A randomized comparison of C-MAC video-laryngoscope and Macintosh laryngoscope blade for tracheal intubation in childrenfrom 1-24 months
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Department of Anaesthesia
- Enrollment
- 106
- Locations
- 1
- Primary Endpoint
- 1.Time for visualization of the glottis
Study Overview
Brief Summary
Endotracheal intubation isconsidered the definitive airway for resuscitation and airway management. The Macintosh laryngoscope is the mostcommonly used device, and is considered the gold standard for trachealintubation. Over the past decade, video laryngoscopes, based on the principleof indirect laryngoscopy, have become popular as an intubating device,especially in difficult airway scenarios.
The airway of an infant differsfrom older children and from adults. These critical anatomical differences andthe limited intubation time in infants due to higher oxygen consumption makeairway related events the most common perioperative critical incidents inpaediatric anaesthesia.
Several studies have shown thesuperiority of video laryngoscopes in adults over conventional laryngoscopes,in normal as well as difficult airway scenarios. The use of video laryngoscopeshas not been extensively studied in the paediatric population. Among the fewstudies done in paediatric population, video laryngoscopes have been shown toprovide better laryngeal views, however, time for intubation is more prolonged.
The C-MAC video laryngoscopeblade design is similar to the Macintosh, with the added advantage of a videocamera at the distal end of the blade. There are very few studies in childrencomparing C-MAC video laryngoscope with the conventional Macintoshlaryngoscope.
Therefore, this randomizedcontrol study is planned with the primary objective to compare time forendotracheal intubation with C-MAC video laryngoscope and a conventionalMacintosh laryngoscope.
Study Design
- Study Type
- Interventional
- Allocation
- Computer generated randomization
- Masking
- Open Label
Eligibility Criteria
- Ages
- 1.00 Month(s) to 24.00 Month(s) (—)
- Sex
- All
Inclusion Criteria
- •Any ASA grade I and II patient aged 1 day to 1 year, presenting for elective surgery, after adequate fasting will be included in the study.
Exclusion Criteria
- •Any patient with anticipated difficult airway, full stomach, conceptual age < 60 weeks, neuromuscular diseases, history of ICU stay, syndromic child or parental refusal is excluded.
Outcomes
Primary Outcomes
1.Time for visualization of the glottis
Time Frame: 1.Time taken from introduction of laryngoscope blade into oral cavity to visualization of the glottis | 2.Time taken from introduction of laryngoscope blade into oral cavity to passage of endotracheal tube past the vocal cords
2. Time for successful intubation
Time Frame: 1.Time taken from introduction of laryngoscope blade into oral cavity to visualization of the glottis | 2.Time taken from introduction of laryngoscope blade into oral cavity to passage of endotracheal tube past the vocal cords
Secondary Outcomes
- 1.Incidence of trauma(2POGO score,)