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The purpose of the pilot study is to compare new laryngoscopes for infants by assessing the equipment best suited to assist the intubation, with the best overview, shortest time to intubation and use these numbers to make a sample size calculation for the full protocol. The investigators hypothesis is that the Storz videolaryngoscope® has a better success rate than infants (<2 years). The patients will be optimally anaesthetized with neuromuscular blockade for the intubation. All patient will be evaluated with af Macintosh blade laryngoscope, with an Airtraq® or a Storz videolaryngoscope®, and finally intubated with the other one of the later, which the patient was randomized to.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Storz videolaryngoscope | Experimental | Macintosh overview followed by Airtraq overview followed by Storz videolaryngoscope overview and intubation. |
|
| Airtraq | Active Comparator | Macintosh overview followed by Storz videolaryngoscope overview followed by Airtraq overview and intubation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Storz videolaryngoscope | Device | Storz videolaryngoscope being used for the actual intubation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Success rate | Succes is defined by intubation being executed in the first try. | 5 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Cormack evaluation | 5 minutes | |
| Time to intubation | 5 minutes | |
| Number of intubation attempts |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Anaesthesia, Centre of Head and Orthopaedics, Copenhagen University Hospital, Rigshospitalet | Copenhagen | 2100 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37171122 | Derived | Lingappan K, Neveln N, Arnold JL, Fernandes CJ, Pammi M. Videolaryngoscopy versus direct laryngoscopy for tracheal intubation in neonates. Cochrane Database Syst Rev. 2023 May 12;5(5):CD009975. doi: 10.1002/14651858.CD009975.pub4. | |
| 22545575 | Derived | Sorensen MK, Holm-Knudsen R. Endotracheal intubation with airtraq(R) versus storz(R) videolaryngoscope in children younger than two years - a randomized pilot-study. BMC Anesthesiol. 2012 Apr 30;12:7. doi: 10.1186/1471-2253-12-7. |
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| Airtraq | Device | Airtraq being used for the actual intubation |
|
| 5 Minutes |
| Quality of laryngeal overview before intubation | Evaluated by Cormack score | 5 Minutes |
| Prevalence of post intubation stridor | 12 hours |
| Intubation conditions | 5 Minutes |