Difficult Intubation
Conditions
Brief summary
Videolaryngoscopes improve laryngeal visualization in children under 3 years. In this study we aimed to compare Hugemed and McGrath videolaryngoscopes regarding their Cormach-Lehane (CL) and percentage of glottic opening (POGO) scores. Furthermore, tracheal intubation success rates, need for cricoid pressure and optimization maneuvers, and hemodynamic changes are compared.
Interventions
After general anesthesia induction, the first group of patients (Group M, n=20) was intubated with the McGrath videolaryngoscope. For the second group (Group H, n=20), the Hugemed videolaryngoscope was used. Patients were intubated using one of the appropriate blades numbered 1, 2, or 3 based on their height, weight, and age.
Sponsors
Marmara University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DEVICE_FEASIBILITY
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
6 Months to 3 Years
Healthy volunteers
Yes
Inclusion criteria
total of 40 elective surgical patients under the age of 3, classified as ASA 1-3 risk group, who underwent general anesthesia with no anticipated difficult airway.
Exclusion criteria
Patients who could not obtain parental consent, those classified as ASA 4 and above, individuals with serious cardiac and respiratory problems, and patients anticipated to have a difficult airway were not included in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Success of intubation | Procedure (At the time of the intubation of the patient.) | Number of attempts of the intubation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of glottis opening (POGO) | Procedure (At the time of the intubation of the patient.) | The primary aim of this study was to compare the percentage of glottis opening (POGO, 0-100%) scores in direct and indirect laryngoscopy performed with HugeMed and McGrath video laryngoscopes in pediatric patients. |
| Need for optimization maneuvers | Procedure (At the time of the intubation of the patient.) | Whether there are any optimization maneuvers by an assistant. |
| Degree of hemodynamic changes | Procedure (At the time of the intubation of the patient.) | Whether there are any acute changes in the patient heart rate during the intubation. |
| blood pressure | Procedure (At the time of the intubation of the patient.) | Whether there are any acute changes in the patient blood pressure during the intubation. |
| Success of intubation | Procedure (At the time of the intubation of the patient.) | Number of attempts of the intubation. |
Countries
Turkey (Türkiye)
Outcome results
None listed