Prospective observational study to determine the predictive value of COPUR INDEX for ease of videolaryngoscopy and intubation in paediatric patient

Ethical approval will be obtained for the study from the ethics committee Patients are selected preoperatively based on inclusion and exclusion criteria .Once the patient enters the preoperative room,the patient"s parents will be informed about the study in a langue they fully comprehend.They will be given patient information sheet and will be enrolled in the studyafter taking a written informed consent and additional assent will be taken from children age group 8-15years. Vitals parameters will be measured. COPUR score**.**We assessed the COPUR SCORE of patient will be assessed in preoperative room,by a separate anaesthesiologist who will not be a part of further study.

After assessing the COPUR SCORE in preoperative room,patient with score <10 will receive Premedication :Inj glycopyrrolate 0.004mg/kg, Inj. Ketamine 0.3-0.5mg/kg,Inj Midazolam 0.02mg/kg intravenous. Patient shifted to operation theater under standard MAC protocols.After shifting patient to operation theatre, following monitors will be attached – ECG, NIBP, SPO2. Baseline readings for pulse, blood pressure, SPO2 wil

be recorded. Pre Induction: Inj. Fentanyl -1μg/kg ,Induction:Inj. Propofol – 2 mg/kg.Neuromuscular Blocking agent- Inj. Atracurium 0.5 mg/kg.After the administration of a neuromuscular blocking agent, the glottic view will be obtained by  lifting the epiglottis using VL with a curved blade.The POGO will be noted.

The need of external laryngeal manipulation will be  noted.Intubation will be performed with appropriate size of ET tube.The need for any manipulation or intubation aids required will be noted. The time of intubation will be defined as time from insertion of Videolaryngoscope to the first ETCO2 graph.Number of intubation attempts for successful intubation will be noted.

Assessment of COPUR INDEX & VIDEOLARYNGOSCOPY will be done by two different Anaesthesiologist.