Tracheal Intubation Morbidity
Conditions
Keywords
Videolaryngoscopy, Laryngoscopy, Tracheal intubation, Success rate
Brief summary
Videolaryngoscopy can lead to superior airway conditions and to the possible higher success compared to standard direct laryngoscopy. Patient will be randomized to the interventional group (videolaryngoscopy) and control group (direct laryngoscopy). The first attempt success rate, time to first end-tidal CO2 (ETCO2) wave, overall success rate, incidence of aspiration, bradycardia, desaturation a overall complications will be monitored.
Detailed description
Videolaryngoscopy is specialized equipment for airway management, where a camera located at the tip of the laryngoscope blade can visualize also structures that can´t be seen on direct laryngoscopy, co the operator can obtain superior view of aditus laryngis during intubation. Currently videolaryngoscopy is not routinely used for intubation and it is reserved for patients with difficult airway. The aim of the trial is to compare the elective use of videolaryngoscopy versus direct laryngoscopy for elective airway management (tracheal intubation). Patients after informed consent approval will be randomized to the interventional group (videolaryngoscopy) and control group (laryngoscopy). The randomization will be managed by the Institute of Biostatistics and Analyses by the Faculty of medicine, Masaryk university. The primary aim will be the first intubation attempt success rate, the secondary aims will be time to successful intubation (time to first ETCO2 wave), overall success rate, number of intubation attempts, incidence of aspiration, desaturation and incidence of overall complications in all operators, in trainees, residents (5-10 years of practice), consultants (10-15 years of clinical practice) and consultants with over 15 years of clinical practice.
Interventions
DEVICEVideolaryngoscopy
In experimental group (interventional group), patients will be intubated with the videolaryngoscope
DEVICEDirect laryngoscopy
In control group (active comparator group), patients will be intubated with the direct laryngoscope
Sponsors
Brno University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
The allocation to the group will be randomized in located in closed envelope, that will be opened in the operating theater before anesthesia induction
Intervention model description
Randomized controlled trial
Eligibility
Sex/Gender
ALL
Age
29 Days to 19 Years
Healthy volunteers
No
Inclusion criteria
* Pediatric patients scheduled for elective surgery * Planned tracheal intubation for airway management during surgery * Signed informed consent
Exclusion criteria
* Emergency surgery * Other airway management plan * age outside the predefined limits * Informed consent not signed
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| First intubation attempt success rate | Intraoperatively | Success rate of the first intubation attempt |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time for successful intubation | Intraoperatively | Time need for intubation from decision to intubate to first end-tidal CO2 wave |
| Overall intubation success rate | Intraoperatively | Success rate fot intubation |
| Laryngeal view | Intraoperatively | Laryngeal view scored by Cormack-Lehane grading system |
| Complications | Intraoperatively | Incidence of associated complications during anesthesia induction - desaturation, bradycardia |
Countries
Czechia
Outcome results
None listed