King Vision Video Laryngoscope aBlade vs. Direct Laryngoscopy in Children
A Randomized Comparison of the King Vision Video Laryngoscope aBlade vs. Direct Laryngoscopy in Children
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Narasimhan Jagannathan, MD
- Phone Number: 312275170
- Email: njagannathan@luriechildrens.org
Study Contact Backup
- Name: John Hajduk
- Phone Number: 3122275295
- Email: jhajduk@luriechildrens.org
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- ASA (American Society of Anesthesiologists) I-III classified patients
- Patients undergoing procedure where an endotracheal tube would be normally utilized
Exclusion Criteria:
- Children with expected difficult airways
- Coagulopathy
Study Plan
How is the study designed?
Design Details
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Ambu King Vision Video Laryngoscope aBlade System
The trachea will be intubated using the Ambu King Vision Video Laryngoscope with the appropriate sized blade (size 1 or 2) based on manufacturer guidelines and clinical judgement.
|
At time of tracheal intubation, the subject will be intubated using the Ambu King Vision Video Laryngoscope with the appropriately sized Ambu aBlade System based on manufacturer guidelines and clinical judgement.
The first attempt to successful intubation will be assessed.
The Cormack Lehane and Percentage of Glottic Opening scores will be recorded via direct vision.
Information on subsequent attempts, time to successful intubation, and ease of tracheal tube insertion will be assessed.
Other Names:
|
|
Active Comparator: Direct Laryngoscope
The trachea will be intubated via direct laryngoscopy using a traditional straight blade laryngoscope, with appropriately sized blade based on manufacturer guidelines and clinical judgement.
|
At time of tracheal intubation, the subject will be intubated via direct laryngoscopy using a straight laryngoscope blade, based on manufacturer guidelines and clinical judgement.
The first attempt to successful intubation will be assessed.
The Cormack Lehane and Percentage of Glottic Opening scores will be recorded via direct vision.
Information on subsequent attempts, time to successful intubation, and ease of tracheal tube insertion will be assessed.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
First Attempt Success Rate of Tracheal Intubation
Time Frame: Assessed intraoperatively at time of intubation
|
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
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Grades of Laryngeal View
Time Frame: Assessed intraoperatively at time of intubation
|
Cormack Lehane (1-4) and percentage of glottic opening (POGO) (%) will be recorded after insertion of the laryngoscope.
|
Assessed intraoperatively at time of intubation
|
|
Time to Successful Intubation
Time Frame: Assessed intraoperatively at time of intubation
|
The time to intubation will be measured (seconds) to measure the time to intubation of the successful attempt.
|
Assessed intraoperatively at time of intubation
|
|
Intraoperative Complications
Time Frame: Assessed intraoperatively for the duration of the surgery
|
Airway/device related complications including, laryngospasm, bronchospasm, regurgitation/aspiration, oxygen desaturation, will be measured.
|
Assessed intraoperatively for the duration of the surgery
|
|
Postoperative Complications
Time Frame: Outcome measure will be assessed postoperatively in the immediate phase 1 recovery unit for an average of 1 hour.
|
Airway/device related complications including sore throat, hoarseness, persistent coughing, stridor, and others will be measured during the post-operative period.
|
Outcome measure will be assessed postoperatively in the immediate phase 1 recovery unit for an average of 1 hour.
|
|
Ease of Endotracheal Tube Passage
Time Frame: Assessed intraoperatively at time of intubation
|
The ease of tracheal tube passage will be measured following tracheal intubation.
|
Assessed intraoperatively at time of intubation
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Narasimhan Jagannathan, MD, Ann & Robert Lurie Children's Hospital of Chicago
Publications and helpful links
General Publications
- Levitan RM, Heitz JW, Sweeney M, Cooper RM. The complexities of tracheal intubation with direct laryngoscopy and alternative intubation devices. Ann Emerg Med. 2011 Mar;57(3):240-7. doi: 10.1016/j.annemergmed.2010.05.035. Epub 2010 Jul 31.
- Akihisa Y, Maruyama K, Koyama Y, Yamada R, Ogura A, Andoh T. Comparison of intubation performance between the King Vision and Macintosh laryngoscopes in novice personnel: a randomized, crossover manikin study. J Anesth. 2014 Feb;28(1):51-7. doi: 10.1007/s00540-013-1666-9. Epub 2013 Jun 30.
- Murphy LD, Kovacs GJ, Reardon PM, Law JA. Comparison of the king vision video laryngoscope with the macintosh laryngoscope. J Emerg Med. 2014 Aug;47(2):239-46. doi: 10.1016/j.jemermed.2014.02.008. Epub 2014 Apr 16.
- Theiler L, Hermann K, Schoettker P, Savoldelli G, Urwyler N, Kleine-Brueggeney M, Arheart KL, Greif R. SWIVIT--Swiss video-intubation trial evaluating video-laryngoscopes in a simulated difficult airway scenario: study protocol for a multicenter prospective randomized controlled trial in Switzerland. Trials. 2013 Apr 4;14:94. doi: 10.1186/1745-6215-14-94.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- IRB 2015-304
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