Safety and efficacy of video laryngoscpy versus conventional laryngoscopy for successful endotracheal intubation in pediatric patients between 0 to 7 years

Not yet recruiting

• Conditions: Paediatric patients undergoing elective surgery

• Registration Number: CTRI/2025/06/088030
• Lead Sponsor: D Y Patil University School of Medicine and Hospital Nerul Navi Mumbai

Brief Summary

**INTRODUCTION** **Securing an airway in children is a challenging task for an anaesthesiologist.  Pediatric and neonatal anatomy differsfrom adult anatomy in multiple significant ways. Tracheal intubation is most usually facilitated by use of a conventionallaryngoscope Video laryngoscopy is gaining popularity for management of airways in children. Attaching a camera to the blade’s tip may provide a better view of the glottisin both normal and troublesome pediatric airways.** **AIM** **Safety and  efficacy of video laryngoscpy versusconventional laryngoscopy for successful endotracheal intubation in pediatricpatients between day 0 to 7 years : Prospective randomized study** **OBJECTIVE** **Primary objective: Time taken to intubate with video laryngoscope versusconventional laryngoscope The secondary objective : 1)Number of attempts 2)Hemodynamic response 3) complications** **MATERIAL AND METHODOLOGY** ·      STUDY SITE = The present study will be conducted in the departmentof anaesthesiology of DY Patil medical college, Navi Mumbai.

·      STUDY DESIGN  = Prospectiverandomized comparative study .

·      STUDY POPULATION = Patient aged between day 0 to 7 yearsundergoing general anaesthesia from DY Patil medical college, navi Mumbai.

·      STUDY DURATION = from the date of ethics committee approval

·      SAMPLE SIZE = 18 Patients

 **METHODOLOGY** All children posted for elective  surgerywill be screened on the basis of inclusion and Exclusion criteria.  Informed consent  from parents or guardian will be taken.

Patient informationsheet will be explained to parents or guardian.

Enrollment of thepatient as per inclusion and exclusion criteria

On the day of surgery, Parental consent and Pre-operative  fasting ( Six hours for meal that are solid,four hours for milk, and two hours for clear fluids and water) will beconfirmed for every child. Standard monitors will be attached :Non invasive blood pressure , Heart rate(HR) ,Oxygen saturation (SpO2), Electrocardiography (ECG).Baseline data will berecorded for all the patients. 22G intravenous cannula will be inserted on right or left hand if not alreadyin place.

Patient will be randomised to either videolaryngoscopy (VL)groupor conventional laryngoscopy (CS)  groupbased on the flip  coin method.

General Anaesthesia (GA) will be given as per standard protocol,IVFentanyl 2mcg/kg,  ketamine 1 mg/kg,propofol 1mg/kg

adequacy of ventilation will be checked .

Atracurium 0.5mg/kg will be given for musclerelaxation. Appropriate size of endotracheal tube will be selected based on ageand weight of the patient.

Procedure will be done byexperienced anaesthetist that is associate professor or assistant professor.

In the conventional group, age appropriate Macintosh blade will beused to do the direct laryngoscopy, followed by intubation. In the videolaryngoscopy group ,age appropriate BPL blade will be used and theglottis view would be seen on the camera screen and intubation will be donethereafter using the camera image as the guide.

Time taken from insertion of laryngoscope  upto first appearance of EtCO2 will be notedby Principal Investigator

Number of attempts required to intubate will be noted. Hemodynamic parameters will be noted as follows: Baseline , 1min,3 min and 5 min after laryngoscopy .

Any complications such as trauma to oral structures, bradycardiaetc will also be noted.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2025-05-30
• Study Start: 2025-10-06

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 18

Inclusion Criteria

Patients belonging to age group 0 to 7 years Patients posted for surgery under general anaesthesia Children belonging to ASA| and || Category.

Exclusion Criteria

Congenital facial deformity Difficult Airway Cases taken up as emergency.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Time taken to intubate with video laryngoscope versus conventional laryngoscope	Baseline | 1 minutes | 3 minutes | 5 minutes

Secondary Outcome Measures

Name	Time	Method
Number of attempts	Hemodynamic response

Trial Locations

Locations (1)

D.Y Patil University School Of Medicine and Hospital; 🇮🇳 Nashik, MAHARASHTRA, India

D.Y Patil University School Of Medicine and Hospital

🇮🇳Nashik, MAHARASHTRA, India

Dr Gauri Jain

Principal investigator

8208256463

jaingauri22@gmail.com