Endotracheal Intubation In Pediatric Patients Using Video Laryngoscopy: An Evidence-Based Review (original) (raw)
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Turkish Archives of Pediatrics, 2021
What is already known on this topic? • Video laryncoscope is primarily recommended in cases where a difficult airway is considered. • When endotracheal intubations of patients with normal airways were performed by experienced physicians, no difference was found between standard direct laryngoscopy and videolaryngoscopy in terms of intubation success. What this study adds on this topic? • There is a very limited number of studies in the literature among pediatricians, especially in pediatricians who have never used a video laryngoscope and have limited endotracheal intubation experience. • Residents in pediatrics with limited experience in endotracheal intubation use the videolaryngoscope more effectively than the standard direct laryngoscope after appropriate training.
Academic Emergency Medicine, 2016
Objectives: The objective was to compare video-assisted laryngoscopy (VAL) to direct laryngoscopy (DL) on success rate and complication rate of intubations performed in a pediatric emergency department (ED). Methods: This is a retrospective cohort study of attempted intubations of children aged 0-18 years in a pediatric ED between 2004 and 2014 with first attempt by an ED provider. In VAL, the laryngoscopist attempts direct visualization of the glottis with a C-MAC video laryngoscope while the video monitor is used for real-time guidance by a supervisor, backup visualization for the laryngoscopist should the direct view be inadequate, and confirmation of endotracheal tube passage through the vocal cords. We performed univariate comparisons of intubations using DL to intubations using VAL on rates of firstpass success, complications, and whether the patient was successfully intubated by an ED provider. We then created a logistic regression model to adjust for provider experience level, difficult airway characteristics, and indications for intubation to compare intubations using DL to intubations using VAL for each outcome. Results: We identified 452 endotracheal intubations of 422 unique patients, of which 445 intubations had a first attempt by an ED provider. Six intubations were excluded due to insufficient information available in the record. Of the included intubations, 240 (55%) were attempted with DL and 199 (45%) with VAL. The overall first-pass success rate was 71% in the DL group and 72% in the VAL group. After adjustment for covariates, the first-pass success rate was similar between laryngoscopy approaches (adjusted odds ratio = 1.23, 95% confidence interval = 0.78 to 1.94). Conclusions: We found no difference between DL and VAL with regard to first-pass intubation success rate, complication rate, or rate of successful intubation by ED providers for children undergoing intubation in a pediatric ED.
The Egyptian Journal of Hospital Medicine, 2021
Background: Tracheal intubation is most usually facilitated by the use of a conventional Macintosh laryngoscope. Video and indirect laryngoscopes are becoming more significant tools in the management of the airways in children. Objective: To compare the time of intubation, the number of tries, and the success rate of pediatric intubation by beginner anesthesiologists using a video laryngoscope versus conventional Macintosh laryngoscope. Patients and Methods: This prospective randomized, single-blind clinical was conducted at Zagazig University Hospitals on 52 children aged from 2-6 years who were undergoing elective surgeries. VL Group: (n; 26 patients) intubation using video assisted laryngoscopy (Hugemed type). ML Group: (n; 26 patients) intubation using conventional Macintosh laryngoscope. Duration of intubation, number of trial, hemodynamic response as well as oxygen saturation were recorded at different intervals (base line, after induction, during intubation, after intubation) with assessment of complications. Results: As regard the efficacy and the safety of intubation those patients in ML group had lower intubation time than VL group. There was statistical difference as regard complications of endotracheal intubation as trauma, which was higher in ML group. Conclusion: With the use of a video-aided laryngoscope, it is possible to safely and under supervision to insert an airway into a patient with a difficult airway.
