Video laryngoscopy versus direct laryngoscopy for initial tracheal intubation in children

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a large international, multicenter, randomized trial comparing videolaryngoscopy to direct laryngoscopy as the initial technique for tracheal intubation in pediatric patients under general anesthesia. Children aged 0 to 16 years requiring planned orotracheal intubation are randomized 1:1 to the two approaches, with peri‑intubation management left to local practice. The primary outcome is first‑attempt intubation success; secondary outcomes include time to intubation, number of attempts, glottic view, need for adjunct devices, and related complications. An intention‑to‑treat analysis with mixed‑effects logistic regression will account for center variability. Current pediatric evidence is inconclusive about first‑attempt success despite better glottic visualization with videolaryngoscopy.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Paediatric patients (age 0-16 years),
* Undergoing elective or scheduled surgery under general anaesthesia requiring orotracheal intubation,
* Planned tracheal intubation using either videolaryngoscopy or direct laryngoscopy as the initial technique,
* Informed or general consent given, according to the relevant ethics committee statement,.

Exclusion Criteria:

* Known upper airway anatomical abnormalities or clinical conditions requiring a specific intubation technique (e.g., fibreoptic intubation),
* Requirement for emergent tracheal intubation that does not allow adequate randomisation,
* Refusal of parents or legal guardians to participate in the study.

Where it's running

• Hospital Clínico Universitario de Santiago de Compostela
  Santiago de Compostela, A Coruña, Spain Recruiting

Study contacts

• Principal investigator: Manuel Taboada Muñiz — University Clinical Hospital of Santiago de Compostela
• Study coordinator: Manuel Taboada Muñiz, Ph.D.
• Email: manutabo@yahoo.es
• Phone: +34678195618

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.