75 yrs old, ASA class I-II, and undergoing elective gynecologic surgery at the IWK Health Centre under general anesthesia with planned orotracheal intubation.

105 participants were consented and randomized, and of those 11 were withdrawn for either anticipated difficult airway, decreased SpO2, or unavailable staff/equipment. A total of 94 participants started the study protocol. 3 were withdrawn. 91 participants completed the study protocol.

Participant milestones

Participant milestones
Measure
Levitan FPS/Mac Laryngoscope Intubation Order
Intubation with Levitan laryngoscopy view with Levitan :
Macintosh/Levitan FPS Laryngoscope Intubation Order
traditional MAC intubation laryngoscopy view with MAC :
Overall Study
STARTED
49
45
Overall Study
COMPLETED
47
44
Overall Study
NOT COMPLETED
2
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effectiveness and Safety of the Levitan Scope for Laryngoscopy and Tracheal Intubation With a Simulated Difficult Airway

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intubation Order Levitan/MAC
n=49 Participants
The LFS is used to guide and confirm endotracheal placement of endotracheal tubes during routine laryngoscopy.
Intubation Order MAC/Levitan
n=45 Participants
A size 7.0-mm endotracheal tube with a malleable stylet was used to facilitate Macintosh intubation (standard practice).
Total
n=94 Participants
Total of all reporting groups
Age, Customized
45 years
STANDARD_DEVIATION 13 • n=99 Participants
45 years
STANDARD_DEVIATION 13 • n=107 Participants
45 years
STANDARD_DEVIATION 13 • n=206 Participants
Sex: Female, Male
Female
49 Participants
n=99 Participants
45 Participants
n=107 Participants
94 Participants
n=206 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants

PRIMARY outcome

Timeframe: intraoperative

The anesthesiologist graded the laryngeal view after induction of anesthesia using Cormack-Lehane Scale. Grade 1 = full view of glottis Grade 2a = partial view of glottis Grade 2b = Only posterior extremity of glottis seen or only arytenoid cartilages Grade 3 = Only epiglottis seen, none of glottis seen Grade 4 = Neither glottis nor epiglottis seen

Outcome measures

Outcome measures
Measure
Levitan/MAC Intubation
n=91 Participants
Laryngoscopy with Levitan, then MAC
MAC/Levitan Intubation
n=94 Participants
Laryngoscopy with MAC then Levitan
Cormack-Lehane Grade
Good Laryngoscopic View-Cormack-Lehane grade 1 & 2
58 participants
53 participants
Cormack-Lehane Grade
Poor Laryngoscopic View-Cormack-Lehane grade 3 & 4
33 participants
41 participants

SECONDARY outcome

Timeframe: intraoperative

Number of intubation attempts was recorded after intubation was completed.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: intraoperative

The attending anesthesiologist rated the difficulty in using each technique to intubate the larynx using an 11-point numeric rating scale and a 4-point visual rating scale.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: intraoperative

Time to successful intubation was documented during the second laryngoscopy and defined as the time from the insertion of the Macintosh laryngoscope into the oral cavity to its removal.

Outcome measures

Outcome data not reported

Adverse Events

Levitan FPS Intubation

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Macintosh Intubation

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Ronald George

IWK Health Centre

Phone: 902-470-6627

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place