Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The goal of this prospective randomized study is to compare the effect of operator experience on the ability to use fiberoptic-guided intubation in children less than two years old, with and without the use of an air-Q as a conduit. The question the investigators are trying to answer is: Does the operator experience make a significant difference in the time for successful fiberoptic guided tracheal intubation with and without the use of an air-Q intubating laryngeal airway?
The aim of this study is to compare the effect of operator experience on the ability to use fiberoptic-guided intubation in children less than two years old, with and without the use of an air-Q as a conduit. The ease and time for placement of the air-Q, fiberoptic grade of laryngeal view, time for fiberoptic tracheal intubation, and peri-operative complications will also be assessed.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fiberoptic Intubation performed by an expert | Active Comparator | Tracheal intubation will be performed by an expert anesthesia attending with and without use of the air-Q |
|
| Fiberoptic Intubation performed by a novice | Experimental | Tracheal intubation will be performed by an anesthesia trainee with and without use of the air-Q |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| air-Q, followed by fiberoptic intubation | Device |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time for successful fiberoptic tracheal intubation | The time for successful intubation will be from removal of the face mask or disconnection of the circuit from the air-Q until evidence of end-tidal CO2 is confirmed. | Participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Time to successful placement of the Air-Q | Successful placement of the air-Q will start with the removal of the facemask until presence of end-tidal CO2 is confirmed. | Participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours |
| Number of attempts to place the Air-Q |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Narasimhan Jagannathan, MD | Ann & Robert H Lurie Children's Hospital of Chicago | Principal Investigator |
| Lisa Sohn, MD | Ann & Robert H Lurie Children's Hospital of Chicago | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ann & Robert H. Lurie Children's Hospital of Chicago | Chicago | Illinois | 60611 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19735396 | Background | Hodzovic I, Janakiraman C, Sudhir G, Goodwin N, Wilkes AR, Latto IP. Fibreoptic intubation through the laryngeal mask airway: effect of operator experience*. Anaesthesia. 2009 Oct;64(10):1066-71. doi: 10.1111/j.1365-2044.2009.06030.x. | |
| 17506738 | Background | Hodzovic I, Petterson J, Wilkes AR, Latto IP. Fibreoptic intubation using three airway conduits in a manikin: the effect of operator experience. Anaesthesia. 2007 Jun;62(6):591-7. doi: 10.1111/j.1365-2044.2007.05054.x. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Free-hand Fiberoptic Intubation | Device | Fiberoptic tracheal intubation will be performed without use of the air-Q and timed. Laryngeal grade of view will also be assessed |
|
Number of attempts needed for successful placement will be recorded (maximum of 3 attempts will be considered as a failure) |
| Participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours |
| Ease for placement of the air-Q | The ease for Air-Q placement will be assessed using a subjective scale | Participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours |
| Fiberoptic grade of laryngeal view | The laryngeal alignment through the devices will be graded using an established scoring system | Participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours |
| Peri-operative complications | Includes: Complications during the placement of the Air-Q (Laryngospasm, Bronchospasm, Desaturation, etc. Oropharyngolaryngeal morbidity at discharge, participants will be followed for the duration of anesthesia and after surgery, an average of 24 hours. Oropharyngolaryngeal morbidity at 24 hours post-operatively, measured at 24 hours after device placement/study initiation. These will be assessed by the subject's response or parents subjective assesment to standardized questions regarding oropharyngeal complaints such as sore throat, jaw pain, neck discomfort. | Measured at 24 hours after device placement/study initiation |
| Number of attempts for fiberoptic tracheal intubation | Number of attempts needed for successful fiberoptic tracheal intubation will be recorded (maximum of 3 attempts will be considered as a failure) | Participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours |
| Ease for fiberoptic tracheal intubation | The ease for fiberoptic tracheal intubation will be assessed using a subjective scale | Participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours |
| 9356095 | Background | Erb T, Marsch SC, Hampl KF, Frei FJ. Teaching the use of fiberoptic intubation for children older than two years of age. Anesth Analg. 1997 Nov;85(5):1037-41. doi: 10.1097/00000539-199711000-00013. |
| 21081777 | Background | Jagannathan N, Kozlowski RJ, Sohn LE, Langen KE, Roth AG, Mukherji II, Kho MF, Suresh S. A clinical evaluation of the intubating laryngeal airway as a conduit for tracheal intubation in children. Anesth Analg. 2011 Jan;112(1):176-82. doi: 10.1213/ANE.0b013e3181fe0408. Epub 2010 Nov 16. |