Difficult Airway Intubation, Intubation Difficulty Scale, Pediatric Anesthesia, Videolaryngoscopy, Vidiac Score
Conditions
Keywords
intubation difficulty scale (IDS), VIDIAC, PeDiAC, Pediatric anesthesia, videolaryngoscopy, airway management
Brief summary
This prospective observational study aims to evaluate three scoring systems (VIDIAC (Video Laryngoscopic Intubation and Difficult Airway Classification), PeDiAC (Pediatric Difficult Airway Classification), and the Intubation Difficulty Scale (IDS)). A total of 450 children undergoing general anesthesia with videolaryngoscopic intubation will be included in the study. Demographic data, intraoperative parameters, and glottic imaging, as well as detailed intubation-related variables such as total intubation time, number of attempts, complications, and subjective intubation ease scores will be recorded.
Detailed description
This study is a prospective, observational, single-center study designed to compare three difficult intubation scales (VIDIAC \[Video Laryngoscopic Intubation and Difficult Airway Classification\], PeDiAC \[Pediatric Difficult Airway Classification\], and the Intubation Difficulty Scale \[IDS\]). A total of 450 children undergoing elective or emergency surgery under general anesthesia at Ankara Bilkent City Hospital will be included in the study. All tracheal intubations will be performed using a C-MAC videolaryngoscope with an endotracheal tube appropriate for the child's age, weight, and surgical indication. No procedures beyond routine clinical practice will be performed, and informed consent will be obtained from parents or legal guardians prior to inclusion in the study. Data collection will include demographic characteristics (age, gender, weight, height, ASA classification, comorbidities), intraoperative parameters (SpO₂, heart rate), and intubation-related variables: Glottic view graded using the modified Cormack-Lehane classification, time required for glottic visualization, total intubation time, number of attempts, use of adjuncts (stylet, bougie, alternative tubes), complications (desaturation, esophageal intubation, mucosal bleeding, tooth or lip trauma). This study will evaluate difficult tracheal intubation in pediatric patients aged 5 to 18 years. Three difficult intubations The difficulty of intubation will be rated subjectively (0 = extremely easy, 10 = impossible) by the anesthesiologist performing the intubation and independently by an observer.
Interventions
None listed
Sponsors
Ankara City Hospital Bilkent
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
5 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
Eligible participants will be pediatric patients aged 5 to 18 years who are undergoing general anesthesia for any surgical procedure. All included patients must undergo tracheal intubation using a videolaryngoscope (C-MAC). Patients must have an ASA physical status classification of I to IV and written informed consent must be obtained from a parent or legal guardian prior to participation. Inclusion Criteria: * Pediatric patients between 5 and 18 years of age * Undergoing general anesthesia for any type of surgical procedure * ASA physical status classification I to IV * Written informed consent obtained from parents or legal guardians
Exclusion criteria
* Patients undergoing awake fiberoptic intubation * History of tracheal resection or reconstruction surgery * Refusal to participate or absence of informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of VIDIAC, PeDiAC, and IDS Scores in the Evaluation of Difficult Intubation in Children | Immediately after tracheal intubation | For each patient, VIDIAC, PeDiAC, and Intubation Difficulty Scale (IDS) scores will be calculated immediately after tracheal intubation via videolaryngoscopy. These scores will be statistically analyzed to determine the correlation between the number of intubation attempts, intubation time, complications, and subjective intubation ease ratings, in order to identify the scoring system that provides the most reliable assessment of difficult intubation in children. |
| A Prospective Observational Study Comparing VIDIAC, PeDiAC, and the Intubation Difficulty Scale (IDS) in Assessing Difficult Intubation in Pediatric Patients Aged 5-18 Years Undergoing Tracheal Intubation with Videolaryngoscopy | Immediately after tracheal intubation | For each patient, VIDIAC, PeDiAC, and Intubation Difficulty Scale (IDS) scores will be calculated immediately after tracheal intubation via videolaryngoscopy. These scores will be statistically analyzed to determine the correlation between the number of intubation attempts, intubation time, complications, and subjective intubation ease ratings, in order to identify the scoring system that provides the most reliable assessment of difficult intubation in children. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactSENGÜL ÖZMERT, Assoc. Prof. MD
Backup ContactGÖZDE İREM DEMİRCİ GÖKÇE, Resident Doctor
Outcome results
None listed