Active not recruitingOBSERVATIONAL

Validation of the POGO Score for Classification of Videolaryngoscopy in Children - Post-hoc Analysis of the PeDiAC Study

This study, called "Validation of the POGO Score for Classification of Videolaryngoscopy in Children," is looking into a way to make it clearer how well doctors can see a child's voice box (glottic opening) when putting in a breathing tube using a video camera. Currently, doctors often use their own judgment, but this study wants to see if a more objective scoring system, called POGO, is better. The research involves looking back at videos from previous procedures to compare the POGO score with how doctors rated the view themselves. The main goal is to find out if the POGO score can help predict if putting in the breathing tube will be difficult or lead to complications, and if it's a reliable tool for different doctors to use.

At a glance

Status

Active not recruiting

Sponsor

Universitätsklinikum Hamburg-Eppendorf

Enrolment target

809

Start

12 Apr 2021

Estimated completion

01 Aug 2025

Intubation, Pediatric Intubation; Difficult or Failed Airway Management Airway Complication of Anesthesia

What is this study about?

When a child needs surgery and has to be put to sleep (general anaesthesia), doctors often need to insert a breathing tube into their windpipe. This process is called intubation. Sometimes, doctors use a special tool with a tiny video camera, called a videolaryngoscope, to help them see much better. This study is all about trying to find the best way to describe how good that view is.

Imagine you're trying to see something important, and you want to describe to someone else how clearly you can see it. This study is testing if a specific scoring system, called “POGO” (which stands for Percentage of Glottic Opening), is a better and more objective way to do this compared to just a doctor's general feeling. A more objective score means that different doctors looking at the same video would likely give it a similar score, making it a more consistent way to describe the intubation process.

The real importance of this study is to see if using the POGO score can help predict if a child might have challenges or problems when the breathing tube is being put in. If it can, it might help doctors prepare better or choose different methods to ensure a safer experience for children. This research is a "post-hoc analysis," meaning researchers are looking at videos that were already recorded from a previous study, making it a safe way to learn more without putting new patients through extra procedures.

Key takeaways

This study evaluates how doctors rate their view during breathing tube insertion in children using video.
It compares a new scoring system (POGO) with existing methods for better accuracy.
The goal is to improve safety and predictability for children needing a breathing tube for surgery.
This research looks at existing video recordings, so no new procedures are involved for patients.
Findings could help predict potential difficulties during intubation.
The study focuses on children up to 17 years old.

Who may be eligible?

This study is looking at information from children who have already had general anaesthesia and needed a breathing tube inserted at the study hospital. The specific age range they are interested in is birth up to 17 years old.

To be included, the child must have had a general anaesthetic with a breathing tube, and their parents or guardians must have given permission for their information to be used in the study.

Children were not included if their anaesthetist preferred to use an older type of viewing tool (called conventional laryngoscopy) instead of the video one, or if they needed a very specific type of breathing tube insertion that isn't related to the video method being studied.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

My child had general anaesthesia with a breathing tube.
This happened at the study hospital.
My child was under 18 years old at the time.
My child did not have a very specific type of breathing tube insertion (like with a bronchoscope).

Answer every question to see your result.

What does participation involve?

This study involves reviewing existing video recordings of children who have already had a breathing tube inserted as part of their general anaesthetic for surgery. This means that if your child already had this procedure at the hospital where the original study took place, their video footage might be included.

No new procedures, visits, or medicines are involved for your child. Their personal information will be kept private. Researchers will simply be watching the videos and applying a new scoring system to them to learn more about the intubation process. There is no direct follow-up or added duration of care relating to this study for your child.

Potential risks and benefits

Because this study only involves analysing existing, anonymised video recordings, there are no direct risks to your child. They will not undergo any additional procedures or treatments. The potential benefit is that the findings could lead to better ways for doctors to assess and manage breathing tube insertions in children in the future, making the process safer and more predictable. Your decision to allow past video data to be used is entirely voluntary, and you have the right to withdraw your consent for its use at any time, without affecting your child's medical care.

Locations (1)

Department of Anesthesiology, Center for Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf
Verified postcode
Hamburg, Germany

Common questions

What is intubation?

Intubation is when a doctor puts a breathing tube into a patient's windpipe to help them breathe, usually during surgery when they are asleep.

What is a videolaryngoscope?

It's a special tool with a tiny camera that doctors use to get a clear view of the voice box when inserting a breathing tube.

What is the POGO score?

POGO is a scoring system being tested to see if it's a better, more consistent way to measure how well doctors can see a child's voice box during a video-guided intubation.

Why is this study important for children?

This study aims to make breathing tube insertion safer and more predictable for children undergoing surgery by finding the best way to assess the procedure.

Will my child have to do anything for this study?

No, this study only reviews existing videos from past procedures, so your child won't need to do anything new or extra.