Head Motion in Pediatric Patients Endotracheally Intubated With Video Laryngoscopy Versus Direct Laryngoscopy

Nicklaus Children's Hospital f/k/a Miami Children's Hospital

Status: Completed

Conditions: Intubation; Difficult; Cervical Spine Injury

Treatments: Procedure: Video Laryngoscopy; Procedure: Direct Laryngoscopy; Device: Storz C-Mac® laryngoscope

Study type: Interventional

Funder types: Other

Identifiers

NCT02405390

20141780

Details and patient eligibility

About

The purpose of this study is to evaluate if intubation with video laryngoscopy (VL) will result in less head motion and therefore less cervical motion when compared with direct laryngoscopy (DL).

The aim of the study is to determine the amount of head motion (extension, flexion and rotation) when using Storz C-Mac® video laryngoscopes and direct laryngoscopes. Secondarily, the study will also measure the number of attempts to properly intubate and the time required for intubation with either technique.

Full description

Investigator initiated single site prospective and randomized controlled trial.

Enrollment: 92 patients

Sex: All

Ages: Under 8 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients being orally intubated in the Operating Room as per standard anesthesia procedures

Exclusion criteria

• previous history of cervical spine injury or surgery
• craniofacial abnormalities
• airway congenital abnormalities
• airway prior to surgery

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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92 participants in 2 patient groups

Video Laryngoscopy

Experimental group

Description:

Some patients will be intubated with a video laryngoscope 'Storz C-Mac® laryngoscope'

Treatment:

Device: Storz C-Mac® laryngoscope

Procedure: Video Laryngoscopy

Direct Laryngoscopy

Active Comparator group

Description:

Some patients will be intubated with a direct (conventional) laryngoscope

Treatment:

Device: Storz C-Mac® laryngoscope

Procedure: Direct Laryngoscopy