Videolaryngoscopy versus direct laryngoscopy for airway management in paediatric patients: randomized controlled trial

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F21%3A00074909" target="_blank" >RIV/65269705:_____/21:00074909 - isvavai.cz</a>

Result on the web

<a href="https://journals.lww.com/anesthesia-analgesia/Citation/2021/09002/Abstract_Book,_17th_World_Congress_of.1.aspx" target="_blank" >https://journals.lww.com/anesthesia-analgesia/Citation/2021/09002/Abstract_Book,_17th_World_Congress_of.1.aspx</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1213/01.ane.0000791544.44545.82" target="_blank" >10.1213/01.ane.0000791544.44545.82</a>

Result language

angličtina

Original language name

Videolaryngoscopy versus direct laryngoscopy for airway management in paediatric patients: randomized controlled trial

Original language description

Videolaryngoscopy can improve the laryngeal inlet (vocal cords) visualisation and is frequently implemented into the clinical practice in patients with predicted difficult airway or even during the unexpected difficult airway management. The aim of the study was to compare the clinical effectivity and safety of elective videolaryngoscopy use for airway management in paediatric patients compared to direct laryngoscopy. Materials and Methods: The trial was approved by the Ethics Committee (10/2018), registered on clinicaltrials.gov (NCT03747250) and designed as a prospective randomized pragmatic trial. After obtaining informed consent, paediatric patients undergoing general anaesthesia with tracheal intubation were randomized into elective videolaryngoscopy versus direct laryngoscopy. The first attempt success rate, time to first ETCO2 wave, type of videolaryngoscope, type of tracheal tube, type of anaesthesia induction, complications were recorded. Results and Discussion: Overall 338 patients (1/2019-10/2019) were included, and data were available for 330 patients (162 video/168 direct). There were no significant differences in demographics between the groups. Inhalation induction was the preferred choice in both groups (78.4% video vs. 76.8% direct). Most patients were intubated with uncuffed tracheal tube (77.0% video vs. 73.8% direct). The first attempt success rate (86.4% vs. 93.5%), the median time to first ETCO2 wave (30 vs. 18 seconds) and the incidence of complications (5.5% vs. 3.6%) were all inferior for videolaryngoscopy. Conclusion: The first attempt success rate was higher in the direct laryngoscopy group versus videolaryngoscopy. Videolaryngoscopy was associated with higher incidence of complications.

Czech name

—

Czech description

—

Type

O - Miscellaneous

CEP classification

—

OECD FORD branch

30223 - Anaesthesiology

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2021

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů