Videolaryngoscopy vs. Direct Laryngoscopy for Elective Airway
Management in Paediatric Anaesthesia A prospective randomised
controlled trial

J 2021

Videolaryngoscopy vs. Direct Laryngoscopy for Elective Airway Management in Paediatric Anaesthesia A prospective randomised controlled trial

KLABUSAYOVÁ, Eva, Jozef KLUČKA, Martina KOSINOVÁ, Michaela ŤOUKÁLKOVÁ, Roman ŠTOUDEK et. al.

Basic information

Original name

Videolaryngoscopy vs. Direct Laryngoscopy for Elective Airway Management in Paediatric Anaesthesia A prospective randomised controlled trial

Authors

KLABUSAYOVÁ, Eva (203 Czech Republic, belonging to the institution), Jozef KLUČKA (703 Slovakia, belonging to the institution), Martina KOSINOVÁ (203 Czech Republic, guarantor, belonging to the institution), Michaela ŤOUKÁLKOVÁ (203 Czech Republic, belonging to the institution), Roman ŠTOUDEK (203 Czech Republic, belonging to the institution), Milan KRATOCHVÍL (703 Slovakia, belonging to the institution), Lukáš MAREČEK (203 Czech Republic, belonging to the institution), Michal SVOBODA (203 Czech Republic), Petr JABANDŽIEV (203 Czech Republic, belonging to the institution), Milan URÍK (703 Slovakia, belonging to the institution) and Petr ŠTOURAČ (203 Czech Republic, belonging to the institution)

Edition

European Journal of Anaesthesiology, Philadelphia, Lippincott Williams & Wilkins, 2021, 0265-0215

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30223 Anaesthesiology

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 4.183

RIV identification code

RIV/00216224:14110/21:00122591

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1097/EJA.0000000000001595

UT WoS

000703607400011

Keywords in English

Videolaryngoscopy; Direct Laryngoscopy; Elective Airway Management; Paediatric Anaesthesia

Abstract

V originále

BACKGROUND The indirect visualisation of the glottic area with a videolaryngoscope could improve intubation conditions which may possibly lead to a higher success rate of the first intubation attempt. OBJECTIVE Comparison of videolaryngoscopy and direct laryngoscopy for elective airway management in paediatric patients. DESIGN Prospective randomised controlled trial. SETTINGS Operating room. PARTICIPANTS 535 paediatric patients undergoing elective anaesthesia with tracheal intubation. 501 patients were included in the final analysis. INTERVENTIONS Patients were randomly allocated to the videolaryngoscopy group (n = 265) and to the direct laryngoscopy group (n = 269) for the primary airway management. MAIN OUTCOME MEASURES The first attempt intubation success rate was assessed as the primary outcome. The secondary outcomes were defined as: the time to successful intubation (time to the first EtCO2 wave), the overall intubation success rate, the number of intubation attempts, the incidence of complications, and the impact of the length of the operator's clinical practice. RESULTS The study was terminated after the planned interim analysis for futility. There were no significant demographic differences between the two groups. The first attempt intubation success rate was lower in the videolaryngoscopy group; 86.8% (n = 211) vs. 92.6% (n = 239), P = 0.046. The mean time to the first EtCO2 wave was longer in the videolaryngoscopy group at 39.0 s +/- 36.7 compared to the direct laryngoscopy group, 23.6 s +/- 24.7 (P < 0.001). There was no difference in the overall intubation success rate, in the incidence of complications nor significant difference based on the length of the clinical practice of the operator. CONCLUSIONS The first attempt intubation success rate was lower in the videolaryngoscopy group in comparison to the direct laryngoscopy group. The time needed for successful intubation with videolaryngoscopy was longer compared with direct laryngoscopy.

