Orotracheal Intubation in Infants Requiring General Anaesthesia for Surgery Clinical Trial
Official title:
Intubation Success and Glottis Visualization With King Vision Video Laryngoscope as Compared to Conventional Laryngoscopes in Children < 1 Years: A Randomized Control Trial
The primary objective of this study is to find out whether the intubation success rates of Kingvision video laryngoscope is better than that of the conventional laryngoscopes in children < 1 year of age?
Securing the airway by tracheal intubation is one of the most critical steps during
administration of general anesthesia to infants. Failure or a delay in tracheal intubation
leads to severe hypoxic insult to infants as the oxygen consumption is high in them when
compared to adults.Smaller caliber of the pediatric airway, relatively large tongue,
anteriorly located larynx, floppy and relatively large epiglottis predispose young children
to airway obstruction during Anaesthesia. In addition, the large occiput of the infant places
the head and neck in the flexed position when the patient is placed recumbent, further
exacerbating airway obstruction
Direct laryngoscopy requires a direct line of sight for proper glottis visualization which is
achieved by proper alignment of airway axes (oral-pharyngeal-laryngeal). These manipulations
can lead to significant hemodynamic disturbance, cervical instability, injury to oral and
pharyngeal tissues and dental damage. In contrast to direct laryngoscopy, video laryngoscope
utilizes indirect laryngoscopy via its camera and helps improve glottic visualization,
thereby minimizing complications
New age videolaryngoscopes with their unique design provide better glottis visualization
without the requirement of proper alignment of oral-pharyngeal-laryngeal axes, thereby
minimizing the complications associated with excessive manipulation and hence provide a
decent edge over the conventional indirect laryngoscopes routinely used. With the above
mentioned advantages these videolaryngoscopes can be efficiently used in both elective as
well as emergencysettings in infants for intubation The investigators in this study will be
evaluating the efficacy of King vision video laryngoscope when compared to the conventional
laryngoscopes in routine use for infants.
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