Video Laryngoscopy Versus Direct Laryngoscopy for Elective Airway Management in Pediatrics Anesthesia, Comparison of Out-comes
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 88
- 试验地点
- 2
- 主要终点
- Time taken to acheive succesful Endotracheal Intubation.
研究概览
简要总结
The goal of this interventional study is to compare the effectiveness of direct laryngoscopy vs. video laryngoscopy in paediatric population aged 2 to 8 years presenting for elective surgeries having uncomplicated airways.
The primary outcome measures include:
- Time taken for succesful insertion and confirmation of ETT in patients using both techniques seprately.
- Rate of complications and failed attempts compared between both modalities.
详细描述
The comparision of efficacy of Video Laryngoscopy for pediatric airway vs Direct Laryngoscopy is the goal of this study, Safety of the patients will be the utmost priority with careful case selection alongwith proper informed detailed consent from the guardians of the children.
PROCEDURE:
After induction of General Anesthesia four minutes of proper bag mask ventilation to allow for proper intubating conditions will be done. The time taken from the insertion of the laryngoscopic blade to the best glottic view acheived by the specific technique will be noted seperately and then the time to the succesful acheivement of lung inflation with the proper placement of ETT will be noted seperately, both of these parameters will be recorded.
If in a patient airway is not secured even after 3 attempts by a specific technique the technique would be altered and patient would be excluded from our research.
MATERIALS:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Participant)
盲法说明
Participants are not aware of the method which will be used to secure their airway.
入排标准
- 年龄范围
- 2 Years 至 8 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Pediatric patients of age between 2 - 8 years,
- •American Society of Anesthesiologist (ASA) grades I-II Children
- •Cormack-Lehane grade I, II and III who will need airway management for elective surgery under general anesthesia.
排除标准
- •Patients with abnormal airway anatomy,
- •Obese patients,
- •Emergency surgery,
- •Congenital syndrome involving any major organs
- •Patients' guardians unwilling to participate .
- •Patients in whom airway is not secured with a specific technique even after three attempts.
结局指标
主要结局
Time taken to acheive succesful Endotracheal Intubation.
时间窗: 4 Min 30 seconds post muscle relaxant administration to 7 Min post muscel relaxant administration.
The time from the insertion of the laryngoscopic blade in the mouth to the correct placement of ETT confirmed by the waveform capnorgraphy.
.Time taken to acheive the best possible view of the glottis.
时间窗: 4 Min. post muscle relaxant administration to 6 Min. post muscle relaxant administration
The time from insertion of laryngoscope in the mouth to the best possible view of the glottis.
No. of Intubation attempts needed
时间窗: 4 Min. post muscle relaxation administration to 15 Min. post muscle relaxant administration.
Total No. of attempts(max 3 attempts with the same technique) to secure airway.
次要结局
- Hemodynamic changes at different intervals.(During attempts to 1 min, 5 min, and 10 min post succesful intubation.)
研究者
Muhammad Ilyas
Assistant Professor
Watim Medical & Dental College