Trial Outcomes & Findings for Comparing the Laryngoscopy View Using Miller and Macintosh Laryngoscopy Blades in Infants Under Two Years of Age (NCT NCT01717872)

NCT ID: NCT01717872

Last Updated: 2017-03-20

Results Overview

Percent of glottic opening (POGO) with the Miller blade lifting the epiglottis compared with the score with the Macintosh blade lifting the tongue

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

50 participants

Primary outcome timeframe

30 seconds

Results posted on

2017-03-20

Participant Flow

Participant milestones

Participant milestones
Measure
Macintosh Laryngoscope Blade
A photo of the larynx will be taken with the Macintosh laryngoscope blade lifting and not lifting the epiglottis. The view of the larynx will be assessed using the POGO score by a blinded assessor. Laryngoscope blade: The POGO score will be used to assess the percent of the glottis that can be seen with each of the blades while lifting or not lifting the epiglottis
Miller Laryngoscope Blade
A photo of the larynx will be taken with the Miller laryngoscope blade lifting and not lifting the epiglottis. The view of the larynx will be assessed using the POGO score by a blinded assessor. Laryngoscope blade: The POGO score will be used to assess the percent of the glottis that can be seen with each of the blades while lifting or not lifting the epiglottis
Overall Study
STARTED
25
25
Overall Study
COMPLETED
25
25
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Comparing the Laryngoscopy View Using Miller and Macintosh Laryngoscopy Blades in Infants Under Two Years of Age

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Macintosh Laryngoscope Blade
n=25 Participants
A photo of the larynx will be taken with the Macintosh laryngoscope blade lifting and not lifting the epiglottis. The view of the larynx will be assessed using the POGO score by a blinded assessor. Laryngoscope blade: The POGO score will be used to assess the percent of the glottis that can be seen with each of the blades while lifting or not lifting the epiglottis
Miller Laryngoscope Blade
n=25 Participants
A photo of the larynx will be taken with the Miller laryngoscope blade lifting and not lifting the epiglottis. The view of the larynx will be assessed using the POGO score by a blinded assessor. Laryngoscope blade: The POGO score will be used to assess the percent of the glottis that can be seen with each of the blades while lifting or not lifting the epiglottis
Total
n=50 Participants
Total of all reporting groups
Age, Continuous
Age
15 months
n=99 Participants
14 months
n=107 Participants
14 months
n=206 Participants
Sex: Female, Male
Female
9 Participants
n=99 Participants
6 Participants
n=107 Participants
15 Participants
n=206 Participants
Sex: Female, Male
Male
16 Participants
n=99 Participants
19 Participants
n=107 Participants
35 Participants
n=206 Participants
Region of Enrollment
United States
25 participants
n=99 Participants
25 participants
n=107 Participants
50 participants
n=206 Participants
percent of glottic opening
80 percentage
n=99 Participants
80 percentage
n=107 Participants
80 percentage
n=206 Participants

PRIMARY outcome

Timeframe: 30 seconds

Percent of glottic opening (POGO) with the Miller blade lifting the epiglottis compared with the score with the Macintosh blade lifting the tongue

Outcome measures

Outcome measures
Measure
Macintosh Laryngoscope Blade
n=25 Participants
A photo of the larynx will be taken with the Macintosh laryngoscope blade lifting and not lifting the epiglottis. The view of the larynx will be assessed using the POGO score by a blinded assessor. Laryngoscope blade: The percent of glottic opening (POGO) score will be used to assess the percent of the glottis that can be seen with each of the blades while lifting or not lifting the epiglottis
Miller Laryngoscope Blade
n=25 Participants
A photo of the larynx will be taken with the Miller laryngoscope blade lifting and not lifting the epiglottis. The view of the larynx will be assessed using the POGO score by a blinded assessor. Laryngoscope blade: The POGO score will be used to assess the percent of the glottis that can be seen with each of the blades while lifting or not lifting the epiglottis
The View of the Larynx (Glottis Opening) as Determined by POGO Score (Percentage of Glottic Opening).
84 percentage of Glottic opening
Interval 76.0 to 92.0
78 percentage of Glottic opening
Interval 70.0 to 87.0

