Comparison of 2 Laryngoscopes for Endotracheal Intubation in Children Younger Than 2 Years Old

Loma Linda University65 enrolled

Overview

This is a prospective randomized clinical study to be performed in pediatric patients under the age of 2 years who are undergoing surgical procedures requiring endotracheal intubation. Time to endotracheal intubation will be compared between patients intubated using a GlideScope® video laryngoscope, those intubated with a Storz DCI® video laryngoscope, and those intubated by standard direct laryngoscopy. The study hypothesis is that the time to endotracheal intubation will be decreased in the Storz DCI® video laryngoscope group when compared to the GlideScope® video laryngoscope group and standard laryngoscopy.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

DIAGNOSTIC

Masking

SINGLE

Enrollment

Conditions

Endotracheal Intubation

Interventions

Eligibility

Sex: ALLMax age: 23 Months

Medical Language ↔ Plain English

Inclusion Criteria: * Pediatric patients under the age of 2 years undergoing surgeries requiring endotracheal intubation at LLUMC will be eligible for participation in this study Exclusion Criteria: * Children with increased pulmonary aspiration risk; * Prior documentation of difficult endotracheal intubation; * Those that lack legal representative consent

Locations (2)

Loma Linda University Department of Anesthesiology

Loma Linda, California, United States

Loma Linda University Medical Center

Loma Linda, California, United States

Outcomes

Primary Outcomes

Measurement of Time to Intubation Will Begin at the Time of Mouth Opening and End With the Removal of the Tip of the Laryngoscope Blade From the Patient's Mouth After Successful Endotracheal Intubation.

Time frame: Less than one day, representing the day of surgery and period of endotracheal intubation during induction of general anesthesia

Secondary Outcomes

Successful Intubation After One Laryngoscopy Attempt

Other secondary outcome measures will be the use of external laryngeal manipulation to improve glottic view, tissue trauma and type,and method of rescue if initial intubation attempt proves unsuccessful.

Time frame: Less than one day, representing the day of surgery and period of endotracheal intubation during induction of general anesthesia.

Successful Intubation After Two Laryngoscopy Attempts

Time frame: Less than one day, representing the day of surgery and period of endotracheal intubation during induction of general anesthesia.

Successful Intubation After Three Laryngoscopy Attempts

Time frame: Less than one day, representing the day of surgery and period of endotracheal intubation during induction of general anesthesia.

Successful Intubation After Four Laryngoscopy Attempts

Time frame: Through endotracheal intubation during induction of general anesthesia, an average of 10 minutes