Video Laryngoscopy vs Direct Laryngoscopy in Paediatric Patients
NCT ID: NCT06436196
Last Updated: 2024-05-31
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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NOT_YET_RECRUITING
NA
88 participants
INTERVENTIONAL
2024-06-01
2025-01-30
Brief Summary
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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.
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Detailed Description
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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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Study Design
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RANDOMIZED
PARALLEL
OTHER
SINGLE
Study Groups
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Direct Laryngoscopy Group
Group of patients in which standard direct laryngoscopy will be used to secure airway.
Direct laryngoscope
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.
Video Laryngoscope
Use of Video laryngoscope to secure airway
Interventions
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Video Laryngoscope
Use of Video laryngoscope to secure airway
Direct laryngoscope
Macintosh or Miller's laryngoscopes used to secure paediatric airways
Eligibility Criteria
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Inclusion Criteria
* 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
* 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.
2 Years
8 Years
ALL
Yes
Sponsors
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Watim Medical & Dental College
OTHER
Responsible Party
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Muhammad Ilyas
Assistant Professor
Locations
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Combined Millitary Hospital
Rawalpindi, Punjab Province, Pakistan
Countries
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Central Contacts
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Facility Contacts
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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.
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.
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.
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.
Other Identifiers
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CMH/614
Identifier Type: -
Identifier Source: org_study_id
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