Reason of more then two attempts of laryngoscopy in children age 0-12years

Completed

Conditions: Medical and Surgical, (2) ICD-10 Condition: 8||Other Procedures,

Brief Summary: Paediatric airway management has always posed a greater challenge, for anesthesiologists, in contrast to adults. Although most children with difficult airways are recognised before induction of anesthesia but still chances of airway related adverse events is more in younger population. Reasons for this lies in the fact that pediatric respiratory physiology is different from that of adult. They have low physiologic reserve, Oxygen consumption is higher, have lower functional residual capacity and their airway is more reactive. A small amount of narrowing (due to oedema, inflammation, etc.,) in the already small pediatric airway have severe consequences on respiratory function. Increase in number of laryngoscopy attempts cause increased airway manipulation, and longer discontinuation of oxygenation, leading to laryngospasm, desaturation, bradycardia, Airway oedema, airway trauma, aspiration, hypoxemia, hypotension, dysrhythmia and cardiac arrest. Thoughtful attention to recognition of factors which may contribute to increase in laryngoscopy attempts may help in maximizing the chance for first attempt success. The incidence of multiple attempts and various factors responsible for it are not properly defined in patient population presenting to our institute. Identification of various factors will help to reduce the risk of adverse events associated with multiple laryngoscopy attempts. The number of laryngoscopy attempts matter!!

Recruitment & Eligibility

Inclusion Criteria

.All patient of age 0-12 years, .Requiring GA with ET intubation for elective surgical procedure .ASA I and ASA II.

Exclusion Criteria

ASA IV patient Emergency cases.

Primary Outcome Measures

Name	Time	Method
To find out the incidence of Multiple (More than 1)attempts of Laryngoscopy before endotracheal intubation in children undergoing elective surgery requiring general anaesthesia	One time point that is after induction of general anaesthesia but before endotracheal intubation

Secondary Outcome Measures

Name	Time	Method
To identify factors responsible for multiple attempts of laryngoscopy	Single time point i.e. after induction of general anaesthesia but before endotracheal intubation

Locations (1): SGPGIMS,Lucknow
🇮🇳
Lucknow, UTTAR PRADESH, India
SGPGIMS,Lucknow
🇮🇳Lucknow, UTTAR PRADESH, India
Dr Aarti Agarwal
Principal investigator
8765974039
aarti_agarwal0000@yahoo.co.uk