Trial Outcomes & Findings for Comparison of Miller's Blade and Airtraq Laryngoscope in Children (NCT NCT02423317)

NCT ID: NCT02423317

Last Updated: 2016-03-09

Results Overview

It is defined as the time from placement of Airtraq or Miller laryngoscope into the mouth till appearance of the capnograph waveform

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

60 participants

Primary outcome timeframe

5 minutes

Results posted on

2016-03-09

Participant Flow

Participant milestones

Participant milestones
Measure
Intubation With Miller's Blade
After induction and muscle paralysis, Miller's blade was introduced in the patient's mouth. After visualization of vocal cord, patient was intubated with appropriate sized tracheal tube. Intubation with Miller's blade: Intubation is insertion of a hollow tube inside the trachea. It is done after laryngoscopy with Miller's blade.
Intubation With Airtraq Laryngoscope
After induction and muscle paralysis, Airtraq laryngoscope's blade was introduced in the patient's mouth. After visualization of vocal cord as a reflected image in the viewfinder of the device, patient was intubated with appropriate sized tracheal tube. Intubation with Airtraq: Intubation is insertion of a hollow tube inside the trachea. It is done after laryngoscopy with Airtraq.
Overall Study
STARTED
30
30
Overall Study
COMPLETED
30
30
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Comparison of Miller's Blade and Airtraq Laryngoscope in Children

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intubation With Miller's Blade
n=30 Participants
After induction and muscle paralysis, Miller's blade was introduced in the patient's mouth. After visualization of vocal cord, patient was intubated with appropriate sized tracheal tube. Intubation with Miller's blade: Intubation is insertion of a hollow tube inside the trachea. It is done after laryngoscopy with Miller's blade.
Intubation With Airtraq Laryngoscope
n=30 Participants
After induction and muscle paralysis, Airtraq laryngoscope's blade was introduced in the patient's mouth. After visualization of vocal cord as a reflected image in the viewfinder of the device, patient was intubated with appropriate sized tracheal tube. Intubation with Airtraq: Intubation is insertion of a hollow tube inside the trachea. It is done after laryngoscopy with Airtraq.
Total
n=60 Participants
Total of all reporting groups
Age, Continuous
5.4 years
STANDARD_DEVIATION 1.78 • n=5 Participants
6.15 years
STANDARD_DEVIATION 2.64 • n=7 Participants
5.775 years
STANDARD_DEVIATION 2.21 • n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
5 Participants
n=7 Participants
16 Participants
n=5 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants
25 Participants
n=7 Participants
44 Participants
n=5 Participants
Weight
15.9 Kg
STANDARD_DEVIATION 2.53 • n=5 Participants
16.5 Kg
STANDARD_DEVIATION 3.87 • n=7 Participants
16.2 Kg
STANDARD_DEVIATION 3.2 • n=5 Participants

PRIMARY outcome

Timeframe: 5 minutes

It is defined as the time from placement of Airtraq or Miller laryngoscope into the mouth till appearance of the capnograph waveform

Outcome measures

Outcome measures
Measure
Intubation With Miller's Blade
n=30 Participants
After induction and muscle paralysis, Miller's blade was introduced in the patient's mouth. After visualization of vocal cord, patient was intubated with appropriate sized tracheal tube. Intubation with Miller's blade: Intubation is insertion of a hollow tube inside the trachea. It is done after laryngoscopy with Miller's blade.
Intubation With Airtraq Laryngoscope
n=30 Participants
After induction and muscle paralysis, Airtraq laryngoscope's blade was introduced in the patient's mouth. After visualization of vocal cord as a reflected image in the viewfinder of the device, patient was intubated with appropriate sized tracheal tube. Intubation with Airtraq: Intubation is insertion of a hollow tube inside the trachea. It is done after laryngoscopy with Airtraq.
Time to Intubation
15.13 seconds
Standard Deviation 1.33
11.53 seconds
Standard Deviation 0.49

SECONDARY outcome

Timeframe: 5 minutes

A single insertion of the Airtraq or a single insertion of the Miller laryngoscope blade into the mouth with passing the endotracheal tube beyond the glottis was considered as an attempt.

Outcome measures

Outcome measures
Measure
Intubation With Miller's Blade
n=30 Participants
After induction and muscle paralysis, Miller's blade was introduced in the patient's mouth. After visualization of vocal cord, patient was intubated with appropriate sized tracheal tube. Intubation with Miller's blade: Intubation is insertion of a hollow tube inside the trachea. It is done after laryngoscopy with Miller's blade.
Intubation With Airtraq Laryngoscope
n=30 Participants
After induction and muscle paralysis, Airtraq laryngoscope's blade was introduced in the patient's mouth. After visualization of vocal cord as a reflected image in the viewfinder of the device, patient was intubated with appropriate sized tracheal tube. Intubation with Airtraq: Intubation is insertion of a hollow tube inside the trachea. It is done after laryngoscopy with Airtraq.
Number of Intubation in First Attempts;
25 Intubations
29 Intubations

SECONDARY outcome

Timeframe: 5 minutes

The intubating anaesthesiologist graded the ease of intubation for both techniques on a visual analogue scale from 1 to 10, 10 being most difficult or failed intubation and 1 being very easy intubation.

