Comparison of PeDiAC and the Intubation Difficulty Scale in Pediatric Patients Intubated With Videolaryngoscopy

NCT07141485 | Completed

• 1 other identifier: PEDIAC-VL-2025-GID
• Study Type: observational
• Target: 430
• Locations: 1 country
• Sites: 1

Brief Summary

This prospective observational study aims to compare the effectiveness of the Paediatric Videolaryngoscopic Intubation and Difficult Airway Classification (PeDiAC) and the Intubation Difficulty Scale (IDS) in evaluating difficult tracheal intubation in pediatric patients aged 0 to 5 years. Patients undergoing general anesthesia with videolaryngoscopic intubation will be assessed using both scoring systems. The study seeks to determine which system more accurately reflects the difficulty of intubation and serves as a better guide for future anesthetic management, ultimately contributing to improved patient safety.

Conditions

Videolaryngoscopy; Difficult Airway, Videolaryngoscopes; Airway Management Assessment; Pediatric Anesthesia

Keywords

Pediatric intubation; Difficult airway; PeDiAC; Intubation Difficulty Scale (IDS); Videolaryngoscopy; Modified Cormack-Lehane classification; Pediatric anesthesia; Tracheal intubation

Outcome Measures

Primary Outcomes (1)

• Comparison of PeDiAC Score and IDS Score for Predicting Difficult Intubation in Children Aged 0-5 Years

  This outcome measure evaluates the effectiveness of two scoring systems-PeDiAC and Intubation Difficulty Scale (IDS)-in reflecting the difficulty of tracheal intubation in pediatric patients aged 0 to 5 years. Both scores will be calculated for each patient immediately after intubation. The correlation between each score and the actual intubation experience will be statistically analyzed to determine which scoring system better predicts intubation difficulty.

  Immediately after tracheal intubation

Study Arms (1)

Pediatric Patients Undergoing Videolaryngoscopic Intubation

This group includes pediatric patients aged 0-5 years undergoing elective or emergency surgery under general anesthesia with videolaryngoscopic intubation. All patients will be evaluated for intubation difficulty using both the PeDiAC and the Intubation Difficulty Scale (IDS).

Eligibility Criteria

• Age: 0 Years - 5 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

This study will enroll pediatric patients aged 0 to 5 years who are undergoing general anesthesia for elective and emergent surgical procedures requiring tracheal intubation. Patients will be intubated using a videolaryngoscope. Subjects with difficult airway history, emergency surgery, or airway pathology will be excluded. The study aims to compare two scoring systems evaluating intubation difficulty in this age group.

You may qualify if:

• Pediatric patients between 0 and 5 years of age
• Undergoing general anesthesia for any type of surgical procedure
• ASA physical status classification I to IV
• Written informed consent obtained from parents or legal guardians

You may not qualify if:

• Patients undergoing awake fiberoptic intubation
• History of tracheal resection or reconstruction surgery
• Refusal to participate or absence of informed consent

Sponsors & Collaborators

• Ankara City Hospital Bilkent: lead

Study Sites (1)

Ankara Bilkent City Hospital, Department Of Anesthesiology and Reanimation

Ankara, Turkiye, Turkey (Türkiye)

Location

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 19, 2025
• First Posted: August 26, 2025
• Study Start: August 28, 2025
• Primary Completion: January 20, 2026
• Study Completion: January 30, 2026
• Last Updated: March 18, 2026

Record last verified: 2025-08

Locations

TU (1)