Comparison of Truview EVO2 Videolaryngoscope and Macintosh Laryngoscope in Pediatric Patients

Abstract

Aim: We aimed to compare Trueview EVO2 laryngoscope and Macintosh laryngoscope in terms of hemodynamic response and intubation conditions for pediatric patients. 100 children aged between 1 month and 4 years were included in the study.

Method: Patients were randomly divided into 2 groups. Intubation was performed via Macintosh laryngoscope in Group DL and via Trueview EVO2^TM videolaryngoscope in Group VL.

Results: Heart rates were similar between the two groups. Systolic, diastolic and mean blood pressures 1 minute after the intubation were significantly higher in Group VL. There was no significant difference between groups in terms of SpO₂ levels, TD, airway demand, cricoid pressure or Cormack-Lehane scores. End-tidal CO₂ levels were significantly higher in Group VL. Difficulty occurred while inserting the tube in 6 patients in Group VL but in none of the patients in Group DL. Intubation durations were higher in Group VL (17.81±1.31 sec) than in Group DL (17.00±1.20 sec). There were no statistically significant difference in terms of intubation related complications.

Conclusion: In pediatric patients, better laryngeal visualization is acquired with Trueview videolaryngoscope but intubation duration prolongs and has no advantage on intubation success.

Keywords

• Pediatric,Airway management,Intubation

References

1. reference1 Infosino A. Pediatric upper airway and congenital anomalies. Anesthesiol Clin North Am 2002; 20: 747-766.
2. reference2 Kim JT, Na HS, Bae JY, Kim DW, Kim CS and Kim SD, et al. GlideScopew video laryngoscope: a randomized clinical trial in 203 pediatric patients. British Journal of Anaesthesia. 2008; 101 (4): 531-534.
3. reference3 Kurt E, Coşar A, Acar HV ve ark. Zor entübasyonun preoperatif tanınması. Türk Anest Rean Cem Mecmuası. 1998; 26: 322-326.