[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"tracheal-intubation\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:tracheal-intubation":29},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,13,0,[8,49,81,110,143,170,197,224,255,287,316,345,370],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":30,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":37,"lastUpdatePostDateStruct":38,"startDateStruct":41,"completionDateStruct":43,"leadSponsor":45,"locationsCount":48},"100053988","comparison-of-three-airway-intubation-devices-for-first-attempt-success-in-general-anesthesia-patients-100053988",false,"NCT07699653","Comparison of Three Airway Intubation Devices for First-Attempt Success in General Anesthesia Patients","Application of SPHJ-II, Visual Lighted Stylet, and Visual Intubation Fiberscope in Endotracheal Intubation in Patients Under General Anesthesia","Inclusion Criteria:\n\n* Age 18 to 65 years, inclusive. American Society of Anesthesiologists (ASA) physical status I to III. Scheduled for surgery under general anesthesia requiring endotracheal intubation.\n\nThe participant or legally authorized representative is fully informed of the purpose, methods, potential risks, and possible benefits of the study and provides written informed consent.\n\nExclusion Criteria:\n\n* Anticipated severe difficulty with mask ventilation, such as severe obesity (BMI \\> 35 kg\u002Fm²) with obstructive sleep apnea syndrome, history of neck radiotherapy, craniofacial malformation, or other conditions judged by the attending anesthesiologist to confer high risk for mask ventilation, and patients requiring awake tracheal intubation.\n\nCervical spine instability, cervical trauma, rheumatoid arthritis involving the cervical spine, ankylosing spondylitis, or any condition requiring absolute cervical immobilization during the procedure.\n\nSignificant airway involvement identified preoperatively, including imaging evidence of tracheal narrowing with minimal diameter \\\u003C 5 mm, severe tracheal compression, displacement or collapse, stridor at rest or after activity, vocal cord paralysis with dyspnea, giant thyroid mass with orthopnea, or other oral, pharyngeal, or laryngeal tumor, edema, stenosis, abscess, or severe upper airway anatomical abnormality affecting glottic exposure or endotracheal tube passage.\n\nHigh risk of reflux and aspiration. Severe cardiovascular disease, severe respiratory disease, severe hepatic or renal dysfunction, severe coagulation disorder, frailty, pregnancy or breastfeeding, or known allergy.\n\nAny other condition making the patient unsuitable for participation in the study, such as psychiatric illness, communication disorder, or poor compliance.","ALL","18 Years","65 Years",{"count":20,"type":21},549,"ESTIMATED","INTERVENTIONAL",[24],"NA","The goal of this clinical trial is to compare three airway intubation devices in adult patients undergoing general anesthesia who require tracheal intubation. The main questions it aims to answer are:\n\n* Does the SPHJ-II video-assisted adjustable red-light fluoroscopic tracheal intubation scope improve first-attempt intubation success compared with a visual lighted stylet and a visual intubation fiberscope?\n* How do the three devices compare in intubation efficiency, intubation-related complications, and peri-intubation physiological responses?\n\nResearchers will compare the SPHJ-II, the visual lighted stylet, and the visual intubation fiberscope to evaluate their performance during tracheal intubation.\n\nParticipants will be randomly assigned to one of the three device groups and undergo tracheal intubation during general anesthesia using the assigned device.",[27,28,29],"Airway Management","General Anesthesia","Tracheal Intubation",[31,32,33,34,35],"SPHI-II","Visual lighted stylet","Visual intubation fiberscope","First-attempt intubation success","Randomized controlled trial","NOT_YET_RECRUITING","2026-07-08",{"date":39,"type":40},"2026-07-13","ACTUAL",{"date":42,"type":21},"2026-07",{"date":44,"type":21},"2026-12-31",{"name":46,"class":47},"Guangzhou University of Chinese Medicine","OTHER",1,{"id":50,"slug":51,"hasResults":11,"nctId":52,"briefTitle":53,"officialTitle":54,"acronym":55,"eligibilityCriteria":56,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":57,"targetDuration":4,"studyType":59,"phases":4,"briefSummary":60,"conditions":61,"keywords":64,"overallStatus":71,"whyStopped":4,"lastUpdateSubmitDate":72,"lastUpdatePostDateStruct":73,"startDateStruct":75,"completionDateStruct":77,"leadSponsor":79,"locationsCount":48},"100639599","pain-assessment-during-rapid-sequence-induction-100639599","NCT07588165","Pain Assessment During Rapid Sequence Induction","Nociception Assessment During Rapid Sequence Induction: A Prospective Observational Study of Practices and Complications - The NARSI Study","NARSI","Inclusion