Airway Complication of Anesthesia
Conditions
Keywords
infant, laryngoscopes, pediatrics
Brief summary
In Pediatric both manikin and human studies have suggested that the video laryngoscopy is equally suitable to facilitate intubation compared to the direct laryngoscopy.
Detailed description
The King Vision Pediatric aBlade is a novel video laryngoscopy for securing the airway of new born and infants. In this manikin studie we want to compare different types of video laryngoscopes in a simulated normal and difficult infant airway.
Interventions
DEVICEnormal airway
The Time interval between the laryngoscope blade passing the teeth/gums to the announcing of the first ventilation was recorded as the time to ventilation with the Video laryngoscopy (VL) or conventional direct laryngoscopy (DL)
DEVICEdifficult airway
The Time interval between the laryngoscope blade passing the teeth/gums to the announcing of the first ventilation was recorded as the time to ventilation with the Video laryngoscopy (VL) or conventional direct laryngoscopy (DL)
Sponsors
Johannes Gutenberg University Mainz
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
residents, fellows and attending with different level of experience
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
\- anesthesiologists or neonatal/pediatric intensive care medicice specialists with experience in securing pediatric airway
Exclusion criteria
\- participants without experience in pediatric airway management
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to ventilation (seconds) | Assessed intraoperatively at time of intubation (seconds) | Three timepoints will be recorded, beginning with the insertion of the device past the theeth/gum into the mouth. These will inlcude time to best view, time to removal of device from the mouth, and the time to the first chest raising of the simulator |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| First attempt success rate of tracheal intubation (in 40 seconds) | Assessed intraoperatively at time of intubation | An attempt at tracheal intubation will be defined as entry of the device into the patient's mouth without the need to remove the device once entered and securing the airway. |
| Grades of Laryngeal View (Cormack&Lehane Class) | Assessed intraoperatively at time of intubation | Cormack&Lehane Grade (1-4) and percentage of glottic opening (POGO) (%) will be recorded after insertion of the laryngoscope |
| Use of ELM | Assessed intraoperatively at time of intubation | BURP or change the head/Shoulder position to optimised the glottic view will be recorded |
| Intubation Adjustments & Ease of Use | Assessed intraoperatively following intubation | Airway manipulations utilized and ease of use (Likert 1-5) will be assessed by the user following the intubation. |
Countries
Germany
Outcome results
None listed