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Video Versus Direct Laryngoscopy for Tracheal Intubation in Pediatric Surgery

Sponsor: Hospital Clinico Universitario de Santiago • ClinicalTrials.gov ID: NCT07495436

Registry updated: 2026-09-21

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Description

Tracheal intubation in paediatric patients is a high-risk procedure in which failure to achieve successful intubation on the first attempt is associated with an increased risk of complications, including hypoxaemia and airway trauma. Videolaryngoscopes have been increasingly adopted in clinical practice because they improve glottic visualisation; however, evidence of their benefit in paediatric patients remains inconsistent. The VIDEOKIDS trial is a large, pragmatic, international, multicentre, randomised controlled trial designed to compare videolaryngoscopy with direct laryngoscopy as the initial technique for tracheal intubation in paediatric patients undergoing surgery under general anaesthesia. The primary objective is to determine whether videolaryngoscopy increases the rate of successful intubation on the first attempt compared with direct laryngoscopy.

Interventions

Videolaryngoscope (Device)
For patients assigned to the videolaryngoscope Group, the operator will use a video laryngoscope on the first laryngoscopy attempt.
Direct Laryngoscope (Device)
For patients assigned to the laryngoscope Group, the operator will use a Macintosh laryngoscope on the first laryngoscopy attempt.

Eligibility criteria

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.

Conditions

Tracheal Intubation Videolaryngoscopy General Anesthesia Difficult Airway Intubation

Locations

Hospital Clínico Universitario de Santiago de Compostela — Santiago de Compostela, A CORUÑA, Spain

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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

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