Airway management is integral part of general anaesthesia. Videolaryngoscopy (VL) is a new technique that has the potential to facilitate endotracheal intubation and decrease adverse consequences. In adult population the advantages of VL over direct laryngoscopy (DL) have already been proven in several studies conducted in patients with normal and difficult airways and critically ill patient. In comparison to adults, intubation in infant and neonates is more challenging due to various anatomical and physiological factors. Pediatric tracheal intubations (TI) may require multiple attempts, especially in neonates and infants and those with a history of difficult airway and craniofacial anomalies. But, each additional attempt is associated with increased chances of desaturation and airway morbidity.

VL facilitates tracheal intubation during simulated/ clinically difficult intubation in adults, but it is not clear whether these findings translate to children.  Comprehensive clinical studies about the efficacy of paediatric VL for routine practice in difficult airways in children are inadequate and poorly documented. Well-designed, adequately powered randomized controlled studies are necessary to address efficacy and safety of VL for endotracheal intubation in neonates.

CMAC VL has compared favorably to the conventional DL for intubation in infants and children. Recently, McGrath MAC blade size 1 VL has been launched which is similar to conventional Macintosh blade. There is paucity of studies comparing CMAC Miller blade VL with McGrath MAC blade VL in respect to their clinical efficacy in infants. So, we aim to establish whether the novel McGrath MAC videolaryngoscope provides equivalent performance as compared to CMAC Miller videolaryngoscope with respect to time to intubation in infants. We will recruit a total of 140 neonates and infants as per our inclusion and exclusion criteria as mentioned above. After standard General anesthesia they will be intubated as per their group allocation. the observations will be recorded as mentioned above.