Comparison of airtraq™ versus C-MAC® videolaryngoscope for tracheal intubation in children with normal airways

Autor: Barkha Agrawal, Nandini Dave, Raylene Dias, Ketan Kulkarni, Harick Shah
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Medical Journal of Dr. D.Y. Patil Vidyapeeth, Vol 15, Iss 2, Pp 197-201 (2022)
Druh dokumentu: article
ISSN: 2589-8302
2589-8310
DOI: 10.4103/mjdrdypu.mjdrdypu_2_20
Popis: Background and Aims: When compared with direct laryngoscopes, videolaryngoscopes can provide a significantly better view of the larynx. There are no studies in children directly comparing Airtraq™ and C-MAC® videolaryngoscopes. We aimed to compare intubating characteristics between these two devices in pediatric patients. The primary outcome measure was the time needed for successful intubation and secondary outcome measures were the number of attempts to intubate, ease of intubation, percentage of glottic opening (POGO) score, optimization maneuvers and complications such as airway trauma and esophageal intubation. Materials and Methods: One hundred and twelve children aged 1–12 years undergoing elective surgery under general anesthesia are quiring tracheal intubation were enrolled. Children were randomized into two groups using computer generated randomization sequence. The t-test was used for analyzing quantitative data, nonparametric data were analyzed using Mann–Whitney test, and categorical data were analyzed using the Chi-square test. Results: Time to tracheal intubation was significantly longer with Airtraq™ (41.0 s) compared to C-MAC® (23.4 s); P < 0.001. The number of attempts at tracheal intubation was more with Airtraq™ (P = 0.008). Seventy-five percent of anesthesiologists found C-MAC® easy to use. POGO score was >90% in both groups without maneuvers. Conclusion: The study found that in pediatric patients with normal airways, time to intubation was faster with C-MAC® as compared to AirtraqTM. C-MAC® also performed better in aspects like the number of attempts and ease of intubation.
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