Improvement of Laryngoscopic View by Bed-up-head-elevated Position During Tracheal Intubation in Paediatric Patients

Status

UNKNOWN

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT05885789

Enrollment

125

Registered

2023-06-02

Start date

2023-03-01

Completion date

2024-05-31

Last updated

2023-06-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Paediatric Airway Management

Keywords

Paediatric, Intubation, Laryngoscopy, Head position, BUHE

Brief summary

The goal of this prospective observational study is to learn about improvement of laryngoscopic view by Bed-Up-Head-Elevated (BUHE) during tracheal intubation in paediatric patients. The main question it aims to answer is: 1\. Does BUHE position improve laryngoscopic view during paediatric intubation? Participants age 3-12 year-old going for elective surgery under general anaesthesia requiring tracheal intubation will undergo laryngoscopic twice, first in sniffing position (SP) and second during BUHE position. POGO score during each laryngoscope will be compared. Additionally, ease of handling of laryngoscope during each position will be assessed.

Detailed description

This is a prospective observational study comparing POGO score during tracheal intubation in SP and BUHE position in paediatric patients aged 3 to 12 years who will undergo elective surgery under general anaesthesia requiring tracheal intubation. The first POGO score will be obtained during SP followed by second POGO score during BUHE position and the difference in POGO score before and after BUHE position will be recorded to learn the improvement in POGO score during BUHE position. The objective of this study is to learn the improvement of laryngeal view in tracheal intubation after BUHE position in paediatric patients of age 3 to 12 years. Investigators hypothesised that laryngeal view in tracheal intubation improves after BUHE position compared to sniffing position.

Interventions

PROCEDUREIntubation in Bed-Up-Head-Elevated (BUHE) position

Comparing laryngoscopic view in paediatric patients during sniffing position and BUHE position

Study design

Observational model

OTHER

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

3 Years to 12 Years

Healthy volunteers

Yes

Inclusion criteria

* Age 3 to 12 years * Elective surgery under general anaesthesia requiring tracheal intubation

Exclusion criteria

* Parents' / Guardian's refusal * Known case of difficult airway or airway malformation or airway obstruction * Patients with respiratory or cardiovascular disease * Patients requiring rapid sequence induction * Recent Upper Respiratory Tract Infection (URTI) of 2 weeks

Design outcomes

Primary

Measure	Time frame	Description
Change in Percentage of Glottic Opening (POGO) score after BUHE position	Immediate during procedure	Compare change in Percentage of Glottic Opening (POGO) score in sniffing position (SP) and after BUHE position. The POGO score is expressed as a percentage of glottis exposure in the laryngoscopy view, which is expressed as 100% for a fully exposed glottis, from the anterior commissure of the vocal cords to the inter-arytenoid notch. POGO score of 0% corresponds to no visualisation of laryngeal structure.

Secondary

Measure	Time frame	Description
Ease of handling of laryngoscope	Immediate during procedure	assessed based on a scale of 0 to 10, 0 being the most difficult and uncomfortable handling and 10 being the easiest and most comfortable handling

Countries

Malaysia

Contacts

Primary ContactBao Zhen Dr. Kim, MD

zhenkim1990@gmail.com+6016-7978582

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026