SECONDARY outcome

Timeframe: 30 seconds

Percent of glottic opening (POGO) with the Miller blade lifting the epiglottis compared with the score with the same blade lifting the tongue

Outcome measures

Outcome measures
Measure
Macintosh Laryngoscope Blade
n=25 Participants
A photo of the larynx will be taken with the Macintosh laryngoscope blade lifting and not lifting the epiglottis. The view of the larynx will be assessed using the POGO score by a blinded assessor. Laryngoscope blade: The percent of glottic opening (POGO) score will be used to assess the percent of the glottis that can be seen with each of the blades while lifting or not lifting the epiglottis
Miller Laryngoscope Blade
n=25 Participants
A photo of the larynx will be taken with the Miller laryngoscope blade lifting and not lifting the epiglottis. The view of the larynx will be assessed using the POGO score by a blinded assessor. Laryngoscope blade: The POGO score will be used to assess the percent of the glottis that can be seen with each of the blades while lifting or not lifting the epiglottis
Percent of Glottic Opening With the Miller Blade Lifting the Epiglottis and Tongue
78.4 percent of glottic opening
Interval 70.0 to 87.0
76 percent of glottic opening
Interval 67.1 to 84.9

SECONDARY outcome

Timeframe: 30 seconds

The MAC blade was inserted under the tongue to view the percent glottic opening and compared with the view with the same blade lifting the epiglottis to view the percent glottic opening.

Outcome measures

Outcome measures
Measure
Macintosh Laryngoscope Blade
n=25 Participants
A photo of the larynx will be taken with the Macintosh laryngoscope blade lifting and not lifting the epiglottis. The view of the larynx will be assessed using the POGO score by a blinded assessor. Laryngoscope blade: The percent of glottic opening (POGO) score will be used to assess the percent of the glottis that can be seen with each of the blades while lifting or not lifting the epiglottis
Miller Laryngoscope Blade
n=25 Participants
A photo of the larynx will be taken with the Miller laryngoscope blade lifting and not lifting the epiglottis. The view of the larynx will be assessed using the POGO score by a blinded assessor. Laryngoscope blade: The POGO score will be used to assess the percent of the glottis that can be seen with each of the blades while lifting or not lifting the epiglottis
Percent of Glottic Opening With the MAC Blade Lifting the Tongue and the Epiglottis
84.4 percent of glottic opening
Interval 76.5 to 92.3
67.2 percent of glottic opening
Interval 56.1 to 78.3

Adverse Events

Macintosh Laryngoscope Blade

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Miller Laryngoscope Blade

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Macintosh Laryngoscope Blade
n=25 participants at risk
A photo of the larynx will be taken with the Macintosh laryngoscope blade lifting and not lifting the epiglottis. The view of the larynx will be assessed using the POGO score by a blinded assessor. Laryngoscope blade: The POGO score will be used to assess the percent of the glottis that can be seen with each of the blades while lifting or not lifting the epiglottis
Miller Laryngoscope Blade
n=25 participants at risk
A photo of the larynx will be taken with the Miller laryngoscope blade lifting and not lifting the epiglottis. The view of the larynx will be assessed using the POGO score by a blinded assessor. Laryngoscope blade: The POGO score will be used to assess the percent of the glottis that can be seen with each of the blades while lifting or not lifting the epiglottis
Respiratory, thoracic and mediastinal disorders
0.00%
0/25 • Single assessment, immediately after induction of general anesthesia
0.00%
0/25 • Single assessment, immediately after induction of general anesthesia

Other adverse events

Adverse event data not reported

Additional Information

Dr. Jerrold Lerman

Women and Children's Hospital of buffalo

Phone: 716 878 7701

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place