COMPARATIVE EFFICACY OF CMAC MILLER VIDEOLARYNGOSCOPE Versus McGRATH MAC VIDEOLARYNGOSCOPE IN INFANTS UNDERGOING SURGICAL PROCEDURES

Airwaymanagement is integral partof general anaesthesia. Videolaryngoscopy (VL) is a new technique that hasthe potential to facilitate endotracheal intubation and decrease adverseconsequences. In adult population the advantages of VL over directlaryngoscopy (DL) have already been proven in several studies conducted in patientswith normal and difficult airways and critically ill patient. Incomparison to adults, intubation in infant and neonates is more challenging dueto various anatomical and physiological factors.Pediatric tracheal intubations (TI) may requiremultiple attempts, especially in neonates and infants and those with a historyof difficult airway and craniofacial anomalies. But, each additional attempt isassociated with increased chances of desaturation and airway morbidity.

VLfacilitates tracheal intubation during simulated/ clinically difficultintubation in adults, but it is not clear whether these findings translate tochildren.  Comprehensive clinical studies about the efficacy of paediatric VL for routine practice in difficult airways in children are inadequate and poorly documented. Well-designed,adequately powered randomized controlled studies are necessary to addressefficacy and safety of VL for endotracheal intubation in neonates.

CMACVL has compared favorably to the conventional DL for intubation in infants andchildren. Recently,McGrath MAC blade size 1 VL has been launched which is similar to conventionalMacintosh blade. There is paucity of studies comparing CMACMiller blade VL with McGrath MAC blade VL in respect to their clinicalefficacy in infants. So,we aim to establish whether the novel McGrath MAC videolaryngoscope providesequivalent performance as compared to CMAC Miller videolaryngoscope withrespect to time to intubation in infants. We will recruit a total of 140 neonates and infants as per our inclusion and exclusion criteria as mentioned above. After standard General anesthesia they will be intubated as per their group allocation. the observations will be recorded as mentioned above.