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Video Versus Direct Laryngoscopy for Tracheal Intubation in Pediatric Surgery
Sponsor: Hospital Clinico Universitario de Santiago
Summary
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 (1) 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. (1) Koepp-Medina G, Lusardi AC, Di Fonzo B, et al. Videolaryngoscopy versus direct laryngoscopy for paediatric tracheal intubation: systematic review and meta-analysis. Br J Anaesth 2025;135:1486-98.
Official title: Videolaryngoscopy Versus Direct Laryngoscopy for Tracheal Intubation in Pediatric Surgery: The VIDEOKIDS Pragmatic Multicentre Randomized Trial.
Key Details
Gender
All
Age Range
0 Days - 16 Hours
Study Type
INTERVENTIONAL
Enrollment
5562
Start Date
2026-09-01
Completion Date
2027-12-30
Last Updated
2026-03-27
Healthy Volunteers
No
Interventions
Videolaryngoscope
For patients assigned to the videolaryngoscope Group, the operator will use a video laryngoscope on the first laryngoscopy attempt.
Direct Laryngoscope
For patients assigned to the laryngoscope Group, the operator will use a Macintosh laryngoscope on the first laryngoscopy attempt.
Locations (1)
Hospital Clínico Universitario de Santiago de Compostela
Santiago de Compostela, A CORUÑA, Spain