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STUDY COMPARING PAEDIATRIC VIDEO LARYNGOSCOPE WITH DIRECT MACINTOSH LARYNGOSCOPE FOR ENDOTRACHEAL INTUBATION

Completed
Conditions
Medical and Surgical,
Registration Number
CTRI/2021/02/031427
Lead Sponsor
JSS MEDICAL COLLEGE AND HOSPITAL
Brief Summary

Airwaymanagement is a fundamental procedural skill for practice of generalanaesthesia. In most cases, orotracheal intubation is done by directlaryngoscopy, in which a conventional laryngoscope is used to establish adirect line of sight from the laryngoscopist through the patient’s mouth to theglottic opening.[1]

 Inrecent years video laryngoscopy has played an important role in the managementof patients with unanticipated difficult or failed endotracheal intubation.Video laryngoscopy is a term used for techniques applied to intubation inwhich the glottis opening is visualized indirectly over the monitor screen,allowing the laryngoscopist to place an endotracheal tube without seeing thelarynx directly. Different videolaryngoscopes are available with combineddirect/indirect glottic view (C-MAC, Karl Storz, Tuttlingen, Germany) as wellas obligate indirect glottic view (e.g., GlideScope, McGrath videolaryngoscope), depending on the blade.[2]

 Routineairway management and a detailed handling of the expected and unexpected airwaydifficulty are the specific concerns for anaesthesiologists. A combineddirect/indirect laryngoscopy may hence be preferred.[3]

 Thechallenges faced in the management of paediatric airway are based on anatomicaldifferences from adults. The prediction of difficult airway is not feasible inchild because measurement of mentohyoid, thyromental and inter-incisior lengthsare not validated.[4]

 Incomparison with adults, physiological variation like higher oxygen consumptionleads to early desaturation during tracheal intubation, thus highlighting theimportance of time taken for intubation in paediatric patients. Failure tosecure the airway remains the leading cause for morbidity and mortality in theoperative and ICU emergency setting.

 Comparedto direct laryngoscopy, video laryngoscopes are preferred lately as theyprovide a better glottic view with minimum manipulation of neck, airway andlarynx. In spite of the better view the maneuvering of  the endotracheal tube is difficult because itrequires higher level of hand eye co-ordination.[4]

 Thisstudy intends to compare the Paediatric C-MAC Video laryngoscopy withconventional Macintosh laryngoscopy in Indian paediatric population.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
60
Inclusion Criteria
  • ASA 1 AND 2 CLASSIFICATION 2.
  • WEIGHT 10-20 KGS.
Exclusion Criteria
  • PARENTAL REFUSAL FOR THE PROCEDURE 2.
  • OROPHARYNGEAL ANOMALIES 3.
  • ANY SIGNS OF RESPIRATORY TRACT INFECTION.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
GLOTTIC VIEW BY MODIFIED CORMACK-LEHANE GRADINGAT TIME OF INTUBATION
Secondary Outcome Measures
NameTimeMethod
NUMBER OF ATTEMPTS TAKEN FOR INTUBATIONAT TIME OF INTUBATION

Trial Locations

Locations (1)

JSS HOSPITAL

🇮🇳

Mysore, KARNATAKA, India

JSS HOSPITAL
🇮🇳Mysore, KARNATAKA, India
DR NANDI VINAYAKA B
Principal investigator
9880626679
NANDIVINAYAKAB@YAHOO.IN

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