A Comparison of McGrath, Pentax and Macintosh Laryngoscopes for Nasotracheal Intubation in Pediatrics

Ajou University School of Medicine108 enrolled

Overview

Videolaryngoscope provide better view of the larynx. This better view could improve the navigation of endotracheal tube in nasotracheal intubation. Contrast to the improved result in adult, one previous report using Glidescope in children did not show better performance than direct laryngoscope. The aim of this study is to compare the performance of McGrath, Pentax and Macintosh laryngoscope for nasotracheal intubation in children.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

108

Conditions

Intubation Time Intubation Difficulty Scale

Interventions

Macintosh laryngoscopeDEVICE

McGrath videolaryngoscopeDEVICE

Pentax videolaryngoscopeDEVICE

Eligibility

Sex: ALLMin age: 1 YearMax age: 10 Years

Medical Language ↔ Plain English

Inclusion Criteria: * American Society of Anesthesiologist physical status class I, II Exclusion Criteria: * abnormality of airway * bleeding tendency

Locations (1)

Ajou universitiy school of medicine

Suwon, Gyeong-gi Do, South Korea

Outcomes

Primary Outcomes

time to intubation

Time from nasotracheal tube passing nose until confirmation of tracheal intubation by end-tidal carbon dioxide will be measured

Time frame: 2 min

Secondary Outcomes

intubation difficulty scale

Modified nasal intubation difficulty scale will be assessed : N1(intubation attempts), N2(operators to attempt intubation, N3(alternative intubation techniques or change head position), N4(glottic exposure), N5(lifting force required to expose the vocal cords), N6(optimise glottic exposure with backward, upward and right ward pressure), N7(techniques to aid intubation)

Time frame: immediately after intubation

Data from ClinicalTrials.gov

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