Comparison of Video Laryngoscopy and Direct Laryngoscopy for Nasotracheal Intubation During Pediatric Dental Surgery

T.C. ORDU ÜNİVERSİTESİ

Status: Completed

Conditions: Intraoperative Hypertension; Peroperative Complication; Tachycardia, Sinus; Airway Complication of Anesthesia; Desaturation of Blood

Treatments: Device: Laryngoscopy

Study type: Observational

Funder types: Other

Identifiers

NCT04677894

ECanakci

Details and patient eligibility

About

Background and Objective: Airway control is a condition that should be evaluated primarily in anesthesia practice in the pediatric age group. Failed intubation 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 videolaryngoscopy on hemodynamic parameters in pediatric patients who were scheduled to undergo elective dental surgery and required intubation for the application of general anesthesia.

Methods: Sixty-six patients were divided into two groups according to the procedure used during intubation, namely, direct laryngoscopy or video laryngoscopy. The Cormack-Lehane and Mallampati scores, intubation duration, heart rate at minutes 0, 1, 3 and 5 during intubation, mean arterial pressure, EtCO2and SpO2 values were recorded for all the patients.

Full description

Many techniques in the management of a difficult airway have been used in adult patients. In pediatric patients, awake fiberoptic intubation is difficult or even impossible . The video laryngoscope is a new tool produced by combining video technology and laryngoscope. Published studies on the video laryngoscope were mostly performed in adults . In this study, we used a Macintosh laryngoscope, which is a routinely used tool in anesthesiology, and a McGrath video laryngoscope, which is a type of a newly developed video laryngoscope that has not widely been used in the pediatric age group. The aim of this study was to examine the effects of Macintosh laryngoscopy and McGrath videolaryngoscopy on hemodynamic parameters in pediatric patients who were scheduled to undergo elective dental surgery and required intubation for the application of general anesthesia. We also evaluated whether Macintosh laryngoscopy and McGrath videolaryngoscopy improved the stress response and whether these approaches facilitated the intubation procedure.

Enrollment: 66 patients

Sex: All

Ages: 4 to 13 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Healthy children between the ages of 4-13

• Ordu University School of Medicine ,pediatric age group ,elective oral surgery 4-13 years and who were scheduled for elective oral surgery under general anesthesia with intubation If Patients with a Cormack -Lehane score 1,2 or 3 and if Mallampathy score of 1,2 or 3 were inccluded from the study

Exclusion criteria

1. With malignancy disease patients
2. with norological disorders
3. with congenital heart disease
4. with airway abnormality
5. with airway disease patients
6. Patients age Under 4 years , Above 13 years
7. If Patients with a Cormack -Lehane score 4 and if Mallampathy score of 4 were excluded from the study -

Trial design

66 participants in 2 patient groups

Group Direct Laringoscopy

Description:

Group DL: Group of patients intubated using a Macintoch blade laryngoscope.

Treatment:

Device: Laryngoscopy

Group Videolaringoscopy

Description:

Group VL: Group of patients intubated using a McGrath video laryngoscope.

Treatment:

Device: Laryngoscopy