Trial Outcomes & Findings for Video vs. Direct Laryngoscopy in Pediatric Nasal Intubation (NCT NCT03032263)

NCT ID: NCT03032263

Last Updated: 2018-08-08

Results Overview

Reported as the number and percentage of participants that needed the use of Magill forceps during intubation

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

12 participants

Primary outcome timeframe

1 day

Results posted on

2018-08-08

Participant Flow

Participant milestones

Participant milestones
Measure
Direct Laryngoscopy
These patients will be nasally intubated for their procedure via direct laryngoscopy. We will observe and record incidence of Magill forcep use, presence or absence of nasal bleeding, and the grade of laryngeal view. We will also record any general narrative comments from the provider about the ease or difficulty of intubation. Direct Laryngoscopy: These patients will be nasally intubated for their procedure via direct laryngoscopy
Video Laryngoscopy
These patients will undergo Video Laryngoscopy for nasal intubation. We will observe and record incidence of Magill forcep use, presence or absence of nasal bleeding, and the grade of laryngeal view. We will also record any general narrative comments from the provider about the ease or difficulty of intubation. Video Laryngoscopy for nasal intubation: The anesthesia provider will use a video laryngoscope to facilitate the nasal intubation for the procedure.
Overall Study
STARTED
6
6
Overall Study
COMPLETED
6
6
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Video vs. Direct Laryngoscopy in Pediatric Nasal Intubation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Direct Laryngoscopy
n=6 Participants
These patients will be nasally intubated for their procedure via direct laryngoscopy. We will observe and record incidence of Magill forcep use, presence or absence of nasal bleeding, and the grade of laryngeal view. We will also record any general narrative comments from the provider about the ease or difficulty of intubation. Direct Laryngoscopy: These patients will be nasally intubated for their procedure via direct laryngoscopy
Video Laryngoscopy
n=6 Participants
These patients will undergo Video Laryngoscopy for nasal intubation. We will observe and record incidence of Magill forcep use, presence or absence of nasal bleeding, and the grade of laryngeal view. We will also record any general narrative comments from the provider about the ease or difficulty of intubation. Video Laryngoscopy for nasal intubation: The anesthesia provider will use a video laryngoscope to facilitate the nasal intubation for the procedure.
Total
n=12 Participants
Total of all reporting groups
Age, Continuous
6.33 years
STANDARD_DEVIATION 2.16 • n=5 Participants
7.33 years
STANDARD_DEVIATION 4.55 • n=7 Participants
6.83 years
STANDARD_DEVIATION 3.43 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=5 Participants
6 Participants
n=7 Participants
11 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 1 day

Reported as the number and percentage of participants that needed the use of Magill forceps during intubation

Outcome measures

Outcome measures
Measure
Direct Laryngoscopy
n=6 Participants
These patients will be nasally intubated for their procedure via direct laryngoscopy. We will observe and record incidence of Magill forcep use, presence or absence of nasal bleeding, and the grade of laryngeal view. We will also record any general narrative comments from the provider about the ease or difficulty of intubation. Direct Laryngoscopy: These patients will be nasally intubated for their procedure via direct laryngoscopy
Video Laryngoscopy
n=6 Participants
These patients will undergo Video Laryngoscopy for nasal intubation. We will observe and record incidence of Magill forcep use, presence or absence of nasal bleeding, and the grade of laryngeal view. We will also record any general narrative comments from the provider about the ease or difficulty of intubation. Video Laryngoscopy for nasal intubation: The anesthesia provider will use a video laryngoscope to facilitate the nasal intubation for the procedure.
Number of Participants Requiring Use of Magill Forceps for Nasal Intubations
1 Participants
2 Participants

SECONDARY outcome

Timeframe: 1 day

Reported as the average time it took to intubate (seconds).

