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Comparative evaluation of Airtraq™ and GlideScope® videolaryngoscopes for difficult pediatric intubation in a Pierre Robin manikin
Airway management in children is associated with anatomical and physiological challenges compared with adults. Pierre Robin sequence (PRS) is a condition characterized by micrognathia, glossoptosis, and cleft palate and related to a difficult airway. Both the Airtraq™ and GlideScope® have never been...
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| Published in: | European journal of pediatrics 2019-07, Vol.178 (7), p.1105-1111 |
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| container_title | European journal of pediatrics |
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| creator | Desai, Neel Johnson, Mae Priddis, Kat Ray, Samiran Chigaru, Linda |
| description | Airway management in children is associated with anatomical and physiological challenges compared with adults. Pierre Robin sequence (PRS) is a condition characterized by micrognathia, glossoptosis, and cleft palate and related to a difficult airway. Both the Airtraq™ and GlideScope® have never been previously directly compared in PRS. Our aim was to evaluate the performance of these two airway devices in a PRS manikin for ethical and practical reasons. Between April and July 2017, 26, pediatric intensive care clinical fellows or trainees from a tertiary pediatric center were recruited to participate. In this prospective and randomized crossover trial, all participants first set up the Airtraq™ and the GlideScope® and then used these videolaryngoscopes to intubate an AirSim® PRS manikin. Our primary outcome measure was the duration of the successful intubation attempt. Duration of the successful intubation attempt was 18.1 (14.2–34.9 [10.2–51.3]) s for the Airtraq™ compared to 31.1 (18.7–55.6 [6.2–119]) s for the GlideScope® (
p
= 0.045). Setup time was 50.0 ± 6.9 s for the Airtraq™ and 27.8 ± 8.6 s for the GlideScope® (
p
|
| doi_str_mv | 10.1007/s00431-019-03396-7 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2232123370</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2232123370</sourcerecordid><originalsourceid>FETCH-LOGICAL-c485t-ee1fb6ef57baa8a80a5fe96d726613b6a1ac9061a9efc243bcd6a6d879929f613</originalsourceid><addsrcrecordid>eNp9kU2O1DAQhS0EYpqBC7BAltiwCfgnsePlqAUD0kggftZRxSmPPCR2xk5aYg8X4QAcgqNwEtxkAIkFq6qyv_fK8iPkIWdPOWP6WWaslrxi3FRMSqMqfYvseC1FxZlWt8mOyZpVihtzQu7lfMWKyPD2LjmRnHNTy3ZHvuzjNEOCxR-Q4gHGtbQx0OjomU9Lgusfn79SCAM9H_2A72yc8fs3eih9HCF9CpcxH88ydTHRwTvn7ToudMbBw5K8pT4sa7-Z-kCBvvGYEtK3sS_jBMF_9OE-ueNgzPjgpp6SDy-ev9-_rC5en7_an11Utm6bpULkrlfoGt0DtNAyaBwaNWihFJe9Ag7WMMXBoLOilr0dFKih1cYI4wpySp5svnOK1yvmpZt8tjiOEDCuuRNCCi6k1Kygj_9Br-KaQnndkTINr3VzpMRG2RRzTui6Ofmp_EvHWXcMqdtC6kpI3a-QOl1Ej26s137C4Y_kdyoFkBuQy1W4xPR3939sfwLld6D2</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2239514750</pqid></control><display><type>article</type><title>Comparative evaluation of Airtraq™ and GlideScope® videolaryngoscopes for difficult pediatric intubation in a Pierre Robin manikin</title><source>Springer Link</source><creator>Desai, Neel ; Johnson, Mae ; Priddis, Kat ; Ray, Samiran ; Chigaru, Linda</creator><creatorcontrib>Desai, Neel ; Johnson, Mae ; Priddis, Kat ; Ray, Samiran ; Chigaru, Linda</creatorcontrib><description>Airway management in children is associated with anatomical and physiological challenges compared with adults. Pierre Robin sequence (PRS) is a condition characterized by micrognathia, glossoptosis, and cleft palate and related to a difficult airway. Both the Airtraq™ and GlideScope® have never been previously directly compared in PRS. Our aim was to evaluate the performance of these two airway devices in a PRS manikin for ethical and practical reasons. Between April and July 2017, 26, pediatric intensive care clinical fellows or trainees from a tertiary pediatric center were recruited to participate. In this prospective and randomized crossover trial, all participants first set up the Airtraq™ and the GlideScope® and then used these videolaryngoscopes to intubate an AirSim® PRS manikin. Our primary outcome measure was the duration of the successful intubation attempt. Duration of the successful intubation attempt was 18.1 (14.2–34.9 [10.2–51.3]) s for the Airtraq™ compared to 31.1 (18.7–55.6 [6.2–119]) s for the GlideScope® (
p
= 0.045). Setup time was 50.0 ± 6.9 s for the Airtraq™ and 27.8 ± 8.6 s for the GlideScope® (
p
< 0.001).
