Validation of the POGO Score for Classification of Videolaryngoscopy in Children - Post-hoc Analysis of the PeDiAC Study
- Conditions
- Intubation, PediatricIntubation; Difficult or FailedAirway ManagementAirway Complication of Anesthesia
- Registration Number
- NCT07115407
- Lead Sponsor
- Universitätsklinikum Hamburg-Eppendorf
- Brief Summary
It has been assumed that the percentage of glottic opening (POGO) score might enhance the classification of videolaryngoscopic tracheal intubation by offering a more objective rating of glottic exposure but studies in children are lacking. This post hoc analysis of the prospective observational PeDiAC study aims to investigate, if classifying difficult videolaryngoscopic tracheal intubation with the POGO score is superior to a subjective rating of the quality of the glottic view on visual analogue scales (VAS). Post hoc video analysis will be performed by multiple independent raters. A secondary aim is to determine the diagnostic performance of the POGO and VAS for the prediction of relevant user- and patient-centered outcomes and to assess the inter-rater reliability of the POGO score.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 809
- Pediatric patients undergoing general anesthesia with tracheal intubation in the study center
- Informed consent obtained
- Age < 18 years
- Anesthetist prefers conventional laryngoscopy
- Indication for intubation via a bronchoscope or awake intubation
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Difficult videolaryngoscopic intubation 1 hour Defined as a difficult airway alert issued by the airway operator following videolaryngoscopy
- Secondary Outcome Measures
Name Time Method Multiple laryngoscopy attempts 1 hour More than one laryngoscopy attempt required until airway established
Multiple tracheal intubation attempts 1 hour More than one tracheal intubation attempt until airway established
First attempt success rate 1 hour Percentage of successful intubations with one attempt at laryngoscopy and intubation
Percentage of glottic opening (POGO) score 1 hour Best glottic view obtained during videolaryngoscopy assessed with the POGO score (%)
Quality of glottic visualization 1 hour Subjective ratings on visual analog scales (0 to 100; higher values indicate better glottic view)
Tracheal intubation time 1 hour Time until successful tracheal intubation
Airway-related adverse events 1 hour Laryngospasm; bronchospasm; airway, oral, soft tissue or dental trauma; laryngeal swelling or use of corticosteroids to reduce swelling risk; oesophageal intubation; pulmonary aspiration; and severe hypoxaemia
Difficulty of videolaryngoscopic tracheal intubation 1 hour Difficulty of videolaryngoscopic tracheal intubation assessed by the PeDiAC score (0-8; higher values indicate increased difficulty)
Severe hypoxaemia 1 hour Oxygen saturation \< 70% or hypoxaemia-related bradycardia
Prolonged tracheal intubation 1 hour Tracheal intubation time \> 90 sec
Trial Locations
- Locations (1)
Department of Anesthesiology, Center for Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf
🇩🇪Hamburg, Germany
Department of Anesthesiology, Center for Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf🇩🇪Hamburg, Germany