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In Pediatric both manikin and human studies have suggested that the video laryngoscopy is equally suitable to facilitate intubation compared to the direct laryngoscopy.
The King Vision Pediatric aBlade is a novel video laryngoscopy for securing the airway of new born and infants. In this manikin studie we want to compare different types of video laryngoscopes in a simulated normal and difficult infant airway.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| normal airway | Experimental | Time (normal airway) using the novel King Visionâ„¢ Pediatric aBlade (KV) video laryngoscope, C-MACâ„¢ D-blade Ped (DP), C-MACâ„¢ Miller Blade (MB), shortened as VL, compared with conventional direct laryngoscopy (DL) |
|
| difficult airway | Experimental | Time (difficult airway) using the novel King Visionâ„¢ Pediatric aBlade (KV) video laryngoscope, C-MACâ„¢ D-blade Ped (DP), C-MACâ„¢ Miller Blade (MB), shortened as VL, compared with conventional direct laryngoscopy (DL) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| normal airway | Device | The Time interval between the laryngoscope blade passing the teeth/gums to the announcing of the first ventilation was recorded as the time to ventilation with the Video laryngoscopy (VL) or conventional direct laryngoscopy (DL) |
| Measure | Description | Time Frame |
|---|---|---|
| Time to ventilation (seconds) | Three timepoints will be recorded, beginning with the insertion of the device past the theeth/gum into the mouth. These will inlcude time to best view, time to removal of device from the mouth, and the time to the first chest raising of the simulator | Assessed intraoperatively at time of intubation (seconds) |
| Measure | Description | Time Frame |
|---|---|---|
| First attempt success rate of tracheal intubation (in 40 seconds) | An attempt at tracheal intubation will be defined as entry of the device into the patient's mouth without the need to remove the device once entered and securing the airway. | Assessed intraoperatively at time of intubation |
| Grades of Laryngeal View (Cormack&Lehane Class) |
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Inclusion Criteria:
- anesthesiologists or neonatal/pediatric intensive care medicice specialists with experience in securing pediatric airway
Exclusion Criteria:
- participants without experience in pediatric airway management
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| Name | Affiliation | Role |
|---|---|---|
| Marc Kriege, MD | University Medical Centre Mainz | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Anesthesiology,Prof. C. Werner, Universitätsmedizin of the JG University | Mainz | Rhineland-Palatinate | 55131 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28549081 | Result | Jagannathan N, Hajduk J, Sohn L, Huang A, Sawardekar A, Albers B, Bienia S, De Oliveira GS. Randomized equivalence trial of the King Vision aBlade videolaryngoscope with the Miller direct laryngoscope for routine tracheal intubation in children <2 yr of age. Br J Anaesth. 2017 Jun 1;118(6):932-937. doi: 10.1093/bja/aex073. |
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residents, fellows and attending with different level of experience
| difficult airway | Device | The Time interval between the laryngoscope blade passing the teeth/gums to the announcing of the first ventilation was recorded as the time to ventilation with the Video laryngoscopy (VL) or conventional direct laryngoscopy (DL) |
|
Cormack&Lehane Grade (1-4) and percentage of glottic opening (POGO) (%) will be recorded after insertion of the laryngoscope |
| Assessed intraoperatively at time of intubation |
| Use of ELM | BURP or change the head/Shoulder position to optimised the glottic view will be recorded | Assessed intraoperatively at time of intubation |
| Intubation Adjustments & Ease of Use | Airway manipulations utilized and ease of use (Likert 1-5) will be assessed by the user following the intubation. | Assessed intraoperatively following intubation |