Conclusion
: Even though setup time was longer, the characteristics of intubation performance were superior with the Airtraq™ relative to the GlideScope® in an AirSim® PRS manikin.
What is Known:
•
Several case reports have described the successful use of Airtraq™ to intubate children with Pierre Robin sequence.
•
The GlideScope® has demonstrated similar rates of first-attempt successful intubation to flexible fiberoptic bronchoscopy in a Pierre Robin sequence manikin.
What is New:
•
In the hands of pediatric non-airway specialists, the characteristics of intubation performance, including the duration of the successful intubation attempt, are superior with the Airtraq™ compared with the GlideScope® in a Pierre Robin sequence manikin.
•
Setup time for the Airtraq™ is, however, longer relative to that for the GlideScope®.</description><identifier>ISSN: 0340-6199</identifier><identifier>EISSN: 1432-1076</identifier><identifier>DOI: 10.1007/s00431-019-03396-7</identifier><identifier>PMID: 31119438</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Airway Obstruction - therapy ; Bronchoscopy ; Case reports ; Child ; Children ; Cleft lip/palate ; Cross-Over Studies ; Humans ; Intubation ; Intubation, Intratracheal - instrumentation ; Laryngoscopes ; Laryngoscopy ; Laryngoscopy - instrumentation ; Manikins ; Medicine ; Medicine & Public Health ; Original Article ; Pediatrics ; Performance evaluation ; Respiratory tract ; Time Factors ; Video-Assisted Surgery - methods</subject><ispartof>European journal of pediatrics, 2019-07, Vol.178 (7), p.1105-1111</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>European Journal of Pediatrics is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c485t-ee1fb6ef57baa8a80a5fe96d726613b6a1ac9061a9efc243bcd6a6d879929f613</citedby><cites>FETCH-LOGICAL-c485t-ee1fb6ef57baa8a80a5fe96d726613b6a1ac9061a9efc243bcd6a6d879929f613</cites><orcidid>0000-0002-7298-9407</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31119438$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Desai, Neel</creatorcontrib><creatorcontrib>Johnson, Mae</creatorcontrib><creatorcontrib>Priddis, Kat</creatorcontrib><creatorcontrib>Ray, Samiran</creatorcontrib><creatorcontrib>Chigaru, Linda</creatorcontrib><title>Comparative evaluation of Airtraq™ and GlideScope® videolaryngoscopes for difficult pediatric intubation in a Pierre Robin manikin</title><title>European journal of pediatrics</title><addtitle>Eur J Pediatr</addtitle><addtitle>Eur J Pediatr</addtitle><description>Airway management in children is associated with anatomical and physiological challenges compared with adults. Pierre Robin sequence (PRS) is a condition characterized by micrognathia, glossoptosis, and cleft palate and related to a difficult airway. Both the Airtraq™ and GlideScope® have never been previously directly compared in PRS. Our aim was to evaluate the performance of these two airway devices in a PRS manikin for ethical and practical reasons. Between April and July 2017, 26, pediatric intensive care clinical fellows or trainees from a tertiary pediatric center were recruited to participate. In this prospective and randomized crossover trial, all participants first set up the Airtraq™ and the GlideScope® and then used these videolaryngoscopes to intubate an AirSim® PRS manikin. Our primary outcome measure was the duration of the successful intubation attempt. Duration of the successful intubation attempt was 18.1 (14.2–34.9 [10.2–51.3]) s for the Airtraq™ compared to 31.1 (18.7–55.6 [6.2–119]) s for the GlideScope® (
p
= 0.045). Setup time was 50.0 ± 6.9 s for the Airtraq™ and 27.8 ± 8.6 s for the GlideScope® (
p
< 0.001).