Criteria:\n\n* Age \\>= 18 years\n* Patient requiring tracheal intubation after rapid sequence induction in the visceral surgery operating room\n* Pain monitoring by Analgesia Nociception Index (ANI) as part of general anesthesia\n\nExclusion Criteria:\n\n* Patient with atrial fibrillation at the time of intubation following rapid sequence induction\n* Patient on long-term beta-blocker therapy",{"count":58,"type":21},150,"OBSERVATIONAL","Rapid sequence induction (RSI) is a standard anesthesia technique used in patients at risk of aspiration. Although tracheal intubation following RSI is a frequent and painful procedure, no study has yet evaluated nociception using the Analgesia Nociception Index (ANI) during this procedure.\n\nThis monocentric prospective observational study aims to describe the impact of RSI on pain measured by ANI, and to explore early complications (desaturation, hypotension, regurgitation) and factors associated with pain and complications. 150 patients undergoing RSI in the visceral surgery operating room at CHPG Monaco will be analyzed.",[62,29,63,28],"Rapide Sequence Induction","Nociception",[65,66,67,68,69,70],"Analgesia Nociception Index (ANI)","Rapid Sequence Induction (RSI)","Pain monitoring","Tracheal intubation","Hemodynamic response","General anesthesia","RECRUITING","2026-05-22",{"date":74,"type":40},"2026-05-27",{"date":76,"type":40},"2026-05-21",{"date":78,"type":21},"2028-05",{"name":80,"class":47},"Centre Hospitalier Princesse Grace",{"id":82,"slug":83,"hasResults":11,"nctId":84,"briefTitle":85,"officialTitle":86,"acronym":4,"eligibilityCriteria":87,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":88,"targetDuration":90,"studyType":59,"phases":4,"briefSummary":91,"conditions":92,"keywords":95,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":101,"lastUpdatePostDateStruct":102,"startDateStruct":104,"completionDateStruct":106,"leadSponsor":108,"locationsCount":48},"100639089","taiwan-ed-airway-quality-surveillance-registry-tear-100639089","NCT07574450","Taiwan ED Airway Quality Surveillance Registry (TEAR)","The Taiwan ED Airway Quality Surveillance Registry (TEAR): A Prospective Multicenter Observational Study","Inclusion Criteria:\n\n* Undergoing tracheal intubation in the emergency department during the study period\n\nExclusion Criteria:\n\n* Prehospital intubation; intubation performed solely for elective anesthesia\u002Fprocedural sedation outside emergency indications",{"count":89,"type":21},1200,"1 Month","This prospective, multicenter observational registry systematically captures all emergency department tracheal intubations across participating hospitals in Taiwan. The registry focuses on process quality indicators, including first-pass success, and patient-safety outcomes, including hypoxemia, hypotension, and peri-intubation cardiac arrest within 30 minutes of intubation. Routinely generated laboratory and physiologic variables are also collected to improve risk stratification and identify predictors of major adverse events. The study is non-interventional and does not alter clinical care.",[27,29,93,94],"Emergency Department","Peri-intubation Adverse Events",[96,97,98,99,100],"first-pass success","hypoxemia","hypotension","cardiac arrest","registry","2026-05-05",{"date":103,"type":40},"2026-05-08",{"date":105,"type":21},"2026-08",{"date":107,"type":21},"2029-12",{"name":109,"class":47},"Chang Gung Memorial Hospital",{"id":111,"slug":112,"hasResults":11,"nctId":113,"briefTitle":114,"officialTitle":115,"acronym":116,"eligibilityCriteria":117,"healthyVolunteers":11,"sex":16,"minAge":118,"maxAge":119,"enrollmentInfo":120,"targetDuration":4,"studyType":22,"phases":122,"briefSummary":123,"conditions":124,"keywords":127,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":134,"lastUpdatePostDateStruct":135,"startDateStruct":137,"completionDateStruct":139,"leadSponsor":141,"locationsCount":48},"100631035","video-versus-direct-laryngoscopy-for-tracheal-intubation-in-pediatric-surgery-100631035","NCT07495436","Video Versus Direct Laryngoscopy for Tracheal Intubation in Pediatric Surgery","Videolaryngoscopy Versus Direct Laryngoscopy for Tracheal Intubation in Pediatric Surgery: The VIDEOKIDS Pragmatic Multicentre Randomized Trial","VIDEOKIDS","Inclusion Criteria:\n\n* Paediatric patients (age 0-16 years),\n* Undergoing elective or scheduled surgery under general anaesthesia requiring orotracheal intubation,\n* Planned tracheal intubation using either videolaryngoscopy or direct laryngoscopy as the initial technique,\n* Informed or general consent given, according to the relevant ethics committee statement,.\n\nExclusion Criteria:\n\n* Known upper airway anatomical abnormalities or clinical conditions requiring a specific intubation technique (e.g., fibreoptic intubation),\n* Requirement for emergent tracheal intubation that does not allow adequate randomisation,\n* Refusal of parents or legal guardians to participate in the study.","0 Days","16 Hours",{"count":121,"type":21},5562,[24],"Tracheal intubation in paediatric patients is a high-risk procedure in which failure to achieve successful intubation on the first attempt is associated with an increased risk of complications, including hypoxaemia and airway trauma. Videolaryngoscopes have been increasingly adopted in clinical practice because they improve glottic visualisation; however, evidence of their benefit in paediatric patients remains inconsistent.\n\nThe VIDEOKIDS trial is a large, pragmatic, international, multicentre, randomised controlled trial designed to compare videolaryngoscopy with direct laryngoscopy as the initial technique for tracheal intubation in paediatric patients undergoing surgery under general anaesthesia. The primary objective is to determine whether videolaryngoscopy increases the rate of successful intubation on the first attempt compared with direct laryngoscopy.",[29,125,28,126],"Videolaryngoscopy","Difficult Airway Intubation",[128,129,130,131,132,133],"tracheal intubation","videolaryngoscopy","laryngoscopy","Paediatric airway","Airway management","Randomised controlled trial","2026-04-17",{"date":136,"type":40},"2026-04-22",{"date":138,"type":21},"2026-05-01",{"date":140,"type":21},"2027-12-30",{"name":142,"class":47},"Hospital Clinico Universitario de Santiago",{"id":144,"slug":145,"hasResults":11,"nctId":146,"briefTitle":147,"officialTitle":148,"acronym":149,"eligibilityCriteria":150,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":151,"targetDuration":4,"studyType":22,"phases":153,"briefSummary":154,"conditions":155,"keywords":157,"overallStatus":71,"whyStopped":4,"lastUpdateSubmitDate":134,"lastUpdatePostDateStruct":162,"startDateStruct":164,"completionDateStruct":166,"leadSponsor":168,"locationsCount":48},"100612161","evaluation-of-sacovlm-video-laryngeal-mask-for-airway-management-in-military-medics-100612161","NCT07249983","Evaluation of SaCoVLM™ Video Laryngeal Mask for Airway Management in Military Medics","Evaluation of SaCoVLM™ Video Laryngeal Mask Airway for Airway Management by Inexperienced Military Medics: A Two-Phase Feasibility Study","SAVER","Inclusion Criteria:\n\n* Elective surgery\n* ASA I-II\n* need for airway management\n\nExclusion Criteria:\n\n* Pregnancy\n* known airway abnormalities\n* allergy to anesthetics",{"count":152,"type":21},50,[24],"A prospective, two-phase interventional study evaluating the performance, safety, and usability of the SaCoVLM™ video laryngeal mask airway for airway management by military medics with limited intubation experience. The study includes simulation-based training and clinical application in sedated patients undergoing elective surgery.",[27,29,156],"Anesthesia",[158,159,160,161],"SaCoVLM™","Video Laryngeal Mask","Military Medic Training","Emergency Airway",{"date":163,"type":40},"2026-04-21",{"date":165,"type":40},"2026-03-01",{"date":167,"type":21},"2027-01",{"name":169,"class":47},"Charles University, Czech Republic",{"id":171,"slug":172,"hasResults":11,"nctId":173,"briefTitle":174,"officialTitle":175,"acronym":4,"eligibilityCriteria":176,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":177,"targetDuration":4,"studyType":22,"phases":179,"briefSummary":180,"conditions":181,"keywords":185,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":188,"lastUpdatePostDateStruct":189,"startDateStruct":191,"completionDateStruct":193,"leadSponsor":195,"locationsCount":4},"100617179","combined-ultrasonographic-skin-to-epiglottis-distance-with-modified-mallampati-versus-modified-mallampati-score-alone-in-predicting-difficult-laryngoscopy-during-tracheal-intubation-under-general-anesthesia-100617179","NCT07315256","Combined Ultrasonographic Skin-to-Epiglottis Distance With Modified Mallampati Versus Modified Mallampati Score Alone in Predicting Difficult Laryngoscopy During Tracheal Intubation Under General Anesthesia","Combined Ultrasonographic Skin-to-Epiglottis Distance With Modified Mallampati Versus Modified Mallampati Score Alone in Predicting Difficult Laryngoscopy During Tracheal Intubation Under General Anesthesia: A Prospective, Randomized Double Blinded Controlled Study","Inclusion Criteria:\n\n* Adults aged 18-65 years.\n* ASA physical status I-II.\n* Scheduled for elective surgery under general anesthesia requiring tracheal intubation with direct laryngoscopy.\n* Able to provide written informed consent.\n\nExclusion Criteria:\n\n* Emergency surgery.\n* Known or suspected difficult airway requiring planned alternative intubation technique (e.g., awake fiberoptic).\n* History of significant upper airway pathology, neck mass, prior neck surgery, or radiation affecting airway anatomy.\n* Limited mouth opening, cervical spine instability, or contraindication to standard sniffing position.