Comparison of besdata video laryngoscope with direct laryngoscope in term neonates and infants upto 6 months of age- A randomized control trial

The anatomy of airway in infants is significantly different than of adults. Multiple anatomic differences like large tongue, floppy epiglottis, more anterior situated larynx, large occiput, smaller diameter of the airway make direct laryngoscopy and intubation difficult. Also the anesthetised neonates and infants are prone for hypoxia even with minor delay in airway management.The conventional direct laryngoscopy though commonly used and successful is limited by the requirement of alignment of line of sight of anesthetist with axis of laryngoscopic inlet. Video laryngoscope whereas uses video camera for focused view over the laryngeal inlet thereby obviating the need of alignment of laryngeal axis. Due to better glottic visualization video laryngoscopy can reduce number of intubation attempts and first attempt intubation success rate.

Therefore in this study we compare direct laryngoscope using age appropriate size miller blade with besdata video laryngoscope using zero size miller blade in term neonates and infants upto 6 months of age. With this comparison if video laryngoscope is equivalent to direct laryngoscope,then based on the results of the study video laryngoscope can be used as an alternative to direct laryngoscope in emergency and elective pediatric intubation.