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Comparison of Awake Tracheal Intubation Methods

Sponsor: Kocaeli City Hospital • ClinicalTrials.gov ID: NCT07484841

Registry updated: 2026-08-26

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Description

The aim of this study was to compare three different awake tracheal intubation technique -fiberoptic bronchoscopy (ATI:FB), videolaryngoscopy (ATI:VL), and fiberoptic bronchoscopy via a supraglottic airway device (ATI:SAD)- in terms of success rates, intubation times, and complications. Additionally, the study aims to evaluate the reliability of the SAD-assisted ATI method and its potential to contribute to the literature.

Interventions

Awake tracheal intubation viaFiberoptic Bronchoscopy (ATI:FOB) (Procedure)
awake tracheal intubation will be perform via FOB
Awake tracheal Intubation via videolaryngoscopy (ATI:VL) (Procedure)
Awake tracheal intubation will be perform via videolaryngoscopy
awake tracheal intubation via aintree catheter loaded FOB through supraglottic airway device (ATI:SAD) (Procedure)
Awake tracheal Intubation will be perform via aintree catheter loaded FOB through supraglottic airway device

Eligibility criteria

Inclusion Criteria: * Adult patients aged 18 and older * Patients classified as ASA I-II according to the American Society of Anesthesiologists (ASA) classification * Patients scheduled for elective surgery * Patients expected to require difficult mask ventilation, difficult laryngoscopy, or difficult tracheal intubation; patients expected to have short apnea periods (Planjuan goiter); patients at risk of aspiration; patients expected to require difficult rescue techniques; and patients with a reported history of difficult intubation * Patients scheduled for intubation using the awake tracheal intubation (ATI) method * Individuals who have agreed to participate in the study by signing an informed consent form Exclusion Criteria: * Patients with a mouth opening \<1.5 cm * Patients requiring emergency intubation or emergency surgery (situations where there is insufficient time to administer ATI) * Patients who cannot cooperate (mental incapacity, impaired consciousness, inability to communicate, etc.) * Patients with known allergies to lidocaine or other local/topical anesthetic agents used * Pregnancy * Patients with a history of severe cardiac arrhythmia or hemodynamic instability (due to increased risk during intubation) * Patients who have previously undergone tracheostomy or whose airway is technically obstructed due to anatomical deformity * Patients who refuse to participate in the study or who do not provide informed consent

Conditions

Airway Management Assessment Awake Endotracheal Intubation Awake Fiberoptic Nasal Intubation Videolaryngoscopy Supraglottic Airway Device Insertion

Locations

Kocaeli City Hospital — İzmit, Kocaeli, Turkey (Türkiye)

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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

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