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

Nicklaus Children's Hospital f/k/a Miami Children's Hospital92 enrolled

Overview

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.

Investigator initiated single site prospective and randomized controlled trial.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Intubation; Difficult Cervical Spine Injury

Interventions

Eligibility

Sex: ALLMax age: 8 Years

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

Head Motion - Extension or Flexion

Head motion will only be measured while the patient is being endotracheally intubated. Usually this takes less than one minute. No follow up after that.

Time frame: During the process of intubation (less than one minute)

Secondary Outcomes

Time for Intubation

Time from when the laryngoscope blade enters the mouth until the endotracheal tube enters the vocal cords. No follow up after that.