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 Chicago80 enrolled

Overview

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?

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Masking

NONE

Enrollment

Conditions

Fiberoptic Intubation in Children

Interventions

Eligibility

Sex: ALLMin age: 1 DayMax age: 2 YearsHealthy volunteers:

Medical Language ↔ Plain English

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).

Outcomes

Primary Outcomes

Time for successful fiberoptic tracheal intubation

The time for successful intubation will be from removal of the face mask or disconnection of the circuit from the air-Q until evidence of end-tidal CO2 is confirmed.