Comparing the Efficacy of King Vision in Infants

Jawaharlal Institute of Postgraduate Medical Education & Research

Status: Completed

Conditions: Orotracheal Intubation in Infants Requiring General Anaesthesia for Surgery

Treatments: Procedure: Orotracheal intubation in infants with King vision; Procedure: Orotracheal intubation in infants with Macintosh

Study type: Interventional

Funder types: Other

Identifiers

NCT03378154

JIP/IEC/2017/0273

Details and patient eligibility

About

The primary objective of this study is to find out whether the intubation success rates of Kingvision video laryngoscope is better than that of the conventional laryngoscopes in children < 1 year of age?

Full description

Securing the airway by tracheal intubation is one of the most critical steps during administration of general anesthesia to infants. Failure or a delay in tracheal intubation leads to severe hypoxic insult to infants as the oxygen consumption is high in them when compared to adults.Smaller caliber of the pediatric airway, relatively large tongue, anteriorly located larynx, floppy and relatively large epiglottis predispose young children to airway obstruction during Anaesthesia. In addition, the large occiput of the infant places the head and neck in the flexed position when the patient is placed recumbent, further exacerbating airway obstruction

Direct laryngoscopy requires a direct line of sight for proper glottis visualization which is achieved by proper alignment of airway axes (oral-pharyngeal-laryngeal). These manipulations can lead to significant hemodynamic disturbance, cervical instability, injury to oral and pharyngeal tissues and dental damage. In contrast to direct laryngoscopy, video laryngoscope utilizes indirect laryngoscopy via its camera and helps improve glottic visualization, thereby minimizing complications

New age videolaryngoscopes with their unique design provide better glottis visualization without the requirement of proper alignment of oral-pharyngeal-laryngeal axes, thereby minimizing the complications associated with excessive manipulation and hence provide a decent edge over the conventional indirect laryngoscopes routinely used. With the above mentioned advantages these videolaryngoscopes can be efficiently used in both elective as well as emergencysettings in infants for intubation The investigators in this study will be evaluating the efficacy of King vision video laryngoscope when compared to the conventional laryngoscopes in routine use for infants.

Enrollment: 78 patients

Sex: All

Ages: 1 day to 1 year old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria

• Patients of the age group 0-1 years undergoing elective or emergency surgeries belonging to American Society ofAnaesthesiologists(ASA) physical status classification 1-2 and requiring administration of General Anaesthesia with orotracheal intubation

Exclusion Criteria:

• Patients with anticipated difficult airways
• Patients with aspiration risk or requiring Rapid sequence induction (RSI)
• Patients with laryngeal or tracheal pathologies
• Cervical spine injury
• Active respiratory infection or lung disease

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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78 participants in 2 patient groups

Tracheal Intubation in infants using Macintosh laryngoscopes

Experimental group

Description:

Children \< 1 year of age posted for elective or emergency surgical procedure will be administered general anaesthesia by means of orotracheal intubation with the help of the Macintosh laryngoscope

Treatment:

Procedure: Orotracheal intubation in infants with Macintosh

Tracheal Intubation in infants using King vision

Experimental group

Description:

Children \< 1 year of age posted for elective or emergency surgical procedure will be administered general anaesthesia by means of orotracheal intubation with the help of the King vision videolaryngoscope

Treatment:

Procedure: Orotracheal intubation in infants with King vision