Comparison of video laryngoscopy and direct laryngoscopy for nasotracheal intubation during pediatric oral surgery: a randomized clinical trial

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dc.contributor.authorCanakci, Ebru
dc.contributor.authorGultekin, Ahmet
dc.contributor.authorCebeci, Zubeyir
dc.contributor.authorCoskun, Ilker
dc.contributor.authorTas, Nilay
dc.contributor.authorAltinbas, Ali
dc.date.accessioned2024-10-29T18:00:17Z
dc.date.available2024-10-29T18:00:17Z
dc.date.issued2024
dc.departmentTekirdağ Namık Kemal Üniversitesi
dc.description.abstractObjectives: 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.
dc.description.sponsorshipFunding source: The authors declare no financial support.
dc.identifier.issn1607-8047
dc.identifier.issn0023-5776
dc.identifier.issue3en_US
dc.identifier.urihttps://hdl.handle.net/20.500.11776/14969
dc.identifier.volume56
dc.identifier.wosWOS:001315002700002
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.language.isoen
dc.publisherKuwait Medical Assoc
dc.relation.ispartofKuwait Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectdirect laryngoscopy
dc.subjectnasotracheal intubation
dc.subjectpediatric oral surgery
dc.subjectvideo laryngoscopy
dc.subjectdirect laryngoscopy
dc.subjectnasotracheal intubation
dc.subjectpediatric oral surgery
dc.subjectvideo laryngoscopy
dc.titleComparison of video laryngoscopy and direct laryngoscopy for nasotracheal intubation during pediatric oral surgery: a randomized clinical trial
dc.typeArticle

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