The goal of this interventional study is to compare the effectiveness of direct laryngoscopy vs. video laryngoscopy in paediatric population aged 2 to 8 years presenting for elective surgeries having uncomplicated airways. The primary outcome measures include: 1. Time taken for succesful insertion and confirmation of ETT in patients using both techniques seprately. 2. Rate of complications and failed attempts compared between both modalities.
The comparision of efficacy of Video Laryngoscopy for pediatric airway vs Direct Laryngoscopy is the goal of this study, Safety of the patients will be the utmost priority with careful case selection alongwith proper informed detailed consent from the guardians of the children. PROCEDURE: After induction of General Anesthesia four minutes of proper bag mask ventilation to allow for proper intubating conditions will be done. The time taken from the insertion of the laryngoscopic blade to the best glottic view acheived by the specific technique will be noted seperately and then the time to the succesful acheivement of lung inflation with the proper placement of ETT will be noted seperately, both of these parameters will be recorded. If in a patient airway is not secured even after 3 attempts by a specific technique the technique would be altered and patient would be excluded from our research. MATERIALS: Randomized allotment of patients into the 2 groups i.e Direct Laryngoscopy and Video Laryngoscopy would be done.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
88
Use of Video laryngoscope to secure airway
Macintosh or Miller's laryngoscopes used to secure paediatric airways
Combined Millitary Hospital
Rawalpindi, Punjab Province, Pakistan
.Time taken to acheive the best possible view of the glottis.
The time from insertion of laryngoscope in the mouth to the best possible view of the glottis.
Time frame: 4 Min. post muscle relaxant administration to 6 Min. post muscle relaxant administration
Time taken to acheive succesful Endotracheal Intubation.
The time from the insertion of the laryngoscopic blade in the mouth to the correct placement of ETT confirmed by the waveform capnorgraphy.
Time frame: 4 Min 30 seconds post muscle relaxant administration to 7 Min post muscel relaxant administration.
No. of Intubation attempts needed
Total No. of attempts(max 3 attempts with the same technique) to secure airway.
Time frame: 4 Min. post muscle relaxation administration to 15 Min. post muscle relaxant administration.
Hemodynamic changes at different intervals.
Changes in heart rate will be assesed during attempts and to a fixed amount of time after succesfully securing the airways.
Time frame: During attempts to 1 min, 5 min, and 10 min post succesful intubation.
Hemodynamic changes at different intervals.
Changes in blood pressure will be assesed during attempts and to a fixed amount of time after succesfully securing the airways.
Time frame: During attempts to 1 min, 5 min, and 10 min post succesful intubation.
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