Videolaryngoscopy vs. Direct Laryngoscopy for Elective Airway Management in Paediatric Anaesthesia A prospective randomised controlled trial

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F21%3A00074571" target="_blank" >RIV/65269705:_____/21:00074571 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216224:14110/21:00122591

Výsledek na webu

<a href="https://journals.lww.com/ejanaesthesiology/Fulltext/2021/11000/Videolaryngoscopy_vs__Direct_Laryngoscopy_for.10.aspx" target="_blank" >https://journals.lww.com/ejanaesthesiology/Fulltext/2021/11000/Videolaryngoscopy_vs__Direct_Laryngoscopy_for.10.aspx</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1097/EJA.0000000000001595" target="_blank" >10.1097/EJA.0000000000001595</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Videolaryngoscopy vs. Direct Laryngoscopy for Elective Airway Management in Paediatric Anaesthesia A prospective randomised controlled trial

Popis výsledku v původním jazyce

BACKGROUND The indirect visualisation of the glottic area with a videolaryngoscope could improve intubation conditions which may possibly lead to a higher success rate of the first intubation attempt. OBJECTIVE Comparison of videolaryngoscopy and direct laryngoscopy for elective airway management in paediatric patients. DESIGN Prospective randomised controlled trial. SETTINGS Operating room. PARTICIPANTS 535 paediatric patients undergoing elective anaesthesia with tracheal intubation. 501 patients were included in the final analysis. INTERVENTIONS Patients were randomly allocated to the videolaryngoscopy group (n = 265) and to the direct laryngoscopy group (n = 269) for the primary airway management. MAIN OUTCOME MEASURES The first attempt intubation success rate was assessed as the primary outcome. The secondary outcomes were defined as: the time to successful intubation (time to the first EtCO2 wave), the overall intubation success rate, the number of intubation attempts, the incidence of complications, and the impact of the length of the operator&apos;s clinical practice. RESULTS The study was terminated after the planned interim analysis for futility. There were no significant demographic differences between the two groups. The first attempt intubation success rate was lower in the videolaryngoscopy group; 86.8% (n = 211) vs. 92.6% (n = 239), P = 0.046. The mean time to the first EtCO2 wave was longer in the videolaryngoscopy group at 39.0 s +/- 36.7 compared to the direct laryngoscopy group, 23.6 s +/- 24.7 (P &lt; 0.001). There was no difference in the overall intubation success rate, in the incidence of complications nor significant difference based on the length of the clinical practice of the operator. CONCLUSIONS The first attempt intubation success rate was lower in the videolaryngoscopy group in comparison to the direct laryngoscopy group. The time needed for successful intubation with videolaryngoscopy was longer compared with direct laryngoscopy.

Název v anglickém jazyce

Videolaryngoscopy vs. Direct Laryngoscopy for Elective Airway Management in Paediatric Anaesthesia A prospective randomised controlled trial

Popis výsledku anglicky

BACKGROUND The indirect visualisation of the glottic area with a videolaryngoscope could improve intubation conditions which may possibly lead to a higher success rate of the first intubation attempt. OBJECTIVE Comparison of videolaryngoscopy and direct laryngoscopy for elective airway management in paediatric patients. DESIGN Prospective randomised controlled trial. SETTINGS Operating room. PARTICIPANTS 535 paediatric patients undergoing elective anaesthesia with tracheal intubation. 501 patients were included in the final analysis. INTERVENTIONS Patients were randomly allocated to the videolaryngoscopy group (n = 265) and to the direct laryngoscopy group (n = 269) for the primary airway management. MAIN OUTCOME MEASURES The first attempt intubation success rate was assessed as the primary outcome. The secondary outcomes were defined as: the time to successful intubation (time to the first EtCO2 wave), the overall intubation success rate, the number of intubation attempts, the incidence of complications, and the impact of the length of the operator&apos;s clinical practice. RESULTS The study was terminated after the planned interim analysis for futility. There were no significant demographic differences between the two groups. The first attempt intubation success rate was lower in the videolaryngoscopy group; 86.8% (n = 211) vs. 92.6% (n = 239), P = 0.046. The mean time to the first EtCO2 wave was longer in the videolaryngoscopy group at 39.0 s +/- 36.7 compared to the direct laryngoscopy group, 23.6 s +/- 24.7 (P &lt; 0.001). There was no difference in the overall intubation success rate, in the incidence of complications nor significant difference based on the length of the clinical practice of the operator. CONCLUSIONS The first attempt intubation success rate was lower in the videolaryngoscopy group in comparison to the direct laryngoscopy group. The time needed for successful intubation with videolaryngoscopy was longer compared with direct laryngoscopy.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

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OECD FORD obor

30209 - Paediatrics

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2021

Kód důvěrnosti údajů

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

Název periodika

European Journal of Anaesthesiology

ISSN

0265-0215

e-ISSN

—

Svazek periodika

38

Číslo periodika v rámci svazku

11

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

7

Strana od-do

1187-1193

Kód UT WoS článku

000703607400011

EID výsledku v databázi Scopus

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