\n* Pregnancy.\n* Refusal or inability to provide informed consent.",{"count":178,"type":21},160,[24],"This study will evaluate how well an ultrasound measurement of the distance from the skin to the epiglottis, when combined with the modified Mallampati score, can predict difficult laryngoscopy in adult patients undergoing elective surgery under general anesthesia. Adult patients scheduled for surgery requiring tracheal intubation will be randomly assigned to two assessment strategies before anesthesia: one group will have the usual bedside airway assessment with modified Mallampati alone, and the other group will have modified Mallampati plus a quick, painless ultrasound scan of the front of the neck to measure the skin-to-epiglottis distance. During intubation, the anesthesiologist, who is blinded to the preoperative assessments, will grade the laryngoscopic view using the Cormack-Lehane classification, and the investigators will compare how accurately each assessment approach predicts difficult laryngoscopy (grade 3-4). The study does not change how anesthesia or airway management is performed; ultrasound and clinical assessments are added solely for measurement and data collection, with minimal risk to participants and potential future benefits in improving airway risk stratification and patient safety.",[182,183,184,29],"Ultrasonographic","Mallampati Score","Mallampati Score, Difficult Intubation, Videolaryngoscope",[186,29,187],"Difficult Laryngoscopy","Modified Mallampati","2025-12-18",{"date":190,"type":40},"2026-01-02",{"date":192,"type":21},"2026-01",{"date":194,"type":21},"2027-02",{"name":196,"class":47},"Assiut University",{"id":198,"slug":199,"hasResults":11,"nctId":200,"briefTitle":201,"officialTitle":202,"acronym":203,"eligibilityCriteria":204,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":205,"targetDuration":4,"studyType":22,"phases":207,"briefSummary":209,"conditions":210,"keywords":4,"overallStatus":71,"whyStopped":4,"lastUpdateSubmitDate":214,"lastUpdatePostDateStruct":215,"startDateStruct":217,"completionDateStruct":219,"leadSponsor":221,"locationsCount":223},"100559494","phase-4-remifentanil-versus-rocuronium-for-optimizing-video-laryngoscopy-assisted-tracheal-intubation-100559494","NCT06564857","Remifentanil Versus Rocuronium for Optimizing Video Laryngoscopy-assisted Tracheal Intubation","Remifentanil Versus Rocuronium for Optimizing Video Laryngoscopy-assisted Tracheal Intubation in Patients Undergoing General Anaesthesia - a Multicentre Randomised Controlled Trial -The ROCVIDEO Trial","ROCVIDEO","Inclusion Criteria:\n\n* Adults ≥ 18 years\n* Undergoing general anaesthesia requiring oro-tracheal intubation\n* Absence of indication for rapid sequence induction\n* American Society of Anesthesiologists (ASA) physical status score I - III\n\nExclusion Criteria:\n\n* Known allergies or contraindications to rocuronium (e.g. neuromuscular disease) or remifentanil\n* Awake intubation\n* Double-lumen endotracheal tube\n* Oral, pharyngeal, and laryngeal surgery\n* Surgical contraindication for NMBAs (e.g. use of nerve stimulator)\n* Patients who are pregnant or breastfeeding\n* Patients who do not understand Danish or are unable to give informed consent",{"count":206,"type":21},2648,[208],"PHASE4","Globally, we are approaching 1 million surgical procedures each day. Tracheal intubation is the mainstay of securing the patient's airway and breathing during general anaesthesia. Approximately 100.000 tracheal intubations are performed annually in Denmark. Airway management remains the primary reason for anaesthesia-related morbidity and mortality. It has been traditionally accepted that best tracheal intubation conditions are obtained by paralysing the patient's muscles, including vocal cords, using a neuromuscular blocking agent (NMBA) such as rocuronium. However, using NBMA may increase the risk of pulmonary complications, intra-operative awareness, in which the patient is paralysed but awake during surgery, anaphylaxis, and re-intubation. In addition, there is a risk of residual neuromuscular blockade postoperatively. In the US, prolonged ventilation and unplanned intubation are the top two most costly perioperative complications. An alternative to NMBA is a large dose of opioids to depress laryngeal reflexes during intubation. The most commonly used non-NMBA modality includes bolus administration of remifentanil. However, remifentanil may cause bradycardia and hypotension. Even short periods of hypotension have been shown to increase the risk of myocardial injury and other serious adverse events such as renal failure, delirium, and even mortality.\n\nEvidence also indicates that intubation conditions using only opioids to facilitate intubation, including remifentanil, are inferior to NMBA. However, these trials are underpowered to assess effects on patient-important outcomes and are mostly at high risk of bias. A recent trial has suggested that remifentanil intubation conditions may not be very different. Almost all existing research comparing NMBA to opioids has focused on intubation conditions for direct laryngoscopy using a conventional Macintosh laryngoscopy blade. In recent years, the implementation and availability of the video laryngoscope have grown exponentially and become universal. The video laryngoscope has vastly improved the ease of tracheal intubation, and the number of failed intubations has decreased by two-thirds in Denmark, where a rapid implementation of the video laryngoscope took place. However, limited evidence exists on whether NMBA improves intubation conditions compared to remifentanil when performing video laryngoscope-assisted tracheal intubation.",[29,211,212,213],"Video Laryngoscopy","Remifentanil","Rocuronium","2025-12-03",{"date":216,"type":40},"2025-12-10",{"date":218,"type":40},"2025-11-17",{"date":220,"type":21},"2027-04-08",{"name":222,"class":47},"Nordsjaellands Hospital",2,{"id":225,"slug":226,"hasResults":11,"nctId":227,"briefTitle":228,"officialTitle":229,"acronym":230,"eligibilityCriteria":231,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":232,"targetDuration":234,"studyType":59,"phases":4,"briefSummary":235,"conditions":236,"keywords":238,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":246,"lastUpdatePostDateStruct":247,"startDateStruct":249,"completionDateStruct":251,"leadSponsor":253,"locationsCount":4},"100613253","tracheal-cuff-pressure-and-postoperative-complications-a-prospective-observational-study-100613253","NCT07264179","Tracheal Cuff Pressure and Postoperative Complications: A Prospective Observational Study.","Tracheal Cuff Pressure and Postoperative Complications: Prospective Observational Study.","TCP-POC","Inclusion Criteria:\n\n* Age greater than 18 years.\n* Patients scheduled for elective procedures requiring general anesthesia and orotracheal intubation.\n\nExclusion Criteria:\n\n* Age less than 18 years.\n* Refusal to participate in the study.\n* Surgeries performed on an urgent or emergency basis.\n* Surgeries in pregnant women.\n* Cardiac surgeries.\n* Surgeries requiring single-lung ventilation.\n* Head and neck surgeries.\n* Surgeries on the cervical segment of the dorsal spine.\n* Surgeries requiring lateral or prone positioning.\n* Anticipated difficult airway (unanticipated difficult airways will be included).\n* Insufficient fasting time.\n* Surgeries in patients admitted to intensive care units.\n* Patients presenting the same symptoms included in the outcomes to be measured (pre-existing hoarseness, pain, cough, hemoptysis).\n* Tracheostomized patients or those with previous tracheobronchial segment lesions.",{"count":233,"type":21},362,"30 Days","This prospective observational study aims to identify risk factors for tracheal mucosal injuries caused by orotracheal tube use during the intraoperative period in patients undergoing elective surgeries at the Hospital de Clínicas de Porto Alegre. The study will recruit patients sequentially for elective procedures requiring general anesthesia and orotracheal intubation. Primary outcomes include symptoms such as hoarseness, pharyngolaryngeal pain, cough, and hemoptysis, assessed up to 30 days post-surgery. A risk score for tracheal injuries will be derived.",[29,237],"Postoperative Complications (Cardiopulmonary)",[239,240,241,242,243,244,245],"Tracheal cuff pressure","Tracheal mucosal lesions","Cough","Orotracheal tube","Postoperative hoarseness","Pharyngolaryngeal pain","Hemoptysis","2025-11-24",{"date":248,"type":40},"2025-12-04",{"date":250,"type":21},"2026-01-05",{"date":252,"type":21},"2029-04-30",{"name":254,"class":47},"Hospital de Clinicas de Porto Alegre",{"id":256,"slug":257,"hasResults":11,"nctId":258,"briefTitle":259,"officialTitle":260,"acronym":261,"eligibilityCriteria":262,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":263,"targetDuration":4,"studyType":22,"phases":265,"briefSummary":266,"conditions":267,"keywords":270,"overallStatus":71,"whyStopped":4,"lastUpdateSubmitDate":277,"lastUpdatePostDateStruct":278,"startDateStruct":280,"completionDateStruct":282,"leadSponsor":284,"locationsCount":286},"100480700","optimisation-strategy-for-emergency-tracheal-intubation-100480700","NCT05539391","Optimisation Strategy for Emergency Tracheal Intubation","Effectiveness of an Optimisation Strategy for Emergency Tracheal Intubation on Postintubation Morbidity: A Cluster Randomized Controlled Trial","OSETIM","Inclusion Criteria:\n\n* Patient adult (≥ 18 years) presenting with vital distress requiring emergency tracheal intubation as assessed by the emergency physician in the out-of-hospital setting.\n* Patient with all conditions (trauma, dyspnea, coma, overdoses, and shock) except those in cardiac arrest will be included.