Skip to main content
Journal cover image

A comparison of videolaryngoscopy using standard blades or non-standard blades in children in the Paediatric Difficult Intubation Registry.

Publication ,  Journal Article
Peyton, J; Park, R; Staffa, SJ; Sabato, S; Templeton, TW; Stein, ML; Garcia-Marcinkiewicz, AG; Kiss, E; Fiadjoe, JE; von Ungern-Sternberg, B ...
Published in: British journal of anaesthesia
January 2021

The design of a videolaryngoscope blade may affect its efficacy. We classified videolaryngoscope blades as standard and non-standard shapes to compare their efficacy performing tracheal intubation in children enrolled in the Paediatric Difficult Intubation Registry.Cases entered in the Registry from March 2017 to January 2020 were analysed. We compared the success rates of initial and eventual tracheal intubation, complications, and technical difficulties between the two groups and by weight stratification.Videolaryngoscopy was used in 1313 patients. Standard and non-standard blades were used in 529 and 740 patients, respectively. Both types were used in 44 patients. In children weighing <5 kg, standard blades had significantly greater success than non-standard blades at initial (51% vs 26%, P=0.002) and eventual (81% vs 58%, P=0.002) attempts at tracheal intubation. In multivariable logistic regression analysis, standard blades had 3-fold greater odds of success at initial tracheal intubations compared with non-standard blades (adjusted odds ratio 3.0, 95% confidence interval): 1.32-6.86, P=0.0009). Standard blades had 2.6-fold greater odds of success at eventual tracheal intubation compared with non-standard blades in children weighing <5 kg (adjusted odds ratio 2.6, 95% confidence interval: 1.08-6.25, P=0.033). There was no significant difference found in children weighing ≥5 kg.In infants weighing <5 kg, videolaryngoscopy with standard blades was associated with a significantly greater success rate than videolaryngoscopy with non-standard blades. Videolaryngoscopy with a standard blade is a sensible choice for tracheal intubation in children who weigh <5 kg.

Altmetric Attention Stats
Dimensions Citation Stats

Published In

British journal of anaesthesia

DOI

EISSN

1471-6771

ISSN

0007-0912

Publication Date

January 2021

Volume

126

Issue

1

Start / End Page

331 / 339

Related Subject Headings

  • Video Recording
  • Retrospective Studies
  • Registries
  • Male
  • Laryngoscopy
  • Laryngoscopes
  • Intubation, Intratracheal
  • Humans
  • Female
  • Equipment Design
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Peyton, J., Park, R., Staffa, S. J., Sabato, S., Templeton, T. W., Stein, M. L., … PeDI Collaborative Investigators, . (2021). A comparison of videolaryngoscopy using standard blades or non-standard blades in children in the Paediatric Difficult Intubation Registry. British Journal of Anaesthesia, 126(1), 331–339. https://doi.org/10.1016/j.bja.2020.08.010
Peyton, James, Raymond Park, Steven J. Staffa, Stefano Sabato, Thomas W. Templeton, Mary Lyn Stein, Annery G. Garcia-Marcinkiewicz, et al. “A comparison of videolaryngoscopy using standard blades or non-standard blades in children in the Paediatric Difficult Intubation Registry.British Journal of Anaesthesia 126, no. 1 (January 2021): 331–39. https://doi.org/10.1016/j.bja.2020.08.010.
Peyton J, Park R, Staffa SJ, Sabato S, Templeton TW, Stein ML, et al. A comparison of videolaryngoscopy using standard blades or non-standard blades in children in the Paediatric Difficult Intubation Registry. British journal of anaesthesia. 2021 Jan;126(1):331–9.
Peyton, James, et al. “A comparison of videolaryngoscopy using standard blades or non-standard blades in children in the Paediatric Difficult Intubation Registry.British Journal of Anaesthesia, vol. 126, no. 1, Jan. 2021, pp. 331–39. Epmc, doi:10.1016/j.bja.2020.08.010.
Peyton J, Park R, Staffa SJ, Sabato S, Templeton TW, Stein ML, Garcia-Marcinkiewicz AG, Kiss E, Fiadjoe JE, von Ungern-Sternberg B, Chiao F, Olomu P, Zurakowski D, Kovatsis PG, PeDI Collaborative Investigators. A comparison of videolaryngoscopy using standard blades or non-standard blades in children in the Paediatric Difficult Intubation Registry. British journal of anaesthesia. 2021 Jan;126(1):331–339.
Journal cover image

Published In

British journal of anaesthesia

DOI

EISSN

1471-6771

ISSN

0007-0912

Publication Date

January 2021

Volume

126

Issue

1

Start / End Page

331 / 339

Related Subject Headings

  • Video Recording
  • Retrospective Studies
  • Registries
  • Male
  • Laryngoscopy
  • Laryngoscopes
  • Intubation, Intratracheal
  • Humans
  • Female
  • Equipment Design