Comparison of video laryngoscopy and direct laryngoscopy for nasotracheal intubation during pediatric oral surgery: a randomized clinical trial
Küçük Resim Yok
Tarih
2024
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Kuwait Medical Assoc
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
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.
Açıklama
Anahtar Kelimeler
direct laryngoscopy, nasotracheal intubation, pediatric oral surgery, video laryngoscopy, direct laryngoscopy, nasotracheal intubation, pediatric oral surgery, video laryngoscopy
Kaynak
Kuwait Medical Journal
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
56
Sayı
3
