Video Laryngoscopy vs Direct Laryngoscopy in Paediatric Patients

NCT ID: NCT06436196

Last Updated: 2024-05-31

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

88 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-01

Study Completion Date

2025-01-30

Brief Summary

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The goal of this interventional study is to compare the effectiveness of direct laryngoscopy vs. video laryngoscopy in paediatric population aged 2 to 8 years presenting for elective surgeries having uncomplicated airways.

The primary outcome measures include:

1. Time taken for succesful insertion and confirmation of ETT in patients using both techniques seprately.
2. Rate of complications and failed attempts compared between both modalities.

Detailed Description

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The comparision of efficacy of Video Laryngoscopy for pediatric airway vs Direct Laryngoscopy is the goal of this study, Safety of the patients will be the utmost priority with careful case selection alongwith proper informed detailed consent from the guardians of the children.

PROCEDURE:

After induction of General Anesthesia four minutes of proper bag mask ventilation to allow for proper intubating conditions will be done. The time taken from the insertion of the laryngoscopic blade to the best glottic view acheived by the specific technique will be noted seperately and then the time to the succesful acheivement of lung inflation with the proper placement of ETT will be noted seperately, both of these parameters will be recorded.

If in a patient airway is not secured even after 3 attempts by a specific technique the technique would be altered and patient would be excluded from our research.

MATERIALS:

Randomized allotment of patients into the 2 groups i.e Direct Laryngoscopy and Video Laryngoscopy would be done.

Conditions

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Endotracheal Tube Wrongly Placed During Anesthetic Procedure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Comparitive study between 2 groups.
Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Participants
Participants are not aware of the method which will be used to secure their airway.

Study Groups

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Direct Laryngoscopy Group

Group of patients in which standard direct laryngoscopy will be used to secure airway.

Group Type ACTIVE_COMPARATOR

Direct laryngoscope

Intervention Type DEVICE

Macintosh or Miller's laryngoscopes used to secure paediatric airways

Video Laryngoscopy group

Group of patients in which Video Laryngoscopy will be used to secure airways.

Group Type ACTIVE_COMPARATOR

Video Laryngoscope

Intervention Type DEVICE

Use of Video laryngoscope to secure airway

Interventions

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Video Laryngoscope

Use of Video laryngoscope to secure airway

Intervention Type DEVICE

Direct laryngoscope

Macintosh or Miller's laryngoscopes used to secure paediatric airways

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Pediatric patients of age between 2 - 8 years,
* American Society of Anesthesiologist (ASA) grades I-II Children
* Cormack-Lehane grade I, II and III who will need airway management for elective surgery under general anesthesia.

Exclusion Criteria

* Patients with abnormal airway anatomy,
* Obese patients,
* Emergency surgery,
* Congenital syndrome involving any major organs
* Patients' guardians unwilling to participate .
* Patients in whom airway is not secured with a specific technique even after three attempts.
Minimum Eligible Age

2 Years

Maximum Eligible Age

8 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Watim Medical & Dental College

OTHER

Sponsor Role lead

Responsible Party

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Muhammad Ilyas

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Combined Millitary Hospital

Rawalpindi, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

Central Contacts

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Muhammad Ilyas, FCPS,MBBS

Role: CONTACT

03007355742

Muhammad Munim Ilyas, MBBS

Role: CONTACT

03335642984

Facility Contacts

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Muhammad Munim Ilyas, MBBS

Role: primary

03335642984

References

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Rabiner JE, Auerbach M, Avner JR, Daswani D, Khine H. Comparison of GlideScope Videolaryngoscopy to Direct Laryngoscopy for Intubation of a Pediatric Simulator by Novice Physicians. Emerg Med Int. 2013;2013:407547. doi: 10.1155/2013/407547. Epub 2013 Oct 31.

Reference Type BACKGROUND
PMID: 24288617 (View on PubMed)

Sinha R, Sharma A, Ray BR, Kumar Pandey R, Darlong V, Punj J, Chandralekha C, Upadhyay AD. Comparison of the Success of Two Techniques for the Endotracheal Intubation with C-MAC Video Laryngoscope Miller Blade in Children: A Prospective Randomized Study. Anesthesiol Res Pract. 2016;2016:4196813. doi: 10.1155/2016/4196813. Epub 2016 May 15.

Reference Type BACKGROUND
PMID: 27293429 (View on PubMed)

Myatra SN, Patwa A, Divatia JV. Videolaryngoscopy for all intubations: Is direct laryngoscopy obsolete? Indian J Anaesth. 2022 Mar;66(3):169-173. doi: 10.4103/ija.ija_234_22. Epub 2022 Mar 24. No abstract available.

Reference Type BACKGROUND
PMID: 35497693 (View on PubMed)

Zhou M, Xi X, Li M, Wang S, Liu Z, Liu JQ. Video Laryngoscopy Improves the Success of Neonatal Tracheal Intubation for Novices but Not for Experienced Medical Staff. Front Pediatr. 2020 Aug 6;8:445. doi: 10.3389/fped.2020.00445. eCollection 2020.

Reference Type BACKGROUND
PMID: 32850555 (View on PubMed)

Other Identifiers

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CMH/614

Identifier Type: -

Identifier Source: org_study_id

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