2018, Number 1
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Rev Mex Anest 2018; 41 (1)
Airtraq videolaryngoscope versus Bonfils fibroscope for elective orotracheal intubation in pediatric patient with normal airway
Ramírez-Hernández ME, Hernández-Gutiérrez D, Sánchez-Hernández E, Romo-Serrano E, Echeto-Cerrato MA
Language: Spanish
References: 34
Page: 24-31
PDF size: 259.34 Kb.
ABSTRACT
Introduction: Videolaryngoscopy has gained popularity for its usefulness during anticipated and unexpected difficult airway management in adults. It’s use is rare for normal airway intervention and much less common in children. Our goal is to compare the effectiveness of Bonfils fiberscope versus Airtraq videolaryngoscope for airway management during a normal pediatric airway to encourage routine use of videolaryngoscopy technique in this age specific population.
Material and methods: 138 ASA I patients aged between one month and five years scheduled for elective surgery requiring endotracheal intubation were recruited. They were randomized into the Bonfils group or Airtraq group. Characteristics of laryngeal view, consequences and ease of use during intubation and post intubation complications were evaluated. We recorded intubation time, Cormack Lehane, POGO score, image quality, ease for intubation, oxygen saturation, amount of attempts to intubate and number of operators needed for a successful intubation.
Results: Endotracheal intubation was successful at first attempt in 94.1% in the Bonfils group; significantly higher than the Airtraq group with 82.6%. Mean time to intubation was significantly longer in the Airtraq group (59.39 versus 39.96 seconds, p = 0.001). There were no significant differences in laryngeal view, image quality and post intubation complications between the groups.
Conclusions: Both video laryngoscopes provide better glottis visualization, improving POGO and Cormack-Lehane scores in pediatric patients with normal airways. The Airtraq video laryngoscope showed less effectiveness by having better image quality at the expense of prolonged intubation times and lower successful intubation rates.
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