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The efficacy of GlideScope® videolaryngoscopy compared with direct laryngoscopy in children who are difficult to intubate: an analysis from the paediatric difficult intubation registry.

Publication ,  Journal Article
Park, R; Peyton, JM; Fiadjoe, JE; Hunyady, AI; Kimball, T; Zurakowski, D; Kovatsis, PG; PeDI Collaborative Investigators, ...
Published in: British journal of anaesthesia
November 2017

We analysed data from the Paediatric Difficult Intubation Registry examining the use of direct laryngoscopy and GlideScope® videolaryngoscopy.Data collected by a multicentre, paediatric difficult intubation registry from 1295 patients were analysed. Rates of success and complications between direct laryngoscopy and GlideScope videolaryngoscopy were analysed.Initial (464/877 = 53% vs 33/828 = 4%, Z-test = 22.2, P < 0.001) and eventual (720/877 = 82% vs. 174/828 = 21%, Z-test = 25.2, P < 0.001) success rates for GlideScope were significantly higher than direct laryngoscopy. Children weighing <10 kg had lower success rates with the GlideScope than the group as a whole. There were no differences in complication rates per attempt between direct laryngoscopy and GlideScope. The direct laryngoscopy group had more complications associated with the greater number of attempts needed to intubate. There were no increased risks of hypoxia or trauma with GlideScope use. Each additional attempt at intubation with either device resulted in a two-fold increase in complications (odds ratio: 2.0, 95% confidence interval: 1.5-2.5, P < 0.001).During difficult tracheal intubation in children, direct laryngoscopy is an overly used technique with a low chance of success. GlideScope use was associated with a higher chance of success with no increased risk of complications. GlideScope use in children with difficult tracheal intubation has a lower success rate than in adults with difficult tracheal intubation. Children weighing less than 10 kilograms had lower success rates with either device. Attempts should be minimized with either device to decrease complications.

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Published In

British journal of anaesthesia

DOI

EISSN

1471-6771

ISSN

0007-0912

Publication Date

November 2017

Volume

119

Issue

5

Start / End Page

984 / 992

Related Subject Headings

  • Video Recording
  • Registries
  • Pediatrics
  • Male
  • Laryngoscopy
  • Intubation, Intratracheal
  • Infant
  • Humans
  • Female
  • Equipment Design
 

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Park, R., Peyton, J. M., Fiadjoe, J. E., Hunyady, A. I., Kimball, T., Zurakowski, D., … PeDI collaborative investigators, . (2017). The efficacy of GlideScope® videolaryngoscopy compared with direct laryngoscopy in children who are difficult to intubate: an analysis from the paediatric difficult intubation registry. British Journal of Anaesthesia, 119(5), 984–992. https://doi.org/10.1093/bja/aex344
Park, R., J. M. Peyton, J. E. Fiadjoe, A. I. Hunyady, T. Kimball, D. Zurakowski, P. G. Kovatsis, P. G. PeDI Collaborative Investigators, and P. G. PeDI collaborative investigators. “The efficacy of GlideScope® videolaryngoscopy compared with direct laryngoscopy in children who are difficult to intubate: an analysis from the paediatric difficult intubation registry.British Journal of Anaesthesia 119, no. 5 (November 2017): 984–92. https://doi.org/10.1093/bja/aex344.
Park R, Peyton JM, Fiadjoe JE, Hunyady AI, Kimball T, Zurakowski D, et al. The efficacy of GlideScope® videolaryngoscopy compared with direct laryngoscopy in children who are difficult to intubate: an analysis from the paediatric difficult intubation registry. British journal of anaesthesia. 2017 Nov;119(5):984–92.
Park, R., et al. “The efficacy of GlideScope® videolaryngoscopy compared with direct laryngoscopy in children who are difficult to intubate: an analysis from the paediatric difficult intubation registry.British Journal of Anaesthesia, vol. 119, no. 5, Nov. 2017, pp. 984–92. Epmc, doi:10.1093/bja/aex344.
Park R, Peyton JM, Fiadjoe JE, Hunyady AI, Kimball T, Zurakowski D, Kovatsis PG, PeDI Collaborative Investigators, PeDI collaborative investigators. The efficacy of GlideScope® videolaryngoscopy compared with direct laryngoscopy in children who are difficult to intubate: an analysis from the paediatric difficult intubation registry. British journal of anaesthesia. 2017 Nov;119(5):984–992.
Journal cover image

Published In

British journal of anaesthesia

DOI

EISSN

1471-6771

ISSN

0007-0912

Publication Date

November 2017

Volume

119

Issue

5

Start / End Page

984 / 992

Related Subject Headings

  • Video Recording
  • Registries
  • Pediatrics
  • Male
  • Laryngoscopy
  • Intubation, Intratracheal
  • Infant
  • Humans
  • Female
  • Equipment Design