Advertisement

Topics

Comparing Use of the Glidescope Cobalt to Direct Laryngoscopy in Infants

2014-07-23 21:08:07 | BioPortfolio

Summary

Video laryngoscopy has been shown to improve intubation success in adults and children; However, there is little published regarding the use of video laryngoscopes in infants. The Glidescope Cobalt (GC) is a new video laryngoscope designed for use in infants and children. The investigators seek to prospectively compare intubation with the GC to Direct Laryngoscopy (DL) in infants.

Description

Laryngoscopy is a technique by which the laryngeal opening is exposed to facilitate the placement of a breathing tube. It is routinely performed in patients to facilitate care during general anesthesia and is usually a simple procedure to perform; however, in some patients laryngoscopy may be challenging because of variations in anatomy. There are several types of laryngoscope blades currently utilized in clinical practice; the Miller laryngoscope blade is most commonly utilized for infants requiring intubation. This blade design dates back to the 1940's and until recently little has changed in its basic configuration. The last decade has seen the most significant advancement in laryngoscope design with the integration of video technology into laryngoscope blades. Several studies have shown a benefit to using video to guide intubation in adult patients. Some of these include improved airway visualization, decreased time to intubation, the ability to provide guidance to a novice laryngoscopist and decreased force during intubation. Our own studies at CHOP in an infant manikin model and a review of our prospective difficult intubation database suggests that video laryngoscopes may improve visualization and intubation success in infants with difficult intubation as well.

Our clinical experience with video laryngoscopes in children further suggests that less force is required to gain adequate exposure of airway structures as compared to standard direct laryngoscopy. A recent adult study examined the forces applied to the maxillary incisors during intubation and found that video laryngoscopes were associated with a significant decrease in the force applied. Less force could translate to less airway morbidity. This combined with an improvement in view of airway structures, faster intubations and greater success rates may present a strong argument for video laryngoscopy to be the emerging standard for routine airway management in children. Infants and neonates have the highest oxygen consumption rates of any patient population, which results in an acute decline in oxygen saturation during apnea, making this population most likely to see the greatest benefit from video laryngoscopes.

We seek to study the intubation characteristics of a new video laryngoscope, the Glidescope Cobalt in children less than or equal to 1 yr of age. This evaluation would provide insight as to the efficacy of this device in facilitating intubation in infants.

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Conditions

Intubation

Intervention

Miller Laryngoscope, Glidescope Cobalt Video Laryngoscopes

Location

The Children's Hospital of Philadelphia
Philadelphia
Pennsylvania
United States
19104

Status

Not yet recruiting

Source

Children's Hospital of Philadelphia

Results (where available)

View Results

Links

Published on BioPortfolio: 2014-07-23T21:08:07-0400

Clinical Trials [706 Associated Clinical Trials listed on BioPortfolio]

A Comparison Between Two Video Laryngoscopes,in Successfully Intubating Pediatric Mannequins w/wo Difficult Airways

The study is a randomized crossover study where anesthesia practitioners will intubate three different pediatric infant mannequins (normal airway, anterior larynx, Pierre Robin syndrome an...

Indirect Laryngoscopy for Nasal Intubation

Comparison of ease and convenience of nasotracheal intubation with the use of the two indirect laryngoscopes, Airtraq or Glidescope, versus the traditionally used Macintosh laryngoscope.

GlideScope Video Laryngoscope Versus Fiberoptic Intubation

Following informed consent, patients will be randomly assigned to oral fiberoptic intubation or to oral intubation using the GlideScope Video Laryngoscope. Following the induction of gener...

An Evaluation of Efficacy of the GlideScope Cobalt Video Baton for Intubation on Children Weighing Less Than 10 Kilograms

The purpose of this study is to collect relevant airway data using the GlideScope Cobalt Video Baton 1 and 2 for intubation in a large cohort of neonates and infants weighing 10 kg or less...

Comparative Effectiveness of Intubating Devices in the Morbidly Obese

This prospective, randomized study will compare the effectiveness of 4 different airway intubating devices which are most commonly used. The four different devices are as follows: McGrath...

PubMed Articles [1391 Associated PubMed Articles listed on BioPortfolio]

Comparison of GlideScope Video Laryngoscopy and Direct Laryngoscopy for Tracheal Intubation in Neonates.

GlideScope video laryngoscope (GS) has been widely used to facilitate tracheal intubation in adults and pediatric patients because it can improve glottic view. Several investigations performed in pedi...

Video laryngoscopy-assisted tracheal intubation in airway management.

Video laryngoscopy-assisted tracheal intubation devices have become alternatives to traditional laryngoscopes in recent years. This review will provide information on commonly used video laryngoscopes...

Comparison of intubation conditions with CMAC Miller videolaryngoscope and conventional Miller laryngoscope in lateral position in infants: A prospective randomized trial.

Endotracheal intubation in lateral position in infants is a challenge. This difficulty may be surmounted to some extent by using videolaryngoscopes but the routine use of these devices as a tool to se...

The effect of low-dose rocuronium on rapid tracheal intubation using a video laryngoscope: A randomized double blind controlled study.

The aim of this study was to investigate the clinical effectiveness of rocuronium in low doses on conditions during rapid tracheal intubation using video laryngoscope.

Protection afforded by respirators when performing endotracheal intubation using a direct laryngoscope, GlideScope®, and i-gel® device: A randomized trial.

Emergency physicians are at risk of infection during invasive procedures, and wearing a respirator can reduce this risk. The aim of this study was to determine whether the protection afforded by a res...

Medical and Biotech [MESH] Definitions

Stable cobalt atoms that have the same atomic number as the element cobalt, but differ in atomic weight. Co-59 is a stable cobalt isotope.

Unstable isotopes of cobalt that decay or disintegrate emitting radiation. Co atoms with atomic weights of 54-64, except 59, are radioactive cobalt isotopes.

Used with articles which include video files or clips, or for articles which are entirely video.

Endoscopic surgical procedures performed with visualization via video transmission. When real-time video is combined interactively with prior CT scans or MRI images, this is called image-guided surgery (see SURGERY, COMPUTER-ASSISTED).

A form of interactive entertainment in which the player controls electronically generated images that appear on a video display screen. This includes video games played in the home on special machines or home computers, and those played in arcades. (McGraw Hill Encyclopedia of Science & Technology, 7th ed, v19, p223)

More From BioPortfolio on "Comparing Use of the Glidescope Cobalt to Direct Laryngoscopy in Infants"

Advertisement
Quick Search
Advertisement
Advertisement

 

Relevant Topics

Pediatrics
Pediatrics is the general medicine of childhood. Because of the developmental processes (psychological and physical) of childhood, the involvement of parents, and the social management of conditions at home and at school, pediatrics is a specialty. With ...

Anesthesiology
An anesthesiologist (US English) or anaesthetist (British English) is a physician trained in anesthesia and perioperative medicine. Anesthesiologists are physicians who provide medical care to patients in a wide variety of (usually acute) situations. ...


Searches Linking to this Trial