Comparison of Truview EVO2 Videolaryngoscope and Macintosh Laryngoscope in Pediatric Patients

Yıl 2017, Cilt: 34 Sayı: 4, 263 - 267, 10.10.2019

Ayse Tokdemir Dogan Fatih Ozkan Ersin Koksal

Öz

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.

Anahtar Kelimeler

Pediatric, Airway management, Intubation

Kaynakça

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• 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.
• reference3 Kurt E, Coşar A, Acar HV ve ark. Zor entübasyonun preoperatif tanınması. Türk Anest Rean Cem Mecmuası. 1998; 26: 322-326.