Clinical trial NCT05885789: Improvement of Laryngoscopic View by Bed-up-head-elevated Position During Tracheal Intubation in Paediatric Patients
Official title: Improvement of Laryngoscopic View by Bed-up-head-elevated Position During Tracheal Intubation in Paediatric Patients
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Paediatric Airway Management
Keywords: Paediatric
Intubation
Laryngoscopy
Head position
BUHE
Lead sponsor: University of Malaya
Sponsor class: OTHER
First posted: 2023-06-02
Enrollment: 125
Sex: ALL
Minimum age (years): 3
Maximum age (years): 12
Standard ages: CHILD
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Paediatric patients age 3-12 year-old undergoing elective surgery under general anaesthesia requiring tracheal intubation

Brief summary: The goal of this prospective observational study is to learn about improvement of laryngoscopic view by Bed-Up-Head-Elevated (BUHE) during tracheal intubation in paediatric patients. The main question it aims to answer is:

1. Does BUHE position improve laryngoscopic view during paediatric intubation?

Participants age 3-12 year-old going for elective surgery under general anaesthesia requiring tracheal intubation will undergo laryngoscopic twice, first in sniffing position (SP) and second during BUHE position.

POGO score during each laryngoscope will be compared. Additionally, ease of handling of laryngoscope during each position will be assessed.

Detailed description: This is a prospective observational study comparing POGO score during tracheal intubation in SP and BUHE position in paediatric patients aged 3 to 12 years who will undergo elective surgery under general anaesthesia requiring tracheal intubation. The first POGO score will be obtained during SP followed by second POGO score during BUHE position and the difference in POGO score before and after BUHE position will be recorded to learn the improvement in POGO score during BUHE position.

The objective of this study is to learn the improvement of laryngeal view in tracheal intubation after BUHE position in paediatric patients of age 3 to 12 years. Investigators hypothesised that laryngeal view in tracheal intubation improves after BUHE position compared to sniffing position.

Eligibility criteria: Inclusion Criteria:

* Age 3 to 12 years
* Elective surgery under general anaesthesia requiring tracheal intubation

Exclusion Criteria:

* Parents' / Guardian's refusal
* Known case of difficult airway or airway malformation or airway obstruction
* Patients with respiratory or cardiovascular disease
* Patients requiring rapid sequence induction
* Recent Upper Respiratory Tract Infection (URTI) of 2 weeks

Primary outcomes:
measure: Change in Percentage of Glottic Opening (POGO) score after BUHE position
timeFrame: Immediate during procedure
Secondary outcomes:
measure: Ease of handling of laryngoscope
timeFrame: Immediate during procedure
Other outcomes:
Locations:
city: Kuala Lumpur
country: Malaysia
facility: University of Malaya Medical Center
Study officials:
affiliation: University of Malaya Medical Center
name: Bao Zhen Dr. Kim, MD
role: PRINCIPAL_INVESTIGATOR
References:
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