Comparing The Ease Of Intubation In Pediatric Patients By Using 2 Blades:McCOY Laryngoscope And C MAC Videolaryngoscope Blade Size 2 undergoing elective surgery under general anesthesia

Not yet recruiting

• Conditions: Medical and Surgical,

• Registration Number: CTRI/2025/04/085215
• Lead Sponsor: Dr Sharanya S Narayana

Brief Summary

General anaesthesia is a commonly used procedure in pediatric surgeries. Airway related complications have a high perioperative incidence in pediatric patients. Thus, endotracheal intubation represents the main element of pediatric airway management for safety.

In children, endotracheal intubation is difficult compared to adults due to anatomic differences i.e, epiglottis is large, floppy and omega shaped, makes an angle of 450 with the base of tongue. At birth, larynx is situated opposite to the lower border of C4 vertebra, it descends to C4-C5 interspace by the age of 3yrs & finally descends to lie opposite to the body of C5.

Due to these differences anaesthesiologists encounter more difficult airway in pediatric patients.Hence,conventional direct laryngoscopy by McIntosh & Miller blade delayed tracheal intubation in difficult airway leading to increased mortality in pediatric population due to hypoxia.

McCoy laryngoscope blade has a hinged tip with a lever control that aids in lifting the large epiglottis for an improved glottis view. While,CMac videolaryngoscope gives a better laryngoscopic view during intubation.

Data for pediatric group is still insufficient. Most studies are done on comparison of CMAC video laryngoscope with McCoy blade in difficult airway in adults, whereas studies involving McCoy blade size 2 in pediatric difficult airways is insufficient and poses a great scope.

Thus,in this randomised study,we want to see the ease of intubation and compare the glottic view during intubation between the McCoy blade and CMac videolaryngoscope of the blade size 2 in pediatric patients.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2025-04-18
• Study Start: 2025-10-05

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 102

Inclusion Criteria

ASA I and II pediatric patients undergoing elective surgery under general anesthesia with consent from the parent/guardian.

Exclusion Criteria

Pediatric patients having asthma,impaired pulmonary function and patients whose parent/guardian decline to give consent.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Compare the glottis visualisation using Cormack-Lehane grading	At the time of intubation

Secondary Outcome Measures

Name	Time	Method
To compare the ease of intubation with Intubation Difficulty Score and Hemodynamic parameters	Heart rate and saturation are monitored for the first 30 minutes post intubation at an interval of 5 minutes

Trial Locations

Locations (1)

KLES Dr Prabhakar Kore Hospital and Medical Research Centre; 🇮🇳 Belgaum, KARNATAKA, India

KLES Dr Prabhakar Kore Hospital and Medical Research Centre

🇮🇳Belgaum, KARNATAKA, India

Dr Sharanya S Narayana

Principal investigator

7022477925

Sharanya.satyanarayana@gmail.com