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To compare the success rate of blind technique with correction manoeuvres versus fiber optic- guided Intubation through the air Q laryngeal airway in pediatric patients
A prior G-power analysis was done to estimate the sample size. The primary outcome of this study was the first trial success rate. Using fibre exact test and assuming alpha (type I error) = 0.05 and beta (type II error) = 0.2 (power =80%), 58 patients per group would be sufficient to detect a difference 10 % in success rate among the groups. A drop out 10% of cases was expected; therefore 63 patients were required in each group to detect the difference.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Blind tracheal intubation through AirQ | Active Comparator | Patients were intubated through the air-Q blindly |
|
| Fiberscopic tracheal intubation through AirQ | Placebo Comparator | Patients were intubated through the air-Q using fibreoptic bronchoscope |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Blind tracheal intubation through AirQ | Procedure | underwent blind intubation with correction manoeuvres |
|
| Measure | Description | Time Frame |
|---|---|---|
| The first trial success rate | percentage of cases of successful tracheal intubation during the first trial | during first trial of intubation procedure |
| Measure | Description | Time Frame |
|---|---|---|
| The total success rate | percentage of cases underwent successful tracheal intubation during either first or second trial | from beginning of manipulation of the endotracheal tube till end of second trial either by successful intubation or failed intubation procedure |
| Time to ventilation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Enas A Abd el Motlb, MD | Associate Professor | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Enas A Abd el Motlb | Al Mansurah | DK | 050 | Egypt |
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| Fiberscopic tracheal intubation through AirQ | Procedure | : underwent fibreoptic guided intubation |
|
time needed to get full capno-graphic waves through connection of air Q to breathing circuit |
| procedure (Time from beginning of air-Q insertion till full capno-graphic wave) |
| Time to intubation | time needed to get full capno-graphic waves through connection of endotracheal tube to breathing circuit | procedure (Time from beginning of manipulation of the ETT till full capno-graphic wave) |
| Heart rate | After induction of anesthesia till 10 minutes after intubation |
| Mean arterial blood pressure | After induction of anesthesia till 10 minutes after intubation |
| blood staining of the device | from extubation till 24 hours after extubation |
| post-intubation croup | from extubation till 24 hours after extubation |
| hoarsenes | and its grade if present Grades of hoarseness: 1=non, 2= mild, 3= moderate, 4= severe) | from extubation till 24 hours after extubation |