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    Comparison of video laryngoscopy and direct laryngoscopy for nasotracheal intubation during pediatric oral surgery: a randomized clinical trial
    (Kuwait Medical Assoc, 2024) Canakci, Ebru; Gultekin, Ahmet; Cebeci, Zubeyir; Coskun, Ilker; Tas, Nilay; Altinbas, Ali
    Objectives: Airway control is a condition that should be evaluated primarily in anesthesia practice in the pediatric age group. Failed or prolonged intubation duration can cause atelectasis and hypoxia in children. The aim of this study was to examine the effects of Macintosh laryngoscopy and McGrath video laryngoscopy (VL) on hemodynamic parameters in pediatric patients who were scheduled to undergo elective oral surgery and required intubation for the application of general anesthesia. Design: Prospective, randomized, single-blind study Setting: Ordu University, Training and Research Hospital, Ordu, Turkey Subjects: Sixty-six patients were divided into two groups. Interventions: According to the procedure used during intubation, direct laryngoscopy (DL) or VL. Main Outcome Measures: The Cormack-Lehane and Mallampati scores, intubation duration, heart rate and mean arterial pressure values were recorded for all the patients. Results: We found that the intubation time in the VL group was shorter than that in the DL group (P=0.024). Magill forceps were significantly less frequently used in the VL group (P<0.001). When the VL and DL groups were compared, significant differences were observed in the heart rate at minute 3 (P=0.014) and minute 5 (P<0.001), systolic blood pressure at minute 3 (P=0.008), and mean arterial pressure at minute 3 and 5 (P=0.004, P=0.002, respectively). Conclusion: Compared with the classic Macintosh laryngoscopy, McGrath video laryngoscope reduces the intubation time, facilitates intubation and reduces the stress response to intubation. We believe that video laryngoscopy devices should be extensively used in anesthesiology practice.
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    Comparison of video laryngoscopy and direct laryngoscopy for nasotracheal intubation during pediatric oral surgery: a randomized clinical trial
    (Kuwait Medical Association, 2024) Canakci, Ebru; Gultekin, Ahmet; Cebeci, Zubeyir; Coskun, Ilker; Tas, Nilay; Altinbas, Ali
    Objectives: Airway control is a condition that should be evaluated primarily in anesthesia practice in the pediatric age group. Failed or prolonged intubation duration can cause atelectasis and hypoxia in children. The aim of this study was to examine the effects of Macintosh laryngoscopy and McGrath video laryngoscopy (VL) on hemodynamic parameters in pediatric patients who were scheduled to undergo elective oral surgery and required intubation for the application of general anesthesia. Design: Prospective, randomized, single-blind study Setting: Ordu University, Training and Research Hospital, Ordu, Turkey Subjects: Sixty-six patients were divided into two groups. Interventions: According to the procedure used during intubation, direct laryngoscopy (DL) or VL. Main Outcome Measures: The Cormack-Lehane and Mallampati scores, intubation duration, heart rate and mean arterial pressure values were recorded for all the patients. Results: We found that the intubation time in the VL group was shorter than that in the DL group (P=0.024). Magill forceps were significantly less frequently used in the VL group (P<0.001). When the VL and DL groups were compared, significant differences were observed in the heart rate at minute 3 (P=0.014) and minute 5 (P<0.001), systolic blood pressure at minute 3 (P=0.008), and mean arterial pressure at minute 3 and 5 (P=0.004, P=0.002, respectively). Conclusion: Compared with the classic Macintosh laryngoscopy, McGrath video laryngoscope reduces the intubation time, facilitates intubation and reduces the stress response to intubation. We believe that video laryngoscopy devices should be extensively used in anesthesiology practice. ClinicalTrials.gov Identifier: NCT04677894. © 2024, Kuwait Medical Association. All rights reserved.
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    Prolonged Stay in the Intensive Care Unit: A Retrospective Analysis of Six Years
    (Galenos Publ House, 2023) Baran, Onur; Sahin, Ayhan; Gultekin, Ahmet; Arar, Cavidan
    Aim: A prolonged intensive care unit stay (ICU) is associated with many factors and causes various problems. This study aims to evaluate the clinical characteristics and the factors that led to the stay of the patients treated in the ICUs for 30 days and more. Materials and Methods: The data of 178 patients were analyzed retrospectively. Those with an ICU stay of 7-29 days (n=89) were assigned as ICU stay day <30 days - Group 1 and those with a stay of 30 days and more (n=89) were assigned as ICU stay day >= 30 days - Group 2. The factors related to a prolonged ICU stay were investigated in this study. The data obtained from the hospital data system were compared. Results: The age and gender distributions of the 178 patients were not statistically different between the two groups (p=0.355 and p=0.758, respectively). The group with an ICU stay of >= 30 days had a significantly higher tracheostomy rate (p<0.05) than the group with an ICU stay of <30 days. In this study, percutaneous endoscopic gastrostomy procedures were used more frequently on patients who stayed in the ICU for 30 days or more than on those who stayed for less than 30 days (p=0.000). Conclusion: Prolonged ICU stay are caused by multiple factors, and palliative care units and home care facilities must be used frequently to make the best use of ICU beds and to prevent prolonged ICU stays, which cause increased mortality and negative financial outcomes.