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
It has been assumed that the percentage of glottic opening (POGO) score might enhance the classification of videolaryngoscopic tracheal intubation by offering a more objective rating of glottic exposure but studies in children are lacking. This post hoc analysis of the prospective observational PeDiAC study aims to investigate, if classifying difficult videolaryngoscopic tracheal intubation with the POGO score is superior to a subjective rating of the quality of the glottic view on visual analogue scales (VAS). Post hoc video analysis will be performed by multiple independent raters. A secondary aim is to determine the diagnostic performance of the POGO and VAS for the prediction of relevant user- and patient-centered outcomes and to assess the inter-rater reliability of the POGO score.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Measure | Description | Time Frame |
|---|---|---|
| Difficult videolaryngoscopic intubation | Defined as a difficult airway alert issued by the airway operator following videolaryngoscopy | 1 hour |
| Measure | Description | Time Frame |
|---|---|---|
| Multiple laryngoscopy attempts | More than one laryngoscopy attempt required until airway established | 1 hour |
| Multiple tracheal intubation attempts | More than one tracheal intubation attempt until airway established |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Consecutive sampling: Pediatric patients undergoing general anesthesia with videolaryngoscopic tracheal intubation in the study center
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Martin Petzoldt, MD | Universitätsklinikum Hamburg-Eppendorf | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Anesthesiology, Center for Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf | Hamburg | 20246 | Germany |
Not provided
Not provided
Not provided
Not provided
| 1 hour |
| First attempt success rate | Percentage of successful intubations with one attempt at laryngoscopy and intubation | 1 hour |
| Percentage of glottic opening (POGO) score | Best glottic view obtained during videolaryngoscopy assessed with the POGO score (%) | 1 hour |
| Quality of glottic visualization | Subjective ratings on visual analog scales (0 to 100; higher values indicate better glottic view) | 1 hour |
| Tracheal intubation time | Time until successful tracheal intubation | 1 hour |
| Airway-related adverse events | Laryngospasm; bronchospasm; airway, oral, soft tissue or dental trauma; laryngeal swelling or use of corticosteroids to reduce swelling risk; oesophageal intubation; pulmonary aspiration; and severe hypoxaemia | 1 hour |
| Difficulty of videolaryngoscopic tracheal intubation | Difficulty of videolaryngoscopic tracheal intubation assessed by the PeDiAC score (0-8; higher values indicate increased difficulty) | 1 hour |
| Severe hypoxaemia | Oxygen saturation < 70% or hypoxaemia-related bradycardia | 1 hour |
| Prolonged tracheal intubation | Tracheal intubation time > 90 sec | 1 hour |