Video Assisted Laryngoscope versus Conventional Macintosh for Pediatric Intubation by Beginner Anesthesiologists

Abstract

Background: Tracheal intubation is most usually facilitated by the use of a conventional Macintosh laryngoscope. Video and indirect laryngoscopes are becoming more significant tools in the management of the airways in children.
Objective: To compare the time of intubation, the number of tries, and the success rate of pediatric intubation by beginner anesthesiologists using a video laryngoscope versus conventional Macintosh laryngoscope.
Patients and Methods: This prospective randomized, single-blind clinical was conducted at Zagazig University Hospitals on 52 children aged from 2-6 years who were undergoing elective surgeries. VL Group: (n; 26 patients) intubation using video assisted laryngoscopy (Hugemed type). ML Group: (n; 26 patients) intubation using conventional Macintosh laryngoscope. Duration of intubation, number of trial, hemodynamic response as well as oxygen saturation were recorded at different intervals (base line, after induction, during intubation, after intubation) with assessment of complications.
Results: As regard the efficacy and the safety of intubation those patients in ML group had lower intubation time than VL group. There was statistical difference as regard complications of endotracheal intubation as trauma,which was higher in ML group.
Conclusion: With the use of a video-aided laryngoscope, it is possible to safely and under supervision to insert an airway into a patient with a difficult airway.