Flexible Intubation Scope with or Without Video Laryngoscope in Supporting Endotracheal Tube Placement in Patients with Head and Neck Cancer Before Surgery

Description

This trial studies how well flexible intubation scope with or without video laryngoscope works in supporting endotracheal tube placement in patients with head and neck cancer before surgery. Flexible intubation scope and video laryngoscope are devices that have a small camera to help the doctor see the patient's airway on a screen. Both devices may help the doctor who gives anesthesia prevent complications from placing the breathing tube (such as pain or mouth injury).

Conditions

Head and Neck Neoplasm

Study Overview

Study Details

Study overview

This trial studies how well flexible intubation scope with or without video laryngoscope works in supporting endotracheal tube placement in patients with head and neck cancer before surgery. Flexible intubation scope and video laryngoscope are devices that have a small camera to help the doctor see the patient's airway on a screen. Both devices may help the doctor who gives anesthesia prevent complications from placing the breathing tube (such as pain or mouth injury).

Flexible Scope Intubation Vs.Flexible Scope Intubation and Video Laryngoscopy Combination: a Prospective Randomized Clinical Trial

Flexible Intubation Scope with or Without Video Laryngoscope in Supporting Endotracheal Tube Placement in Patients with Head and Neck Cancer Before Surgery

Condition
Head and Neck Neoplasm
Intervention / Treatment

-

Contacts and Locations

Houston

M D Anderson Cancer Center, Houston, Texas, United States, 77030

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Ages ≥ 18 years of age
  • * All surgical patients with known or suspected difficult airways that meet at least three (3) of the Difficult Airway criteria \[Mallampati III-IV, Neck circumference \> 40 cm, Sternomental distance \< 12 cm, Thyromental distance \< 6 cm, Mouth opening \< 4 cm, BMI ≥ 35 kg/m2, Upper Lip Bite Test - ULBT (class III)\] or history of radiation to the head and neck area or oral pathology obstructing the glottic view
  • * American Society of Anesthesiology (ASA) I-IV
  • * Has provided written informed consent
  • * Active bleeding from nasopharynx or oropharynx
  • * Trismus
  • * Oral pathology obstructing the glottic view
  • * Planned awake or nasal intubation
  • * Neuromuscular Blockade (NMB) contraindicated post-induction
  • * Emergency endotracheal intubation and patients intubated pre and post-surgery
  • * Surgical procedures such as Tracheostomy, Laryngectomy, Esophagectomy
  • * Patient refusal or inability to consent for study participation
  • * American Society of Anesthesiology (ASA) V
  • * Pregnant females

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

M.D. Anderson Cancer Center,

Carin Hagberg, PRINCIPAL_INVESTIGATOR, M.D. Anderson Cancer Center

Study Record Dates

2025-08-31