Indian Journal of Clinical Anaesthesia
There are many studies in India that have compared direct laryngoscopy and video laryngoscopy in adults but the published data regarding paediatric population which needs special consideration is limited. The present study was aimed to compare the efficacy of video laryngoscopy and direct laryngoscopy in endotracheal intubation in paediatric patients.The present randomised controlled research was done in 64 children of one to five years that underwent pre-planned surgery. Children were divided into direct laryngoscopy and video laryngoscopy groups by randomization. The comparison of the time required for the best visualisation of glottis was the primary outcome measure. The comparison of the time to intubation and number of attempts were the secondary outcome measures. An unpaired student’s t-test and the Chi-square/ Fisher’s exact tests were used to compare the quantitative and qualitative variables respectively.Mean time required for the best visualisation of video laryngoscopy an...
Video-assisted laryngoscopy: a useful adjunct in endotracheal intubation
Acta anaesthesiologica Belgica, 2007
The difficult airway is the single most important cause of anaesthesia-related morbidity and mortality and most catastrophes are due to unexpected difficulty, which are more likely in emergencies. We report a difficult airway scenario in a patient with a high energetic trauma and used several techniques for the "can't intubate, can't ventilate scenario". Eventually, successful intubation was obtained with the video-assisted laryngoscope.
GlideScope® Versus C-MAC® Video Laryngoscopy in Pediatric Intubation. Does Time Matter?
Iranian Journal of Pediatrics
Background: The emergence of video laryngoscopy in the management of pediatric airways has been invaluable as it has been known that these patients are prone to airway complications. Video laryngoscopes are proven to improve glottic view in both normal and difficult airways in pediatric patients. The time taken to intubate using these devices is inconsistent. Objectives: This study was designed to compare the time to intubate using two common video laryngoscopes, C-MAC®, and GlideScope®, aimed at pediatric patients age 3 - 12 years old. Methods: A Randomized controlled trial was conducted in 65 ASA I or II patients, aged 3 - 12 years old who underwent elective surgery using endotracheal tube. They were divided into group 1 patients who were intubated using C-MAC® video laryngoscope versus group 2 patients who were intubated with GlideScope® video laryngoscope. Laryngoscopists were all anesthetists with experience in both C-MAC® and GlideScope® intubation. Time to intubate and intuba...
Clinics (São Paulo, Brazil), 2014
Videolaryngoscopy has mainly been developed to facilitate difficult airway intubation. However, there is a lack of studies demonstrating this method's efficacy in pediatric patients. The aim of the present study was to compare the TruView infant EVO2 and the C-MAC videolaryngoscope with conventional direct Macintosh laryngoscopy in children with a bodyweight ≤10 kg in terms of intubation conditions and the time to intubation. In total, 65 children with a bodyweight ≤10 kg (0-22 months) who had undergone elective surgery requiring endotracheal intubation were retrospectively analyzed. Our database was screened for intubations with the TruView infant EVO2, the C-MAC videolaryngoscope, and conventional direct Macintosh laryngoscopy. The intubation conditions, the time to intubation, and the oxygen saturation before and after intubation were monitored, and demographic data were recorded. Only children with a bodyweight ≤10 kg were included in the analysis. A total of 23 children wer...
Resuscitation, 2017
Prehospital intubation poses several unique challenges. Video assisted laryngoscopy has been shown to help increase intubation success in the hospital setting; however, little prospective data have examined video assisted laryngoscopy in traditional ground ambulance agencies. We performed a randomized, cross-over, non-blinded trial in ground ambulances comparing first attempt success and overall intubation success between video assisted laryngoscopy using the King Video Laryngoscope (KVL) and direct laryngoscopy (DL). We collected patient and provider demographics along with intubation details. Success rates were compared on a per-protocol and an intention-to-treat analysis. Over 34 months, a total of 82 intubations were performed with 42 DL and 40 KVL based on the intention-to-treat analysis. First attempt success (28/42, 66.7% vs 25/40, 62.5%, p=0.69) and overall success (34/42, 81% vs 29/40, 72.5%, p=0.37) were similar between DL and KVL. Cormack-Lehane view and percentage of glo...