Trial Outcomes & Findings for Determining the Depth of Endotracheal Tube Insertion (NCT NCT02158247)

NCT ID: NCT02158247

Last Updated: 2014-07-22

Results Overview

Airway length is defined the distance from medial incisor to carina. It is divided into four parts. It is medial incisor to mouth angle, mouth angle to epiglottis tip, epiglottis tip to vocal cords and vocal cords to carina.

Recruitment status

COMPLETED

Target enrollment

176 participants

Primary outcome timeframe

Endotracheal intubation time

Results posted on

2014-07-22

Participant Flow

Participant milestones

Participant milestones
Measure
Tough and Read Group
This is a virtual experiment based on the anthropometry of the airway length. Conventional group : We defined the conventional group as patients who are intubated on the depth of 25cm for male and 23 cm fo female from the medial incisor virtually. Touch and read group : Depth of intubation was determined on the measurement of the airway length of each patient. In touch and read group, the depth of intubation was determined by the sum of the length from the mouth angle to epiglottis tip, the length from the epiglottis tip to vocal cords and 8cm for the endotracheal tube #7.0. Length from the mouth angle to epiglottis tip is determined at the time of intubation with specially scaled endotracheal tube.
Overall Study
STARTED
181
Overall Study
COMPLETED
176
Overall Study
NOT COMPLETED
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Tough and Read Group
This is a virtual experiment based on the anthropometry of the airway length. Conventional group : We defined the conventional group as patients who are intubated on the depth of 25cm for male and 23 cm fo female from the medial incisor virtually. Touch and read group : Depth of intubation was determined on the measurement of the airway length of each patient. In touch and read group, the depth of intubation was determined by the sum of the length from the mouth angle to epiglottis tip, the length from the epiglottis tip to vocal cords and 8cm for the endotracheal tube #7.0. Length from the mouth angle to epiglottis tip is determined at the time of intubation with specially scaled endotracheal tube.
Overall Study
Invisible vocal cords
5

Baseline Characteristics

Determining the Depth of Endotracheal Tube Insertion

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Touch and Read Group(Male)
n=69 Participants
This is a virtual experiment based on the anthropometry of the airway length. We defined the conventional group as patients who are intubated on the depth of 25cm for male and 23 cm fo female from the medial incisor virtually. Touch and read group : Depth of intubation was determined on the measurement of the airway length of each patient. In touch and read group, the depth of intubation was determined by the sum of the length from the mouth angle to epiglottis tip, the length from the epiglottis tip to vocal cords and 8cm for the endotracheal tube #7.0. Length from the mouth angle to epiglottis tip is determined at the time of intubation with specially scaled endotracheal tube.
Touch and Read Group(Female)
n=107 Participants
female
Total
n=176 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
62 Participants
n=99 Participants
82 Participants
n=107 Participants
144 Participants
n=206 Participants
Age, Categorical
>=65 years
7 Participants
n=99 Participants
25 Participants
n=107 Participants
32 Participants
n=206 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
107 Participants
n=107 Participants
107 Participants
n=206 Participants
Sex: Female, Male
Male
69 Participants
n=99 Participants
0 Participants
n=107 Participants
69 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Endotracheal intubation time

Airway length is defined the distance from medial incisor to carina. It is divided into four parts. It is medial incisor to mouth angle, mouth angle to epiglottis tip, epiglottis tip to vocal cords and vocal cords to carina.

Outcome measures

Outcome measures
Measure
Airway Length for Male
n=69 Participants
Airway Length of Female
n=107 Participants
Comparison of Airway Length Between Male and Female
Medial incisor to mouth angle
0.9 Centimeters
Standard Deviation 0.5
1.1 Centimeters
Standard Deviation 0.5
Comparison of Airway Length Between Male and Female
Mouth angle to epiglottis tip
9.1 Centimeters
Standard Deviation 1.0
8.3 Centimeters
Standard Deviation 1.0
Comparison of Airway Length Between Male and Female
Epiglottis tip to vocal cords
4.4 Centimeters
Standard Deviation 0.9
3.6 Centimeters
Standard Deviation 0.9
Comparison of Airway Length Between Male and Female
Vocal cords to carina
11.9 Centimeters
Standard Deviation 1.3
11.2 Centimeters
Standard Deviation 1.2
Comparison of Airway Length Between Male and Female
Medial incisor to carina
26.4 Centimeters
Standard Deviation 1.9
24.2 Centimeters
Standard Deviation 1.5

PRIMARY outcome

Timeframe: Endotracheal intubation time

Outcome measures

Outcome measures
Measure
Airway Length for Male
n=69 Participants
Airway Length of Female
Airway Length vs Height in Male
Mouth angle to carina
25.5 Centimeters
Standard Deviation 1.8
Airway Length vs Height in Male
Mouth angle to epiglottis tip
9.1 Centimeters
Standard Deviation 1.0
Airway Length vs Height in Male
Epiglottis tip to vocal cords
4.4 Centimeters
Standard Deviation 0.9
Airway Length vs Height in Male
Vocal cords to carina
11.9 Centimeters
Standard Deviation 1.3
Airway Length vs Height in Male
Male height
168 Centimeters
Standard Deviation 7.4

