Comparative evaluation of Airtraq™ optical Laryngoscope and Miller's blade in paediatric patients undergoing elective surgery requiring tracheal intubation: A randomized, controlled trial
| Autor: | Subhro Mitra, Arijit Samanta, Shahin N Jamil, Bikramjit Das |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment laryngoscopes Airtraq behavioral disciplines and activities Comparative evaluation law.invention lcsh:RD78.3-87.3 paediatrics surgery 03 medical and health sciences 0302 clinical medicine Randomized controlled trial 030202 anesthesiology law medicine Intubation 030212 general & internal medicine Elective surgery Paediatric patients business.industry Tracheal intubation Surgery Anesthesiology and Pain Medicine lcsh:Anesthesiology Anesthesia randomized controlled trial Original Article Airway business |
| Zdroj: | Indian Journal of Anaesthesia Indian Journal of Anaesthesia, Vol 61, Iss 4, Pp 326-331 (2017) |
| ISSN: | 0019-5049 |
| DOI: | 10.4103/ija.ija_541_15 |
| Popis: | Background and Aims: The Airtraq™ optical laryngoscope is the only marketed videolaryngoscope for paediatric patients besides the fibre-optic bronchoscope. We hypothesized that intubation would be easier with Airtraq™ compared to Miller blade. Hence, we compared Airtraq™ with the Miller laryngoscope as intubation devices in paediatric patients. Methods: This prospective, randomized study was conducted in a tertiary care teaching hospital. Sixty children belonging to American Society of Anesthesiologists' Grade I–II, aged 2–10 years, posted for routine surgery requiring tracheal intubation were randomly allocated to undergo intubation using a Miller (n = 30) or Airtraq™ (n = 30) laryngoscope. The primary outcome measure was time of intubation. We also measured ease of intubation, number of attempts, percentage of glottic opening score (POGO), haemodynamic changes and airway trauma. Student t test was used to analyse parametric data. Results: Intubation time was comparable between Miller's laryngoscope (15.13 ± 1.33s) compared to Airtraq™ (11.53 ± 0.49 s) (P = 0.29) The number of first and second attempts at intubation were 25 and 5 for the Miller laryngoscope and 29 and 1 for the Airtraq™. Median visual analogue score (VAS) for ease of intubation was 5 in Miller group compared to 3 in Airtraq™ group. The median POGO score was 75 in the Miller group and 100 in the Airtraq™ group (P = 0.01). Haemodynamic changes were maximum and most significant immediately and 1 min after intubation. Airway trauma occurred in three patients (9.09%) in Miller group and one patient (3.33%) in Airtraq™ group. Conclusion: The Airtraq™ reduced the difficulty of tracheal intubation and degree of haemodynamic stimulation compared to the Miller laryngoscope in paediatric patients. |
| Databáze: | OpenAIRE |
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