Outcome measures

Outcome measures
Measure
Intubation With Miller's Blade
n=30 Participants
After induction and muscle paralysis, Miller's blade was introduced in the patient's mouth. After visualization of vocal cord, patient was intubated with appropriate sized tracheal tube. Intubation with Miller's blade: Intubation is insertion of a hollow tube inside the trachea. It is done after laryngoscopy with Miller's blade.
Intubation With Airtraq Laryngoscope
n=30 Participants
After induction and muscle paralysis, Airtraq laryngoscope's blade was introduced in the patient's mouth. After visualization of vocal cord as a reflected image in the viewfinder of the device, patient was intubated with appropriate sized tracheal tube. Intubation with Airtraq: Intubation is insertion of a hollow tube inside the trachea. It is done after laryngoscopy with Airtraq.
Ease of Intubation.
5 scores on visual analogue scale
Interval 3.75 to 6.0
3 scores on visual analogue scale
Interval 2.0 to 3.25

SECONDARY outcome

Timeframe: 5 minutes

The Percentage of glottic opening score represents the percentage of glottic opening seen, defined by the linear span from the anterior commissure to the interarytenoid notch

Outcome measures

Outcome measures
Measure
Intubation With Miller's Blade
n=30 Participants
After induction and muscle paralysis, Miller's blade was introduced in the patient's mouth. After visualization of vocal cord, patient was intubated with appropriate sized tracheal tube. Intubation with Miller's blade: Intubation is insertion of a hollow tube inside the trachea. It is done after laryngoscopy with Miller's blade.
Intubation With Airtraq Laryngoscope
n=30 Participants
After induction and muscle paralysis, Airtraq laryngoscope's blade was introduced in the patient's mouth. After visualization of vocal cord as a reflected image in the viewfinder of the device, patient was intubated with appropriate sized tracheal tube. Intubation with Airtraq: Intubation is insertion of a hollow tube inside the trachea. It is done after laryngoscopy with Airtraq.
Percentage of Glottic Opening Scoring.
75 percentage of glottic opening
Interval 66.0 to 100.0
100 percentage of glottic opening
Interval 93.0 to 100.0

SECONDARY outcome

Timeframe: 5 minutes

It is the number of participants who were successfully intubated after first, second or third attempts. Success of intubation is defined as placement of endotracheal tube inside the trachea, confirmed by bilateral chest auscultation and square wave capnograph tracing.

Outcome measures

Outcome measures
Measure
Intubation With Miller's Blade
n=30 Participants
After induction and muscle paralysis, Miller's blade was introduced in the patient's mouth. After visualization of vocal cord, patient was intubated with appropriate sized tracheal tube. Intubation with Miller's blade: Intubation is insertion of a hollow tube inside the trachea. It is done after laryngoscopy with Miller's blade.
Intubation With Airtraq Laryngoscope
n=30 Participants
After induction and muscle paralysis, Airtraq laryngoscope's blade was introduced in the patient's mouth. After visualization of vocal cord as a reflected image in the viewfinder of the device, patient was intubated with appropriate sized tracheal tube. Intubation with Airtraq: Intubation is insertion of a hollow tube inside the trachea. It is done after laryngoscopy with Airtraq.
Overall Intubation Success Rate.
30 participants
30 participants

SECONDARY outcome

Timeframe: 5 minutes

Insertion of tracheal tube inside the esophagus

Outcome measures

Outcome measures
Measure
Intubation With Miller's Blade
n=30 Participants
After induction and muscle paralysis, Miller's blade was introduced in the patient's mouth. After visualization of vocal cord, patient was intubated with appropriate sized tracheal tube. Intubation with Miller's blade: Intubation is insertion of a hollow tube inside the trachea. It is done after laryngoscopy with Miller's blade.
Intubation With Airtraq Laryngoscope
n=30 Participants
After induction and muscle paralysis, Airtraq laryngoscope's blade was introduced in the patient's mouth. After visualization of vocal cord as a reflected image in the viewfinder of the device, patient was intubated with appropriate sized tracheal tube. Intubation with Airtraq: Intubation is insertion of a hollow tube inside the trachea. It is done after laryngoscopy with Airtraq.
Number of Esophageal Intubation.
4 esophageal intubation
0 esophageal intubation

SECONDARY outcome

Timeframe: 5 minutes

Airway trauma was defined as blood detected on the blades of laryngoscopes, blood on endotracheal tube after extubation or tongue-lip-dental trauma.

Outcome measures

Outcome measures
Measure
Intubation With Miller's Blade
n=30 Participants
After induction and muscle paralysis, Miller's blade was introduced in the patient's mouth. After visualization of vocal cord, patient was intubated with appropriate sized tracheal tube. Intubation with Miller's blade: Intubation is insertion of a hollow tube inside the trachea. It is done after laryngoscopy with Miller's blade.
Intubation With Airtraq Laryngoscope
n=30 Participants
After induction and muscle paralysis, Airtraq laryngoscope's blade was introduced in the patient's mouth. After visualization of vocal cord as a reflected image in the viewfinder of the device, patient was intubated with appropriate sized tracheal tube. Intubation with Airtraq: Intubation is insertion of a hollow tube inside the trachea. It is done after laryngoscopy with Airtraq.
Number of Participants With Airway Trauma
3 participants
1 participants

Adverse Events

Intubation With Miller's Blade

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Intubation With Airtraq Laryngoscope

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Bikramjit Das

Govt. Medical College, Haldwani.

Phone: 8937963828

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60