Intubation
Conditions
Brief summary
The purpose of this study is to evaluate the feasibility of endotracheal intubation via glidescope videolaryngoscope (GVL) using different curve of stylet in 120 children aged between 1 and 5 year old.
Detailed description
Pediatric patients aged 1-5 year old are randomly assigned to one of two groups; standard curve (S) and tip-manipulated curve (T) groups. After routine anesthetic induction, endotracheal intubation is performed with GVL. Size of GVL blade is selected according to weight; GVL 0: \<1.5kg, GVL 1:1.5-3.6kg, GVL 2: 1.8-10kg, GVL 2.5: 10-28kg). Before intubation, stylet curve is differently manipulated according to group. The style is curved in accordance with the curve of GVL blade in S group, whereas the distal tip of style is additionally bended to the left (15-20 degree) in T group. Time from visualization of glottis with GVL to approaching of endotracheal tube to glottis, and time to completion of intubation are measured. In addition, the easiness of intubation is assessed using Visual Analogue Scale (0: extremely easy, 10: extremely difficult) and will be compared in both groups.
Interventions
DEVICEGlidescope® with tip manipulated stylet
The intubating style is curved in accordance with the curve of GVL blade and the distal tip of style is additionally bended to the left (15-20 degree)
DEVICEGlidescope® with standard-curved tip
The style is curved in accordance with the curve of GVL blade
Sponsors
Seoul National University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
1 Years to 5 Years
Healthy volunteers
Yes
Inclusion criteria
1. children aged between 1 and 5 years who are scheduled for elective surgery 2. American Society of Anesthesiologist physical status I, II
Exclusion criteria
1. History of asthma 2. Active upper respiratory infection 3. Significant cardiopulmonary disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to tracheal intubation | up to 3 min after insertion of GVL | From the insertion of GVL to completion of endotracheal intubation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to approaching of endotracheal tube tip to glottis | up to 3 min after insertion of GVL | From the insertion of GVL to approaching of endotracheal tube tip to glottis |
| Number of attempt for glottis passage of endotracheal tube | up to 3 min after insertion of GVL | — |
| The change in stylet angle | up to 3 min after insertion of GVL | The number of additional manipulation of stylet for success of endotracheal intubation |
| Visual analogue scale for the easiness of endotracheal intubation | up to 3 min after insertion of GVL | Measurement of the easiness of endotracheal intubation |
| Successful endotracheal intubation in 30 seconds | up to 3 min after insertion of GVL | Success or failure in completion of endotracheal intubation in 30 seconds |
Countries
South Korea
Outcome results
None listed