Techniques of Endotracheal Intubation in Pediatrics
Conditions
Keywords
air-Q, blind intubation, correction maneuvers, fiberoptic guided intubation
Brief summary
To compare the success rate of blind technique with correction manoeuvres versus fiber optic- guided Intubation through the air Q laryngeal airway in pediatric patients
Detailed description
A prior G-power analysis was done to estimate the sample size. The primary outcome of this study was the first trial success rate. Using fibre exact test and assuming alpha (type I error) = 0.05 and beta (type II error) = 0.2 (power =80%), 58 patients per group would be sufficient to detect a difference 10 % in success rate among the groups. A drop out 10% of cases was expected; therefore 63 patients were required in each group to detect the difference.
Interventions
PROCEDUREBlind tracheal intubation through AirQ
underwent blind intubation with correction manoeuvres
PROCEDUREFiberscopic tracheal intubation through AirQ
: underwent fibreoptic guided intubation
Sponsors
Mansoura University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
2 Years to 10 Years
Healthy volunteers
No
Inclusion criteria
* American Society of Anesthesiologists physical status I-II * Body weight from 4 to 30 kg
Exclusion criteria
* Obesity * History of gastroesophageal reflux * History of hyperactive airway * Patients with congenital disorders associated with difficult airway
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The first trial success rate | during first trial of intubation procedure | percentage of cases of successful tracheal intubation during the first trial |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The total success rate | from beginning of manipulation of the endotracheal tube till end of second trial either by successful intubation or failed intubation procedure | percentage of cases underwent successful tracheal intubation during either first or second trial |
| Time to ventilation | procedure (Time from beginning of air-Q insertion till full capno-graphic wave) | time needed to get full capno-graphic waves through connection of air Q to breathing circuit |
| Time to intubation | procedure (Time from beginning of manipulation of the ETT till full capno-graphic wave) | time needed to get full capno-graphic waves through connection of endotracheal tube to breathing circuit |
| hoarsenes | from extubation till 24 hours after extubation | and its grade if present Grades of hoarseness: 1=non, 2= mild, 3= moderate, 4= severe) |
| Mean arterial blood pressure | After induction of anesthesia till 10 minutes after intubation | — |
| blood staining of the device | from extubation till 24 hours after extubation | — |
| post-intubation croup | from extubation till 24 hours after extubation | — |
| Heart rate | After induction of anesthesia till 10 minutes after intubation | — |
Countries
Egypt
Outcome results
None listed