Comparison of Fiberoptic Intubation With Fiberoptic Intubation Through an Air-Q Intubating Laryngeal Airway in Infants and Small Children

Ann & Robert H Lurie Children's Hospital of Chicago

Status: Completed

Conditions: Fiberoptic Intubation in Children

Treatments: Device: Free-hand Fiberoptic Intubation; Device: air-Q, followed by fiberoptic intubation

Study type: Interventional

Funder types: Other

Identifiers

NCT01876940

IRB#2013-15391

Details and patient eligibility

About

The goal of this prospective randomized study is to compare the effect of operator experience on the ability to use fiberoptic-guided intubation in children less than two years old, with and without the use of an air-Q as a conduit. The question the investigators are trying to answer is: Does the operator experience make a significant difference in the time for successful fiberoptic guided tracheal intubation with and without the use of an air-Q intubating laryngeal airway?

Full description

The aim of this study is to compare the effect of operator experience on the ability to use fiberoptic-guided intubation in children less than two years old, with and without the use of an air-Q as a conduit. The ease and time for placement of the air-Q, fiberoptic grade of laryngeal view, time for fiberoptic tracheal intubation, and peri-operative complications will also be assessed.

Enrollment: 80 patients

Sex: All

Ages: 1 day to 2 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Healthy (ASA I to III) children who will be intubated as part of their general anesthesia plan for their scheduled surgeries
• Age 1 month - 2 years
• Weight 1-20 Kg

Exclusion criteria

• Children with active respiratory infection
• Known history of difficult mask ventilation
• Diagnosis of a congenital syndrome associated with difficult airway management
• Airway abnormalities (e.g., laryngomalacia, subglottic stenosis).

Trial design

80 participants in 2 patient groups

Fiberoptic Intubation performed by an expert

Active Comparator group

Description:

Tracheal intubation will be performed by an expert anesthesia attending with and without use of the air-Q

Treatment:

Device: Free-hand Fiberoptic Intubation

Device: air-Q, followed by fiberoptic intubation

Fiberoptic Intubation performed by a novice

Experimental group

Description:

Tracheal intubation will be performed by an anesthesia trainee with and without use of the air-Q

Treatment:

Device: Free-hand Fiberoptic Intubation

Device: air-Q, followed by fiberoptic intubation