Observational Study Comparing VIDIAC, PeDiAC, and Intubation Difficulty Scale in Children Ages 5 to 18 Undergoing Videolaryngoscopic Intubation

What this Trial Is About

Researchers are evaluating three scoring systemsVIDIAC Video Laryngoscopic Intubation and Difficult Airway Classification, PeDiAC Pediatric Difficult Airway Classification, and the Intubation Difficulty Scale IDSto assess difficult intubation in children aged 5 to 18 years undergoing videolaryngoscopic intubation. This prospective observational study will include 450 pediatric patients who require general anesthesia for elective or emergency surgery. The study aims to compare these scoring methods to better understand their usefulness in pediatric anesthesia. All participants will be intubated using a C-MAC videolaryngoscope with an endotracheal tube suited to their age, weight, and surgery type. No interventions beyond routine clinical care will be performed. The study will collect detailed information including demographic data, intraoperative vital signs, and intubation variables such as glottic view using the modified Cormack-Lehane classification, intubation time, number of attempts, use of adjunct devices, and any complications encountered. During the study, anesthesia providers will subjectively rate the ease or difficulty of intubation on a scale from 0 extremely easy to 10 impossible, independently confirmed by an observer. Researchers will monitor key outcomes immediately after intubation, including the scores from the three difficult intubation scales. Consent will be obtained beforehand from parents or legal guardians, and participant data will be gathered throughout the surgical procedure to evaluate intubation difficulty in pediatric patients.

Comparison of VIDIAC, PeDiAC and Intubation Difficulty Scale in Pediatric Patients Undergoing Videolaryngoscopic Intubation