Comparison of Video Laryngoscopy and Direct Laryngoscopy for Nasotracheal Intubation During Pediatric Dental Surgery

Completed

• Conditions: Intraoperative Hypertension; Desaturation of Blood; Airway Complication of Anesthesia; Peroperative Complication; Tachycardia, Sinus
• Interventions: Device: Laryngoscopy

• Registration Number: NCT04677894
• Lead Sponsor: T.C. ORDU ÜNİVERSİTESİ

Brief Summary

Background and Objective: Airway control is a condition that should be evaluated primarily in anesthesia practice in the pediatric age group. Failed intubation or prolonged intubation duration can cause atelectasis and hypoxia in children. The aim of this study was to examine the effects of Macintosh laryngoscopy and McGrath videolaryngoscopy on hemodynamic parameters in pediatric patients who were scheduled to undergo elective dental surgery and required intubation for the application of general anesthesia.

Methods: Sixty-six patients were divided into two groups according to the procedure used during intubation, namely, direct laryngoscopy or video laryngoscopy. The Cormack-Lehane and Mallampati scores, intubation duration, heart rate at minutes 0, 1, 3 and 5 during intubation, mean arterial pressure, EtCO2and SpO2 values were recorded for all the patients.

Detailed Description

Many techniques in the management of a difficult airway have been used in adult patients. In pediatric patients, awake fiberoptic intubation is difficult or even impossible . The video laryngoscope is a new tool produced by combining video technology and laryngoscope. Published studies on the video laryngoscope were mostly performed in adults . In this study, we used a Macintosh laryngoscope, which is a routinely used tool in anesthesiology, and a McGrath video laryngoscope, which is a type of a newly developed video laryngoscope that has not widely been used in the pediatric age group. The aim of this study was to examine the effects of Macintosh laryngoscopy and McGrath videolaryngoscopy on hemodynamic parameters in pediatric patients who were scheduled to undergo elective dental surgery and required intubation for the application of general anesthesia. We also evaluated whether Macintosh laryngoscopy and McGrath videolaryngoscopy improved the stress response and whether these approaches facilitated the intubation procedure.

Study Timeline

• Study Start: 2019-11-01
• Primary Completion: 2020-03-01
• Study Completion: 2020-06-01
• Study First Submitted: 2020-11-29
• Status Verified: 2020-12
• Study First Submitted QC: 2020-12-16
• Last Update Submitted: 2020-12-16
• Study First Posted: 2020-12-21
• Last Update Posted: 2020-12-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 66

Inclusion Criteria

Healthy children between the ages of 4-13

• Ordu University School of Medicine ,pediatric age group ,elective oral surgery 4-13 years and who were scheduled for elective oral surgery under general anesthesia with intubation If Patients with a Cormack -Lehane score 1,2 or 3 and if Mallampathy score of 1,2 or 3 were inccluded from the study

Exclusion Criteria

1. With malignancy disease patients
2. with norological disorders
3. with congenital heart disease
4. with airway abnormality
5. with airway disease patients
6. Patients age Under 4 years , Above 13 years
7. If Patients with a Cormack -Lehane score 4 and if Mallampathy score of 4 were excluded from the study -

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Group Videolaringoscopy	Laryngoscopy	Group VL: Group of patients intubated using a McGrath video laryngoscope.
Group Direct Laringoscopy	Laryngoscopy	Group DL: Group of patients intubated using a Macintoch blade laryngoscope.

Primary Outcome Measures

Name	Time	Method
Heart Rate	During surgery 10. minute	Heart Rate (HR)
Mean Arterial Pressure	During surgery 10. minute	Mean Arterial Pressure (MAP)
Saturation	During surgery 10. minute	SpO2
End Tidal Carbondioxide	During surgery 10. minute	EtCO2

Secondary Outcome Measures

Name	Time	Method
Entubation Time	During Surgery 3.minute	Entubation time , (minute)

Trial Locations

Locations (1)

Ordu University School of Medicine ,Department of Anesthesiology and Reanimation; 🇹🇷 Ordu, Turkey