\n\nExclusion Criteria:\n\n* Patient presenting of a contraindication to succinylcholine, and\u002For rocuronium, and\u002For sugammadex (rocunorium antagonist).\n* Patient who have contraindication to bag face mask ventilation before intubation (ongoing emesis, hematemesis, or hemoptysis).\n* Patient that are not members of a medical aid scheme (beneficiary or main member).\n* Patient under specific protection measures: pregnant, parturient or nursing women; legal protection or deprived of liberty: patient under judicial protection, patient under guardianship\u002Fcuratorship.",{"count":264,"type":21},1500,[24],"This study has to objective to assess, in adults' patients needing tracheal intubation because of vital distress, the effect of a combined strategy to reduce intubation-related morbidity. This strategy will associate systematic use of rocuronium as paralyzing agent to facilitate tracheal intubation, bag face-mask ventilation before intubation and Gum Elastic Bougie (GEB) use.",[268,269,29],"Emergencies","Out-of-hospital Setting",[271,272,273,274,275,213,276],"Out-of-hospital","Intubation","Complications","Vital distress","Rapid sequence intubation","Gum Elastic Bougie","2025-09-23",{"date":279,"type":40},"2025-09-24",{"date":281,"type":40},"2023-01-14",{"date":283,"type":21},"2026-09",{"name":285,"class":47},"University Hospital, Bordeaux",22,{"id":288,"slug":289,"hasResults":11,"nctId":290,"briefTitle":291,"officialTitle":292,"acronym":4,"eligibilityCriteria":293,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":294,"targetDuration":4,"studyType":59,"phases":4,"briefSummary":296,"conditions":297,"keywords":300,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":307,"lastUpdatePostDateStruct":308,"startDateStruct":310,"completionDateStruct":312,"leadSponsor":314,"locationsCount":48},"100597393","comparison-of-intubation-using-video-laryngeal-mask-and-video-laryngoscope-in-elective-surgical-patients-100597393","NCT07057908","Comparison of Intubation Using Video Laryngeal Mask and Video Laryngoscope in Elective Surgical Patients","A Prospective Observational Study Comparing Tracheal Intubation Via Video Laryngeal Mask Airway and Video Laryngoscope in Adult Patients Undergoing Elective Surgery","Inclusion Criteria:\n\n* Adult patients aged 18 years and older\n* Patients scheduled for elective surgical procedures\n* Patients classified as ASA Physical Status I-III\n* Patients undergoing general anesthesia\n\nExclusion Criteria:\n\n* Patients younger than 18 years\n* Patients undergoing emergency surgery\n* Patients with difficult airway predictors, such as:\n\nMallampati score ≥ 3\n\nThyromental distance \\\u003C 6 cm\n\nMouth opening \\\u003C 3 cm\n\n* Patients with anatomical abnormalities or surgical history involving the oropharynx, larynx, or airway\n* Patients with conditions contraindicating head or neck manipulation (e.g., cervical instability, upper airway tumors)\n\nPregnant patients",{"count":295,"type":21},176,"This study compares two airway devices that are commonly used during elective surgery: the video laryngeal mask airway (VLM) and the video laryngoscope (VLS). Both are part of routine anesthesia practice. Our main focus is to measure how long intubation takes with each device and to see how successful the intubation is. The study does not involve any extra procedures or risks; everything will be carried out as part of normal patient care.",[27,29,298,125,299],"Elective Surgeries","Anaesthesia",[301,302,303,304,305,306],"Video Laryngoscope","Video Laryngeal Mask Airway","SaCoVLM","Intubation Success Rate","Observational Study","Elective Surgical Patients","2025-08-28",{"date":309,"type":40},"2025-09-05",{"date":311,"type":21},"2025-09-01",{"date":313,"type":21},"2026-03-02",{"name":315,"class":47},"Samsun University",{"id":317,"slug":318,"hasResults":11,"nctId":319,"briefTitle":320,"officialTitle":321,"acronym":322,"eligibilityCriteria":323,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":324,"targetDuration":4,"studyType":22,"phases":326,"briefSummary":327,"conditions":328,"keywords":332,"overallStatus":71,"whyStopped":4,"lastUpdateSubmitDate":337,"lastUpdatePostDateStruct":338,"startDateStruct":340,"completionDateStruct":342,"leadSponsor":343,"locationsCount":48},"100248593","simple-mechanical-device-to-control-pressure-in-the-balloon-of-the-endotracheal-tube-to-prevent-ventilator-acquired-pneumonia-100248593","NCT02514655","Simple Mechanical Device to Control Pressure in the Balloon of the Endotracheal Tube to Prevent Ventilator-acquired Pneumonia","Role of a Simple Mechanical Device of Pressure Control in the Balloon of the Endotracheal Tube to Prevent Ventilator-acquired Pneumonia","PAV-PROTECT","Inclusion Criteria:\n\n* Patients aged ≥18 years\n* Patients admitted in the ICU, mechanically ventilated and whose trachea was intubated by the oral