Outcome measures

Outcome measures
Measure
Direct Laryngoscopy
n=6 Participants
These patients will be nasally intubated for their procedure via direct laryngoscopy. We will observe and record incidence of Magill forcep use, presence or absence of nasal bleeding, and the grade of laryngeal view. We will also record any general narrative comments from the provider about the ease or difficulty of intubation. Direct Laryngoscopy: These patients will be nasally intubated for their procedure via direct laryngoscopy
Video Laryngoscopy
n=6 Participants
These patients will undergo Video Laryngoscopy for nasal intubation. We will observe and record incidence of Magill forcep use, presence or absence of nasal bleeding, and the grade of laryngeal view. We will also record any general narrative comments from the provider about the ease or difficulty of intubation. Video Laryngoscopy for nasal intubation: The anesthesia provider will use a video laryngoscope to facilitate the nasal intubation for the procedure.
Time to Intubation
68.43 seconds
Standard Deviation 81.1
57.1 seconds
Standard Deviation 25.12

SECONDARY outcome

Timeframe: 1 day

Larynx view is graded from 1-4 (1 is full glottis visible, 2 is only posterior commisure, 3 is only epiglottis visible, and 4 is no glottis structures are visible).

Outcome measures

Outcome measures
Measure
Direct Laryngoscopy
n=6 Participants
These patients will be nasally intubated for their procedure via direct laryngoscopy. We will observe and record incidence of Magill forcep use, presence or absence of nasal bleeding, and the grade of laryngeal view. We will also record any general narrative comments from the provider about the ease or difficulty of intubation. Direct Laryngoscopy: These patients will be nasally intubated for their procedure via direct laryngoscopy
Video Laryngoscopy
n=6 Participants
These patients will undergo Video Laryngoscopy for nasal intubation. We will observe and record incidence of Magill forcep use, presence or absence of nasal bleeding, and the grade of laryngeal view. We will also record any general narrative comments from the provider about the ease or difficulty of intubation. Video Laryngoscopy for nasal intubation: The anesthesia provider will use a video laryngoscope to facilitate the nasal intubation for the procedure.
Grade of Larynx View
1.33 units on a scale
Standard Deviation .52
1 units on a scale
Standard Deviation 0

SECONDARY outcome

Timeframe: 1 day

Number of participants that experienced nasal bleeding was recorded.

Outcome measures

Outcome measures
Measure
Direct Laryngoscopy
n=6 Participants
These patients will be nasally intubated for their procedure via direct laryngoscopy. We will observe and record incidence of Magill forcep use, presence or absence of nasal bleeding, and the grade of laryngeal view. We will also record any general narrative comments from the provider about the ease or difficulty of intubation. Direct Laryngoscopy: These patients will be nasally intubated for their procedure via direct laryngoscopy
Video Laryngoscopy
n=6 Participants
These patients will undergo Video Laryngoscopy for nasal intubation. We will observe and record incidence of Magill forcep use, presence or absence of nasal bleeding, and the grade of laryngeal view. We will also record any general narrative comments from the provider about the ease or difficulty of intubation. Video Laryngoscopy for nasal intubation: The anesthesia provider will use a video laryngoscope to facilitate the nasal intubation for the procedure.
Presence of Nasal Bleeding
3 Participants
3 Participants

SECONDARY outcome

Timeframe: 1 day

The incidence of failed nasal intubation was recorded as the number of intubations that were not successful.

Outcome measures

Outcome measures
Measure
Direct Laryngoscopy
n=6 Participants
These patients will be nasally intubated for their procedure via direct laryngoscopy. We will observe and record incidence of Magill forcep use, presence or absence of nasal bleeding, and the grade of laryngeal view. We will also record any general narrative comments from the provider about the ease or difficulty of intubation. Direct Laryngoscopy: These patients will be nasally intubated for their procedure via direct laryngoscopy
Video Laryngoscopy
n=6 Participants
These patients will undergo Video Laryngoscopy for nasal intubation. We will observe and record incidence of Magill forcep use, presence or absence of nasal bleeding, and the grade of laryngeal view. We will also record any general narrative comments from the provider about the ease or difficulty of intubation. Video Laryngoscopy for nasal intubation: The anesthesia provider will use a video laryngoscope to facilitate the nasal intubation for the procedure.
Incidence of Failed Nasal Intubation
0 number of intubations
0 number of intubations

Adverse Events

Direct Laryngoscopy

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

Video Laryngoscopy

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. Thomas Templeton

Wake Forest University Health Sciences

Phone: 336-716-4285

Results disclosure agreements

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