Endotracheal intubation is considered the definitive airway for resuscitation and airway management.  The Macintosh laryngoscope is the most commonly used device, and is considered the gold standard for tracheal intubation. Over the past decade, video laryngoscopes, based on the principle of indirect laryngoscopy, have become popular as an intubating device, especially in difficult airway scenarios.

The airway of an infant differs from older children and from adults. These critical anatomical differences and the limited intubation time in infants due to higher oxygen consumption make airway related events the most common perioperative critical incidents in paediatric anaesthesia.

Several studies have shown the superiority of video laryngoscopes in adults over conventional laryngoscopes, in normal as well as difficult airway scenarios. The use of video laryngoscopes has not been extensively studied in the paediatric population. Among the few studies done in paediatric population, video laryngoscopes have been shown to provide better laryngeal views, however, time for intubation is more prolonged.

The C-MAC video laryngoscope blade design is similar to the Macintosh, with the added advantage of a video camera at the distal end of the blade. There are very few studies in children comparing C-MAC video laryngoscope with the conventional Macintosh laryngoscope.

Therefore, this randomized control study is planned with the primary objective to compare time for endotracheal intubation with C-MAC video laryngoscope and a conventional Macintosh laryngoscope.