Improvement of Laryngoscopic View by Bed-up-head-elevated Position During Tracheal Intubation in Paediatric Patients

Recruiting

• Conditions: Paediatric Airway Management
• Interventions: Procedure: Intubation in Bed-Up-Head-Elevated (BUHE) position

• Registration Number: NCT05885789
• Lead Sponsor: University of Malaya

Brief Summary

The goal of this prospective observational study is to learn about improvement of laryngoscopic view by Bed-Up-Head-Elevated (BUHE) during tracheal intubation in paediatric patients. The main question it aims to answer is:

1. Does BUHE position improve laryngoscopic view during paediatric intubation?

Participants age 3-12 year-old going for elective surgery under general anaesthesia requiring tracheal intubation will undergo laryngoscopic twice, first in sniffing position (SP) and second during BUHE position.

POGO score during each laryngoscope will be compared. Additionally, ease of handling of laryngoscope during each position will be assessed.

Detailed Description

This is a prospective observational study comparing POGO score during tracheal intubation in SP and BUHE position in paediatric patients aged 3 to 12 years who will undergo elective surgery under general anaesthesia requiring tracheal intubation. The first POGO score will be obtained during SP followed by second POGO score during BUHE position and the difference in POGO score before and after BUHE position will be recorded to learn the improvement in POGO score during BUHE position.

The objective of this study is to learn the improvement of laryngeal view in tracheal intubation after BUHE position in paediatric patients of age 3 to 12 years. Investigators hypothesised that laryngeal view in tracheal intubation improves after BUHE position compared to sniffing position.

Study Timeline

• Study Start: 2023-03-01
• Study First Submitted: 2023-05-22
• Study First Submitted QC: 2023-05-22
• Status Verified: 2023-06
• Last Update Submitted: 2023-06-01
• Study First Posted: 2023-06-02
• Last Update Posted: 2023-06-05
• Primary Completion: 2024-05-31
• Study Completion: 2024-05-31

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 125

Inclusion Criteria

• Age 3 to 12 years
• Elective surgery under general anaesthesia requiring tracheal intubation

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Exclusion Criteria

• Parents' / Guardian's refusal
• Known case of difficult airway or airway malformation or airway obstruction
• Patients with respiratory or cardiovascular disease
• Patients requiring rapid sequence induction
• Recent Upper Respiratory Tract Infection (URTI) of 2 weeks

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Paediatric patients	Intubation in Bed-Up-Head-Elevated (BUHE) position	-

Primary Outcome Measures

Name	Time	Method
Change in Percentage of Glottic Opening (POGO) score after BUHE position	Immediate during procedure	Compare change in Percentage of Glottic Opening (POGO) score in sniffing position (SP) and after BUHE position. The POGO score is expressed as a percentage of glottis exposure in the laryngoscopy view, which is expressed as 100% for a fully exposed glottis, from the anterior commissure of the vocal cords to the inter-arytenoid notch. POGO score of 0% corresponds to no visualisation of laryngeal structure.

Secondary Outcome Measures

Name	Time	Method
Ease of handling of laryngoscope	Immediate during procedure	assessed based on a scale of 0 to 10, 0 being the most difficult and uncomfortable handling and 10 being the easiest and most comfortable handling

Trial Locations

Locations (1)

University of Malaya Medical Center; 🇲🇾 Kuala Lumpur, Malaysia