route using tubes with catheter polyvinyl chloride \"high-volume low pressure\" and of standard shape tubes Intubation indication is decided by the physicians in charge according to the usual criteria of respiratory, neurological and \u002For hemodynamic failure\n* With an expected duration of mechanical ventilation \\> 48 hours\n\nExclusion Criteria:\n\n* Patients intubated by nasotracheal route\n* Patients with tracheotomy before admission\n* Patients intubated with a polyurethane balloon catheter or a polyvinyl chloride balloon catheter of conical shape\n* Previously intubated patients for \\> 48 hours before their possible recruitment\n* Moribund patients (terminal illness or care-limiting decision)\n* Minors protected or incapacitated patients\n* Patients with recently diagnosed ENT cancer\n* Patients with facial, thoracic, spinal or upper airway trauma\n* Patients burned, intoxicated by fire fumes or caustic ingestion\n* Patient pregnant or breastfeeding (or with known positive urine pregnancy test before inclusion)\n* Patient intubated with a subglottic suction tube\n* Unaffiliated patients to a social security\n* Patients included in any other scientific study that may interfere with the outcome criteria of this study. This includes any other study on tracheal intubation or mechanical ventilation, if the use of the pressure control device may interfere with its endpoint.",{"count":325,"type":21},500,[24],"Hypothesis: Nosten® device is able to reduce the time of underinflated balloon and removes excess pressure. This device may thus reduce the risk of ventilator-acquired pneumonia (VAP) and early tracheal lesions resulting from intubation with decreased discomfort, morbidity, and nursing workload.\n\nThe main objective of the investigators is to show that Nosten® device is more effective than monitoring and manual inflation of the balloon of the tracheal tube to prevent VAP occurrence.",[329,29,330,331],"Mechanical Ventilation","Ventilator-acquired Pneumonia","Intubation -Related Tracheal Lesions",[68,333,334,335,336],"Cuff pressure","Ventilator-acquired pneumonia","Intensive care unit","Tracheal injuries","2025-06-19",{"date":339,"type":40},"2025-06-25",{"date":341,"type":40},"2015-08-15",{"date":44,"type":21},{"name":344,"class":47},"Assistance Publique - Hôpitaux de Paris",{"id":346,"slug":347,"hasResults":11,"nctId":348,"briefTitle":349,"officialTitle":350,"acronym":351,"eligibilityCriteria":352,"healthyVolunteers":353,"sex":16,"minAge":354,"maxAge":4,"enrollmentInfo":355,"targetDuration":4,"studyType":22,"phases":357,"briefSummary":358,"conditions":359,"keywords":4,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":362,"lastUpdatePostDateStruct":363,"startDateStruct":365,"completionDateStruct":367,"leadSponsor":368,"locationsCount":4},"100589864","low-cost-model-versus-airway-part-task-trainer-for-flexible-bronchoscope-guided-tracheal-intubation-training-100589864","NCT06959953","Low-Cost Model Versus Airway Part-Task Trainer for Flexible Bronchoscope-Guided Tracheal Intubation Training","Low-cost Model Versus Airway Part-task Trainer for Flexible Bronchoscope-guided Tracheal Intubation Training: A Multicenter, Non-inferiority, Simulation-based Trial Among Anesthesiology Residents in Lebanon","RAN","Phase 1: Expert committee Intermediate phase: Postgraduate fellows and residents from pulmonology and ENT, along with senior anesthesia residents Phase 2: Inclusion criteria include PGY 1 and 2 levels with no previous experience with FBTI and belonging to one of the eight prespecified medical centers. Any resident with prior exposure and experience with FBTI will be excluded.",true,"24 Years",{"count":356,"type":21},53,[24],"Background: Awake flexible bronchoscope-guided tracheal intubation (FBTI) is crucial in managing challenging airway situations. As the gold standard for difficult airway management, FBTI is essential for anesthesiologists to navigate anatomical complexities effectively.\n\nTraining in FBTI requires theoretical understanding, hands-on practice, and experience. Skill acquisition and knowledge must reach an appropriate level before trainees perform on patients. Simulated scenarios offer a controlled environment for practitioners to develop muscle memory and problem-solving skills without risking patient safety. However, commercial simulators for FBTI are often expensive and inaccessible in many countries. Lebanon, a low- and middle-income country, currently faces a multifaceted economic and financial crisis. Hence, securing enough internal funds to support novice learners using available high-cost simulator training is challenging. Various low-cost simulators have been proposed in the literature, aiming to provide affordable training for novice anesthesiologists, particularly in regions where expensive simulators are scarce.