Conclusion
: Even though setup time was longer, the characteristics of intubation performance were superior with the Airtraq™ relative to the GlideScope® in an AirSim® PRS manikin.
What is Known:
•
Several case reports have described the successful use of Airtraq™ to intubate children with Pierre Robin sequence.
•
The GlideScope® has demonstrated similar rates of first-attempt successful intubation to flexible fiberoptic bronchoscopy in a Pierre Robin sequence manikin.
What is New:
•
In the hands of pediatric non-airway specialists, the characteristics of intubation performance, including the duration of the successful intubation attempt, are superior with the Airtraq™ compared with the GlideScope® in a Pierre Robin sequence manikin.
•
Setup time for the Airtraq™ is, however, longer relative to that for the GlideScope®.</description><subject>Airway Obstruction - therapy</subject><subject>Bronchoscopy</subject><subject>Case reports</subject><subject>Child</subject><subject>Children</subject><subject>Cleft lip/palate</subject><subject>Cross-Over Studies</subject><subject>Humans</subject><subject>Intubation</subject><subject>Intubation, Intratracheal - instrumentation</subject><subject>Laryngoscopes</subject><subject>Laryngoscopy</subject><subject>Laryngoscopy - instrumentation</subject><subject>Manikins</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pediatrics</subject><subject>Performance evaluation</subject><subject>Respiratory tract</subject><subject>Time Factors</subject><subject>Video-Assisted Surgery - methods</subject><issn>0340-6199</issn><issn>1432-1076</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9kU2O1DAQhS0EYpqBC7BAltiwCfgnsePlqAUD0kggftZRxSmPPCR2xk5aYg8X4QAcgqNwEtxkAIkFq6qyv_fK8iPkIWdPOWP6WWaslrxi3FRMSqMqfYvseC1FxZlWt8mOyZpVihtzQu7lfMWKyPD2LjmRnHNTy3ZHvuzjNEOCxR-Q4gHGtbQx0OjomU9Lgusfn79SCAM9H_2A72yc8fs3eih9HCF9CpcxH88ydTHRwTvn7ToudMbBw5K8pT4sa7-Z-kCBvvGYEtK3sS_jBMF_9OE-ueNgzPjgpp6SDy-ev9-_rC5en7_an11Utm6bpULkrlfoGt0DtNAyaBwaNWihFJe9Ag7WMMXBoLOilr0dFKih1cYI4wpySp5svnOK1yvmpZt8tjiOEDCuuRNCCi6k1Kygj_9Br-KaQnndkTINr3VzpMRG2RRzTui6Ofmp_EvHWXcMqdtC6kpI3a-QOl1Ej26s137C4Y_kdyoFkBuQy1W4xPR3939sfwLld6D2</recordid><startdate>20190701</startdate><enddate>20190701</enddate><creator>Desai, Neel</creator><creator>Johnson, Mae</creator><creator>Priddis, Kat</creator><creator>Ray, Samiran</creator><creator>Chigaru, Linda</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7298-9407</orcidid></search><sort><creationdate>20190701</creationdate><title>Comparative evaluation of Airtraq™ and GlideScope® videolaryngoscopes for difficult pediatric intubation in a Pierre Robin manikin</title><author>Desai, Neel ; Johnson, Mae ; Priddis, Kat ; Ray, Samiran ; Chigaru, Linda</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c485t-ee1fb6ef57baa8a80a5fe96d726613b6a1ac9061a9efc243bcd6a6d879929f613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Airway Obstruction - therapy</topic><topic>Bronchoscopy</topic><topic>Case reports</topic><topic>Child</topic><topic>Children</topic><topic>Cleft lip/palate</topic><topic>Cross-Over Studies</topic><topic>Humans</topic><topic>Intubation</topic><topic>Intubation, Intratracheal - instrumentation</topic><topic>Laryngoscopes</topic><topic>Laryngoscopy</topic><topic>Laryngoscopy - instrumentation</topic><topic>Manikins</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pediatrics</topic><topic>Performance evaluation</topic><topic>Respiratory tract</topic><topic>Time Factors</topic><topic>Video-Assisted Surgery - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Desai, Neel</creatorcontrib><creatorcontrib>Johnson, Mae</creatorcontrib><creatorcontrib>Priddis, Kat</creatorcontrib><creatorcontrib>Ray, Samiran</creatorcontrib><creatorcontrib>Chigaru, Linda</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Desai, Neel</au><au>Johnson, Mae</au><au>Priddis, Kat</au><au>Ray, Samiran</au><au>Chigaru, Linda</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparative evaluation of Airtraq™ and GlideScope® videolaryngoscopes for difficult pediatric intubation in a Pierre Robin manikin</atitle><jtitle>European journal of pediatrics</jtitle><stitle>Eur J Pediatr</stitle><addtitle>Eur J Pediatr</addtitle><date>2019-07-01</date><risdate>2019</risdate><volume>178</volume><issue>7</issue><spage>1105</spage><epage>1111</epage><pages>1105-1111</pages><issn>0340-6199</issn><eissn>1432-1076</eissn><abstract>Airway management in children is associated with anatomical and physiological challenges compared with adults. Pierre Robin sequence (PRS) is a condition characterized by micrognathia, glossoptosis, and cleft palate and related to a difficult airway. Both the Airtraq™ and GlideScope® have never been previously directly compared in PRS. Our aim was to evaluate the performance of these two airway devices in a PRS manikin for ethical and practical reasons. Between April and July 2017, 26, pediatric intensive care clinical fellows or trainees from a tertiary pediatric center were recruited to participate. In this prospective and randomized crossover trial, all participants first set up the Airtraq™ and the GlideScope® and then used these videolaryngoscopes to intubate an AirSim® PRS manikin. Our primary outcome measure was the duration of the successful intubation attempt. Duration of the successful intubation attempt was 18.1 (14.2–34.9 [10.2–51.3]) s for the Airtraq™ compared to 31.1 (18.7–55.6 [6.2–119]) s for the GlideScope® (
p
= 0.045). Setup time was 50.0 ± 6.9 s for the Airtraq™ and 27.8 ± 8.6 s for the GlideScope® (
p
< 0.001).
Conclusion
: Even though setup time was longer, the characteristics of intubation performance were superior with the Airtraq™ relative to the GlideScope® in an AirSim® PRS manikin.
What is Known:
•
Several case reports have described the successful use of Airtraq™ to intubate children with Pierre Robin sequence.
•
The GlideScope® has demonstrated similar rates of first-attempt successful intubation to flexible fiberoptic bronchoscopy in a Pierre Robin sequence manikin.
What is New:
•
In the hands of pediatric non-airway specialists, the characteristics of intubation performance, including the duration of the successful intubation attempt, are superior with the Airtraq™ compared with the GlideScope® in a Pierre Robin sequence manikin.
•
Setup time for the Airtraq™ is, however, longer relative to that for the GlideScope®.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31119438</pmid><doi>10.1007/s00431-019-03396-7</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-7298-9407</orcidid><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | Springer Link |
| subjects | Airway Obstruction - therapy Bronchoscopy Case reports Child Children Cleft lip/palate Cross-Over Studies Humans Intubation Intubation, Intratracheal - instrumentation Laryngoscopes Laryngoscopy Laryngoscopy - instrumentation Manikins Medicine Medicine & Public Health Original Article Pediatrics Performance evaluation Respiratory tract Time Factors Video-Assisted Surgery - methods |
| title | Comparative evaluation of Airtraq™ and GlideScope® videolaryngoscopes for difficult pediatric intubation in a Pierre Robin manikin |
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