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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.
  • Küçük Resim Yok
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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.