PRIMARY outcome

Timeframe: Endotracheal intubation time

Outcome measures

Outcome measures
Measure
Airway Length for Male
n=107 Participants
Airway Length of Female
Airway Length vs Height in Female
Mouth angle to carina
23.2 Centimeters
Standard Deviation 1.5
Airway Length vs Height in Female
Mouth angle to epiglottis tip
8.3 Centimeters
Standard Deviation 1.0
Airway Length vs Height in Female
Epglottis tip to vocal cords
3.6 Centimeters
Standard Deviation 0.9
Airway Length vs Height in Female
Vocal cords to carina
11.2 Centimeters
Standard Deviation 1.2
Airway Length vs Height in Female
Female height
156.4 Centimeters
Standard Deviation 5.2

SECONDARY outcome

Timeframe: Endotracheal intubation time

Normal group is defined as the patients whose airway length from medial incisor to carina is below 25cm. Conventional method : depth of intubation is 23cm at the medial incisor for male. Touch and read method : depth of intubation is calculated as follow : length from mouth angle to epiglottis tip plus 12.5cm for male.

Outcome measures

Outcome measures
Measure
Airway Length for Male
n=15 Participants
Airway Length of Female
n=15 Participants
Comparison Between Conventional Method and Touch and Read Method for Risk Group of Male
Tube tip to carina
0.7 Centimeters
Standard Deviation 1.4
2.0 Centimeters
Standard Deviation 1.2
Comparison Between Conventional Method and Touch and Read Method for Risk Group of Male
Vocal cords to cuff
3.5 Centimeters
Standard Deviation 1.4
2.3 Centimeters
Standard Deviation 1.1

SECONDARY outcome

Timeframe: Endotracheal intubation time

Normal group is defined as the patients whose airway length from medial incisor to carina is over 25cm. Conventional method : depth of intubation is 23cm at the medial incisor for male. Touch and read method : depth of intubation is calculated as follow : length from mouth angle to epiglottis tip plus 12.5cm for male.

Outcome measures

Outcome measures
Measure
Airway Length for Male
n=54 Participants
Airway Length of Female
n=54 Participants
Comparison Between Conventional Method and Touch and Read Method for Normal Group of Male
Tube tip to carina
4.1 Centimeters
Standard Deviation 1.2
4.4 Centimeters
Standard Deviation 1.2
Comparison Between Conventional Method and Touch and Read Method for Normal Group of Male
Vocal cords to cuff
2.3 Centimeters
Standard Deviation 0.8
2.0 Centimeters
Standard Deviation 1.0

SECONDARY outcome

Timeframe: Endotracheal intubation time

Risk group is defined as the patients whose airway length from medial incisor to carina is below 23cm. Conventional method : depth of intubation is 21cm at the medial incisor for female. Touch and read method : depth of intubation is calculated as follow : length from mouth angle to epiglottis tip plus 11.5cm for female.

Outcome measures

Outcome measures
Measure
Airway Length for Male
n=24 Participants
Airway Length of Female
n=24 Participants
Comparison Between Conventional Method and Touch and Read Method for Risk Group of Female
Tube tip to carina
1.2 Centimeters
Standard Deviation 1.0
1.9 Centimeters
Standard Deviation 1.1
Comparison Between Conventional Method and Touch and Read Method for Risk Group of Female
Vocal cords to cuff
2.7 Centimeters
Standard Deviation 0.9
2.0 Centimeters
Standard Deviation 0.9

SECONDARY outcome

Timeframe: Endotracheal intubation time

Normal group is defined as the patients whose airway length from medial incisor to carina is over 23cm. Conventional method : depth of intubation is 21cm at the medial incisor for female. Touch and read method : depth of intubation is calculated as follow : length from mouth angle to epiglottis tip plus 11.5cm for female.

Outcome measures

Outcome measures
Measure
Airway Length for Male
n=83 Participants
Airway Length of Female
n=83 Participants
Comparison Between Conventional Method and Touch and Read Method for Normal Group of Female
Tube tip to carina
3.8 Centimeters
Standard Deviation 1.0
3.8 Centimeters
Standard Deviation 1.0
Comparison Between Conventional Method and Touch and Read Method for Normal Group of Female
Vocal cords to cuff
1.8 Centimeters
Standard Deviation 0.9
1.9 Centimeters
Standard Deviation 1.0

Adverse Events

Touch and Read Group(Male)

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

Touch and Read Group(Female)

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

Serious adverse events

Serious adverse events
Measure
Touch and Read Group(Male)
n=71 participants at risk
This is a virtual experiment based on the anthropometry of the airway length. We defined the conventional group as patients who are intubated on the depth of 25cm for male and 23 cm fo female from the medial incisor virtually. Touch and read group : Depth of intubation was determined on the measurement of the airway length of each patient. In touch and read group, the depth of intubation was determined by the sum of the length from the mouth angle to epiglottis tip, the length from the epiglottis tip to vocal cords and 8cm for the endotracheal tube #7.0. Length from the mouth angle to epiglottis tip is determined at the time of intubation with specially scaled endotracheal tube.
Touch and Read Group(Female)
n=110 participants at risk
female
Respiratory, thoracic and mediastinal disorders
Hypoxemia
0.00%
0/71
0.00%
0/110

Other adverse events

Adverse event data not reported

Additional Information

Dr. Oh Saecheol

The Catholic University of Korea

Phone: +88-42-220-9046

Results disclosure agreements

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