Comparison of direct laryngoscopy and video-assisted laryngoscopy in pediatric intensive care unit

Our objective was to compare video-assisted laryngoscopy (VAL) with direct laryngoscopy (DL) for glottic visualization in a pediatric intensive care unit in terms of the success rate in first attempts. Our study included patients aged from 1 month to 18 years who were admitted to the pediatric inten...

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Bibliographic Details
Published in:Archives de pédiatrie : organe officiel de la Société française de pédiatrie 2021-11, Vol.28 (8), p.658-662
Main Authors: Serkan, Özsoylu, Adem, Dursun, Nur, Akyıldız Başak
Format: Article
Language:English
Subjects:
Child
Child, Preschool
Female
Humans
Infant
Intensive Care Units, Pediatric - organization & administration
Intensive Care Units, Pediatric - statistics & numerical data
Intubation
Intubation, Intratracheal - instrumentation
Intubation, Intratracheal - methods
Intubation, Intratracheal - standards
Laryngoscopy - methods
Laryngoscopy - standards
Laryngoscopy - statistics & numerical data
Male
Pediatric intensive care
Video-assisted laryngoscopy
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Summary:Our objective was to compare video-assisted laryngoscopy (VAL) with direct laryngoscopy (DL) for glottic visualization in a pediatric intensive care unit in terms of the success rate in first attempts. Our study included patients aged from 1 month to 18 years who were admitted to the pediatric intensive care unit. We excluded patients with limited neck extension (C-spine immobilization, congenital abnormality), congenital anomalies (e.g., Pierre Robin syndrome, micrognathia, macroglossia), and recent airway surgery. Patients were premedicated before intubation. The time to intubation was defined as the time between the start of anesthesia and completion of intubation. The start of anesthetic induction was defined as the time the sedative was first administered. Completion of intubation was defined as the time that the end-tidal carbon dioxide tension was detected. We evaluated 120 of 135 intubations that met our inclusion criteria; 15 were excluded because in eight cases (53%) non-pediatric intensive care physicians made the initial attempts, and in seven cases (47%) the recorded intubation times were erroneous. We detected significantly higher POGO scores in the VAL group (p
ISSN:0929-693X
1769-664X
DOI:10.1016/j.arcped.2021.09.021