Airway management in infants remains a challenge to anesthesiologist due to various morphological features. Videolaryngoscope are increasingly being used in this patient population. Truview PCD was the earliest videolaryngoscope introduced for pediatric patients. It has demonstrated superiority regarding airway management over conventional direct laryngoscopy. Novel C-MAC infant blade (Karl Storz GmbH & Co. KG, Tuttlingen, Germany) has a camera providing an 80° angle of view and a light source are recessed from the tip of the blade. The electronic unit sits in a handle attached to the laryngoscope blade and is connected by a wire to a portable TFT video monitor. The system allows for the Macintosh laryngoscope blade to be used for direct and indirect laryngoscopy.  C-MAC infant blade has not been prospectively compared to Truview videolaryngosocpe in the past. After institutional research committee’s approval this prospective, randomized, study will be conducted in 60 ASA Grade – I/II infants  ( 0-12months) of either sex admitted for elective surgery under general anesthesia who will be divided into two groups of 60 each:

Group CM [intubated with the aid of CMAC laryngoscope (size 0, 1)]

Group TR (intubated by the Truview PCD (size 0, 1)

 After a thorough preanesthetic checkup, adequate fasting as per the ASA guidelines, and written informed parents/guardian consent, the infants will be shifted to the operating room and routine monitors will be applied. Inhalational/ intravenous induction will be achieved as deemed appropriate. Neuromuscular blockade will facilitated by atracurium besylate bromide 0.5 mg/kg and trachea intubated after 180 seconds. Patients allocated to Group TR will be intubated with the aid of the Truview PCD and appropriate size stylet provided with Truview. In Group CM, the CMAC videolaryngosocpe with an appropriate size stylet will be used to intubate. All intubations will be performed by the anesthesiologist with more than 10 year experience with intubation in pediatric patients and a previous experience of at least 20 intubations with the Truview PCD and the C-MAC blade. The time to intubation will be measured by an independent observer using stop watch. The number of attempts was defined as withdrawing the tube to the angle of the mouth and reintroducing it. Single intubation attempt will be limited to <20seconds. Any fall in oxygen saturation to < 95% on the pulse oximeter will be noted and the lungs will be ventilated with 100% oxygen. If more than three attempts or if > 60 seconds were required after combined attempts to secure an endotracheal tube, it was considered a failed intubation. Primary endpoint in our study will be the total time required for successful intubation. The ease of intubation will be graded by the intubating anesthetist on a numerical rating scale. The data thus collected will be expressed as a number or mean ± standard deviation. Appropriate statistical tests will be applied for analysis.