Endotracheal Tube Wrongly Placed During Anesthetic Procedure
Conditions
Brief summary
The goal of this interventional study is to compare the effectiveness of direct laryngoscopy vs. video laryngoscopy in paediatric population aged 2 to 8 years presenting for elective surgeries having uncomplicated airways. The primary outcome measures include: 1. Time taken for succesful insertion and confirmation of ETT in patients using both techniques seprately. 2. Rate of complications and failed attempts compared between both modalities.
Detailed description
The comparision of efficacy of Video Laryngoscopy for pediatric airway vs Direct Laryngoscopy is the goal of this study, Safety of the patients will be the utmost priority with careful case selection alongwith proper informed detailed consent from the guardians of the children. PROCEDURE: After induction of General Anesthesia four minutes of proper bag mask ventilation to allow for proper intubating conditions will be done. The time taken from the insertion of the laryngoscopic blade to the best glottic view acheived by the specific technique will be noted seperately and then the time to the succesful acheivement of lung inflation with the proper placement of ETT will be noted seperately, both of these parameters will be recorded. If in a patient airway is not secured even after 3 attempts by a specific technique the technique would be altered and patient would be excluded from our research. MATERIALS: Randomized allotment of patients into the 2 groups i.e Direct Laryngoscopy and Video Laryngoscopy would be done.
Interventions
DEVICEVideo Laryngoscope
Use of Video laryngoscope to secure airway
DEVICEDirect laryngoscope
Macintosh or Miller's laryngoscopes used to secure paediatric airways
Sponsors
Watim Medical & Dental College
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Masking description
Participants are not aware of the method which will be used to secure their airway.
Intervention model description
Comparitive study between 2 groups.
Eligibility
Sex/Gender
ALL
Age
2 Years to 8 Years
Healthy volunteers
Yes
Inclusion criteria
* Pediatric patients of age between 2 - 8 years, * American Society of Anesthesiologist (ASA) grades I-II Children * Cormack-Lehane grade I, II and III who will need airway management for elective surgery under general anesthesia.
Exclusion criteria
* Patients with abnormal airway anatomy, * Obese patients, * Emergency surgery, * Congenital syndrome involving any major organs * Patients' guardians unwilling to participate . * Patients in whom airway is not secured with a specific technique even after three attempts.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| .Time taken to acheive the best possible view of the glottis. | 4 Min. post muscle relaxant administration to 6 Min. post muscle relaxant administration | The time from insertion of laryngoscope in the mouth to the best possible view of the glottis. |
| Time taken to acheive succesful Endotracheal Intubation. | 4 Min 30 seconds post muscle relaxant administration to 7 Min post muscel relaxant administration. | The time from the insertion of the laryngoscopic blade in the mouth to the correct placement of ETT confirmed by the waveform capnorgraphy. |
| No. of Intubation attempts needed | 4 Min. post muscle relaxation administration to 15 Min. post muscle relaxant administration. | Total No. of attempts(max 3 attempts with the same technique) to secure airway. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hemodynamic changes at different intervals. | During attempts to 1 min, 5 min, and 10 min post succesful intubation. | Changes in heart rate will be assesed during attempts and to a fixed amount of time after succesfully securing the airways. |
Countries
Pakistan
Contacts
Primary ContactMuhammad Ilyas, FCPS,MBBS
Backup ContactMuhammad Munim Ilyas, MBBS
Outcome results
None listed