\n\nAim: This study aims to evaluate a low-cost, locally designed simulator by comparing skill acquisition and retention to a commercial airway part-task trainer in FBTI.\n\nStudy design: Multicenter simulation-based randomized controlled trial (RCT) Methods: This simulation-based interventional clinical trial will include anesthesia PGY-I and PGY-II residents inexperienced in FBTI techniques from eight medical schools in Lebanon. The study comprises two main phases and one intermediate phase. Phase one is the development phase, whereby a Delphi approach will be utilized to develop a standardized Global Rating Scale for FBTI (LAU-modified SGR). The intermediate phase constitutes piloting the tool developed with LAU postgraduate trainees years 3, 4, and 5 from the pulmonology department, Ear, Nose, and Throat department, along with the anesthesiology residents. Phase two is the main RCT study whereby all participating residents will receive training on a theoretical course covering flexible bronchoscopy equipment, anatomy, indications, and complications, which will also be supplemented by a procedural video. After which residents will be randomly assigned to one of two groups. One group will undergo training on the locally designed low-cost model (RAN), whereas the other group will train on the airway part-task trainer. Participants' FBTI skills will be assessed using the high-fidelity CAS simulator and the LAU-modified SGR for FBTI to evaluate both theoretical and procedural fluency (i.e., retention of FBTI skills). Assessments will be conducted immediately after the training sessions, with follow-ups at three and six months.\n\nSignificance: The utilization of low-cost simulators enables the integration of simulation training for healthcare professionals across diverse settings, facilitating skill transfer to clinical practice effectively at the lowest cost possible.",[360,29,361],"Simulation Based Medical Education","Medical Residents","2025-05-04",{"date":364,"type":40},"2025-05-07",{"date":366,"type":21},"2025-06",{"date":42,"type":21},{"name":369,"class":47},"Lebanese American University",{"id":371,"slug":372,"hasResults":11,"nctId":373,"briefTitle":374,"officialTitle":375,"acronym":4,"eligibilityCriteria":376,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":377,"targetDuration":4,"studyType":59,"phases":4,"briefSummary":379,"conditions":380,"keywords":383,"overallStatus":71,"whyStopped":4,"lastUpdateSubmitDate":386,"lastUpdatePostDateStruct":387,"startDateStruct":389,"completionDateStruct":391,"leadSponsor":393,"locationsCount":223},"100555638","postoperative-memories-and-level-of-sedation-for-tracheal-intubation-using-fiberoptic-bronchoscopyvideolaryngoscopy-100555638","NCT06514690","Postoperative Memories and Level of Sedation for Tracheal Intubation Using Fiberoptic Bronchoscopy\u002FVideolaryngoscopy","Postoperative Memories and Optimal Level of Sedation for Tracheal Intubation Using Fiberoptic Bronchoscopy\u002FVidolaryngoscopy in Patients With Anticipated Difficult Airway Undergoing Surgery","Inclusion Criteria:\n\n* Patients older than 18 years\n* Patients undergoing surgery\n* Patients with predicted difficult airway\n\nExclusion Criteria:\n\n* Patients under 18 years of age\n* Patients without cognitive disorders",{"count":378,"type":21},100,"Antecedentes In patients with expected difficult airways undergoing surgery, tracheal intubation must be performed with a fiberoptic bronchoscope or video laryngoscope while keeping the patient awake and under the effects of anesthetic sedation.\n\nObjective: To determine and compare the existence of postoperative memories of the patients and the different levels of sedation (Ramsay scale) obtained during the intubation procedure.\n\nMethods Prospective observational study that includes 100 patients older than 18 years who are going to undergo surgery, who need fiberoptic bronchoscopy\u002Fvideolaryngoscopy for tracheal intubation due to the planned difficult airway and intravenous sedation. Patients with an unexpected difficult airway, under 18 years of age and\u002For with cognitive impairment will be excluded. After checking the tracheal intubation, the general anesthesia indicated for each patient will be used.\n\nTwenty-four hours after tracheal extubation, the patient will be questioned about the pain presented during the fiberoptic bronchoscopic\u002Fvideolaryngoscopic procedure and postoperative memories based on a modified Brice questionnaire. At 30 days after surgery, the postoperative memories of the patients will be evaluated again by telephone interview.",[381,382,29],"Difficult Airway","Postoperative Memories",[384,128,385],"postoperative memories","difficult airway","2024-08-11",{"date":388,"type":40},"2024-08-13",{"date":390,"type":40},"2023-04-29",{"date":392,"type":21},"2025-05-29",{"name":394,"class":47},"Hospital Universitari Vall d'Hebron Research Institute"]