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Comparison of Video Laryngoscopy and Direct Laryngoscopy for Nasotracheal Intubation During Pediatric Dental Surgery

NCT ID: NCT04677894

Last Updated: 2020-12-21

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

Total Enrollment

66 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-11-01

Study Completion Date

2020-06-01

Brief Summary

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Background and Objective: Airway control is a condition that should be evaluated primarily in anesthesia practice in the pediatric age group. Failed intubation or prolonged intubation duration can cause atelectasis and hypoxia in children. The aim of this study was to examine the effects of Macintosh laryngoscopy and McGrath videolaryngoscopy on hemodynamic parameters in pediatric patients who were scheduled to undergo elective dental surgery and required intubation for the application of general anesthesia.

Methods: Sixty-six patients were divided into two groups according to the procedure used during intubation, namely, direct laryngoscopy or video laryngoscopy. The Cormack-Lehane and Mallampati scores, intubation duration, heart rate at minutes 0, 1, 3 and 5 during intubation, mean arterial pressure, EtCO2and SpO2 values were recorded for all the patients.

Detailed Description

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Many techniques in the management of a difficult airway have been used in adult patients. In pediatric patients, awake fiberoptic intubation is difficult or even impossible . The video laryngoscope is a new tool produced by combining video technology and laryngoscope. Published studies on the video laryngoscope were mostly performed in adults . In this study, we used a Macintosh laryngoscope, which is a routinely used tool in anesthesiology, and a McGrath video laryngoscope, which is a type of a newly developed video laryngoscope that has not widely been used in the pediatric age group. The aim of this study was to examine the effects of Macintosh laryngoscopy and McGrath videolaryngoscopy on hemodynamic parameters in pediatric patients who were scheduled to undergo elective dental surgery and required intubation for the application of general anesthesia. We also evaluated whether Macintosh laryngoscopy and McGrath videolaryngoscopy improved the stress response and whether these approaches facilitated the intubation procedure.

Conditions

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Airway Complication of Anesthesia Peroperative Complication Intraoperative Hypertension Tachycardia, Sinus Desaturation of Blood

Keywords

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pediatric oral surgery direct laryngoscopy video laryngoscopy nasotracheal intubation

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Group Direct Laringoscopy

Group DL: Group of patients intubated using a Macintoch blade laryngoscope.

Laryngoscopy

Intervention Type DEVICE

During the intubation, the head of the patient was kept in a neutral position, patients were nasotracheally intubated

Group Videolaringoscopy

Group VL: Group of patients intubated using a McGrath video laryngoscope.

Laryngoscopy

Intervention Type DEVICE

During the intubation, the head of the patient was kept in a neutral position, patients were nasotracheally intubated

Interventions

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Laryngoscopy

During the intubation, the head of the patient was kept in a neutral position, patients were nasotracheally intubated

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

Healthy children between the ages of 4-13

* Ordu University School of Medicine ,pediatric age group ,elective oral surgery 4-13 years and who were scheduled for elective oral surgery under general anesthesia with intubation If Patients with a Cormack -Lehane score 1,2 or 3 and if Mallampathy score of 1,2 or 3 were inccluded from the study

Exclusion Criteria

1. With malignancy disease patients
2. with norological disorders
3. with congenital heart disease
4. with airway abnormality
5. with airway disease patients
6. Patients age Under 4 years , Above 13 years
7. If Patients with a Cormack -Lehane score 4 and if Mallampathy score of 4 were excluded from the study -
Minimum Eligible Age

4 Years

Maximum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ordu University

OTHER

Sponsor Role lead

Responsible Party

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Ebru Canakci

M.D.,Associated Professor ,Head of Department of Anesthesiology and Reanimation

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ebru Canakci, MD

Role: PRINCIPAL_INVESTIGATOR

Ordu University School of Medicine Department of Anesthesiology and Reanimation

Ahmet Gultekin, MD

Role: STUDY_CHAIR

Namık Kemal University School of Medicine Department of Anesthesiology and Reanimation

Locations

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Ordu University School of Medicine ,Department of Anesthesiology and Reanimation

Ordu, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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ECanakci

Identifier Type: -

Identifier Source: org_study_id