Comparison of Fiberoptic Intubation With Fiberoptic Intubation Through an Air-Q Intubating Laryngeal Airway in Infants and Small Children

NCT ID: NCT01876940

Last Updated: 2013-07-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-30

Study Completion Date

2013-07-31

Brief Summary

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The goal of this prospective randomized study is to compare the effect of operator experience on the ability to use fiberoptic-guided intubation in children less than two years old, with and without the use of an air-Q as a conduit. The question the investigators are trying to answer is: Does the operator experience make a significant difference in the time for successful fiberoptic guided tracheal intubation with and without the use of an air-Q intubating laryngeal airway?

Detailed Description

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The aim of this study is to compare the effect of operator experience on the ability to use fiberoptic-guided intubation in children less than two years old, with and without the use of an air-Q as a conduit. The ease and time for placement of the air-Q, fiberoptic grade of laryngeal view, time for fiberoptic tracheal intubation, and peri-operative complications will also be assessed.

Conditions

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Fiberoptic Intubation in Children

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

NONE

Study Groups

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Fiberoptic Intubation performed by an expert

Tracheal intubation will be performed by an expert anesthesia attending with and without use of the air-Q

Group Type ACTIVE_COMPARATOR

air-Q, followed by fiberoptic intubation

Intervention Type DEVICE

Free-hand Fiberoptic Intubation

Intervention Type DEVICE

Fiberoptic tracheal intubation will be performed without use of the air-Q and timed. Laryngeal grade of view will also be assessed

Fiberoptic Intubation performed by a novice

Tracheal intubation will be performed by an anesthesia trainee with and without use of the air-Q

Group Type EXPERIMENTAL

air-Q, followed by fiberoptic intubation

Intervention Type DEVICE

Free-hand Fiberoptic Intubation

Intervention Type DEVICE

Fiberoptic tracheal intubation will be performed without use of the air-Q and timed. Laryngeal grade of view will also be assessed

Interventions

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air-Q, followed by fiberoptic intubation

Intervention Type DEVICE

Free-hand Fiberoptic Intubation

Fiberoptic tracheal intubation will be performed without use of the air-Q and timed. Laryngeal grade of view will also be assessed

Intervention Type DEVICE

Other Intervention Names

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Device will be placed and fiberoptic tracheal intubation will be performed and timed. Laryngeal grade of view will also be assessed

Eligibility Criteria

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Inclusion Criteria

* Healthy (ASA I to III) children who will be intubated as part of their general anesthesia plan for their scheduled surgeries
* Age 1 month - 2 years
* Weight 1-20 Kg

Exclusion Criteria

* Children with active respiratory infection
* Known history of difficult mask ventilation
* Diagnosis of a congenital syndrome associated with difficult airway management
* Airway abnormalities (e.g., laryngomalacia, subglottic stenosis).
Minimum Eligible Age

1 Day

Maximum Eligible Age

2 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ann & Robert H Lurie Children's Hospital of Chicago

OTHER

Sponsor Role lead

Responsible Party

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Narasimhan Jagannathan

Primary Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Narasimhan Jagannathan, MD

Role: PRINCIPAL_INVESTIGATOR

Ann & Robert H Lurie Children's Hospital of Chicago

Lisa Sohn, MD

Role: PRINCIPAL_INVESTIGATOR

Ann & Robert H Lurie Children's Hospital of Chicago

Locations

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Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, United States

Site Status

Countries

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United States

References

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Hodzovic I, Janakiraman C, Sudhir G, Goodwin N, Wilkes AR, Latto IP. Fibreoptic intubation through the laryngeal mask airway: effect of operator experience*. Anaesthesia. 2009 Oct;64(10):1066-71. doi: 10.1111/j.1365-2044.2009.06030.x.

Reference Type BACKGROUND
PMID: 19735396 (View on PubMed)

Hodzovic I, Petterson J, Wilkes AR, Latto IP. Fibreoptic intubation using three airway conduits in a manikin: the effect of operator experience. Anaesthesia. 2007 Jun;62(6):591-7. doi: 10.1111/j.1365-2044.2007.05054.x.

Reference Type BACKGROUND
PMID: 17506738 (View on PubMed)

Erb T, Marsch SC, Hampl KF, Frei FJ. Teaching the use of fiberoptic intubation for children older than two years of age. Anesth Analg. 1997 Nov;85(5):1037-41. doi: 10.1097/00000539-199711000-00013.

Reference Type BACKGROUND
PMID: 9356095 (View on PubMed)

Jagannathan N, Kozlowski RJ, Sohn LE, Langen KE, Roth AG, Mukherji II, Kho MF, Suresh S. A clinical evaluation of the intubating laryngeal airway as a conduit for tracheal intubation in children. Anesth Analg. 2011 Jan;112(1):176-82. doi: 10.1213/ANE.0b013e3181fe0408. Epub 2010 Nov 16.

Reference Type BACKGROUND
PMID: 21081777 (View on PubMed)

Other Identifiers

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IRB#2013-15391

Identifier Type: -

Identifier Source: org_study_id

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