Improvement of Laryngoscopic View by Bed-up-head-elevated Position During Tracheal Intubation in Paediatric Patients
NCT ID: NCT05885789
Last Updated: 2023-06-05
Study Results
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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UNKNOWN
125 participants
OBSERVATIONAL
2023-03-01
2024-05-31
Brief Summary
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1\. Does BUHE position improve laryngoscopic view during paediatric intubation?
Participants age 3-12 year-old going for elective surgery under general anaesthesia requiring tracheal intubation will undergo laryngoscopic twice, first in sniffing position (SP) and second during BUHE position.
POGO score during each laryngoscope will be compared. Additionally, ease of handling of laryngoscope during each position will be assessed.
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Detailed Description
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The objective of this study is to learn the improvement of laryngeal view in tracheal intubation after BUHE position in paediatric patients of age 3 to 12 years. Investigators hypothesised that laryngeal view in tracheal intubation improves after BUHE position compared to sniffing position.
Conditions
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Study Design
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OTHER
PROSPECTIVE
Study Groups
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Paediatric patients
Intubation in Bed-Up-Head-Elevated (BUHE) position
Comparing laryngoscopic view in paediatric patients during sniffing position and BUHE position
Interventions
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Intubation in Bed-Up-Head-Elevated (BUHE) position
Comparing laryngoscopic view in paediatric patients during sniffing position and BUHE position
Eligibility Criteria
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Inclusion Criteria
* Elective surgery under general anaesthesia requiring tracheal intubation
Exclusion Criteria
* Known case of difficult airway or airway malformation or airway obstruction
* Patients with respiratory or cardiovascular disease
* Patients requiring rapid sequence induction
* Recent Upper Respiratory Tract Infection (URTI) of 2 weeks
3 Years
12 Years
ALL
Yes
Sponsors
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University of Malaya
OTHER
Responsible Party
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Kim Bao Zhen
Principal investigator
Principal Investigators
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Bao Zhen Dr. Kim, MD
Role: PRINCIPAL_INVESTIGATOR
University of Malaya Medical Center
Locations
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University of Malaya Medical Center
Kuala Lumpur, , Malaysia
Countries
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Central Contacts
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Facility Contacts
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Bao Zhen Dr. Kim
Role: primary
References
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Karsli C. Managing the challenging pediatric airway: Continuing Professional Development. Can J Anaesth. 2015 Sep;62(9):1000-16. doi: 10.1007/s12630-015-0423-y. Epub 2015 Aug 5.
Schmidt AR, Weiss M, Engelhardt T. The paediatric airway: basic principles and current developments. Eur J Anaesthesiol. 2014 Jun;31(6):293-9. doi: 10.1097/EJA.0000000000000023.
Holm-Knudsen RJ, Rasmussen LS. Paediatric airway management: basic aspects. Acta Anaesthesiol Scand. 2009 Jan;53(1):1-9. doi: 10.1111/j.1399-6576.2008.01794.x.
Vialet R, Nau A. Effect of head posture on pediatric oropharyngeal structures: implications for airway management in infants and children. Curr Opin Anaesthesiol. 2009 Jun;22(3):396-9. doi: 10.1097/aco.0b013e3283294cc7.
Kim EH, Ji SH, Song IK, Lee JH, Kim JT, Kim HS. Simple method for obtaining the optimal laryngoscopic view in children: A prospective observational study. Am J Emerg Med. 2017 Jun;35(6):867-870. doi: 10.1016/j.ajem.2017.01.048. Epub 2017 Jan 24.
Ahn JH, Kim D, Gil NS, Son YH, Seong BG, Jeong JS. Improvement of laryngoscopic view by hand-assisted elevation and caudad traction of the shoulder during tracheal intubation in pediatric patients. Sci Rep. 2019 Feb 4;9(1):1174. doi: 10.1038/s41598-018-37770-6.
Lee BJ, Kang JM, Kim DO. Laryngeal exposure during laryngoscopy is better in the 25 degrees back-up position than in the supine position. Br J Anaesth. 2007 Oct;99(4):581-6. doi: 10.1093/bja/aem095. Epub 2007 Jul 4.
Black AE, Flynn PE, Smith HL, Thomas ML, Wilkinson KA; Association of Pediatric Anaesthetists of Great Britain and Ireland. Development of a guideline for the management of the unanticipated difficult airway in pediatric practice. Paediatr Anaesth. 2015 Apr;25(4):346-62. doi: 10.1111/pan.12615. Epub 2015 Feb 16.
Tsan SEH, Lim SM, Abidin MFZ, Ganesh S, Wang CY. Comparison of Macintosh Laryngoscopy in Bed-up-Head-Elevated Position With GlideScope Laryngoscopy: A Randomized, Controlled, Noninferiority Trial. Anesth Analg. 2020 Jul;131(1):210-219. doi: 10.1213/ANE.0000000000004349.
Other Identifiers
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BUHE in paediatric
Identifier Type: -
Identifier Source: org_study_id
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