Links

MUNI/A/1153/2020, interní kód MU

Name: Simulační trénink v identifikaci a prevenci kritických událostí v anesteziologii a intenzivní medicíně II. (Acronym: SIMUCRITICAL)

Investor: Masaryk University

MUNI/A/1178/2020, interní kód MU

Name: Protektivní plicní ventilace během celkové anestezie a intenzivní péče u pediatrických pacientů: retrospektivní studie II (Acronym: TIVAC 2)

Investor: Masaryk University

ROZV/28/LF8/2020, interní kód MU

Name: Optimalizace periopererační péče u pediatrických pacientů

Investor: Ministry of Education, Youth and Sports of the CR, Internal development projects

ROZV/28/LF9/2020, interní kód MU

Name: Optimalizace periopererační péče u pediatrických pacientů, Časná identifikace sepse, možnosti monitorace a optimalizace hemodynamiky u kriticky nemocného pediatrického pacienta

Investor: Ministry of Education, Youth and Sports of the CR, Internal development projects

Citovat

KLABUSAYOVÁ, Eva, Jozef KLUČKA, Martina KOSINOVÁ, Michaela ŤOUKÁLKOVÁ, Roman ŠTOUDEK, Milan KRATOCHVÍL, Lukáš MAREČEK, Michal SVOBODA, Petr JABANDŽIEV, Milan URÍK and Petr ŠTOURAČ. Videolaryngoscopy vs. Direct Laryngoscopy for Elective Airway Management in Paediatric Anaesthesia A prospective randomised controlled trial. European Journal of Anaesthesiology. Philadelphia: Lippincott Williams & Wilkins, 2021, vol. 38, No 11, p. 1187-1193. ISSN 0265-0215. Available from: https://dx.doi.org/10.1097/EJA.0000000000001595.

@article{1798267,
   author = {Klabusayová, Eva and Klučka, Jozef and Kosinová, Martina and Ťoukálková, Michaela and Štoudek, Roman and Kratochvíl, Milan and Mareček, Lukáš and Svoboda, Michal and Jabandžiev, Petr and Urík, Milan and Štourač, Petr},
   article_location = {Philadelphia},
   article_number = {11},
   doi = {http://dx.doi.org/10.1097/EJA.0000000000001595},
   keywords = {Videolaryngoscopy; Direct Laryngoscopy; Elective Airway Management; Paediatric Anaesthesia},
   language = {eng},
   issn = {0265-0215},
   journal = {European Journal of Anaesthesiology},
   title = {Videolaryngoscopy vs. Direct Laryngoscopy for Elective Airway Management in Paediatric Anaesthesia A prospective randomised controlled trial},
   url = {https://journals.lww.com/ejanaesthesiology/Fulltext/2021/11000/Videolaryngoscopy_vs__Direct_Laryngoscopy_for.10.aspx},
   volume = {38},
   year = {2021}
}

TY  - JOUR
ID  - 1798267
AU  - Klabusayová, Eva - Klučka, Jozef - Kosinová, Martina - Ťoukálková, Michaela - Štoudek, Roman - Kratochvíl, Milan - Mareček, Lukáš - Svoboda, Michal - Jabandžiev, Petr - Urík, Milan - Štourač, Petr
PY  - 2021
TI  - Videolaryngoscopy vs. Direct Laryngoscopy for Elective Airway Management in Paediatric Anaesthesia A prospective randomised controlled trial
JF  - European Journal of Anaesthesiology
VL  - 38
IS  - 11
SP  - 1187-1193
EP  - 1187-1193
PB  - Lippincott Williams & Wilkins
SN  - 02650215
KW  - Videolaryngoscopy
KW  - Direct Laryngoscopy
KW  - Elective Airway Management
KW  - Paediatric Anaesthesia
UR  - https://journals.lww.com/ejanaesthesiology/Fulltext/2021/11000/Videolaryngoscopy_vs__Direct_Laryngoscopy_for.10.aspx
N2  - BACKGROUND The indirect visualisation of the glottic area with a videolaryngoscope could improve intubation conditions which may possibly lead to a higher success rate of the first intubation attempt. OBJECTIVE Comparison of videolaryngoscopy and direct laryngoscopy for elective airway management in paediatric patients. DESIGN Prospective randomised controlled trial. SETTINGS Operating room. PARTICIPANTS 535 paediatric patients undergoing elective anaesthesia with tracheal intubation. 501 patients were included in the final analysis. INTERVENTIONS Patients were randomly allocated to the videolaryngoscopy group (n = 265) and to the direct laryngoscopy group (n = 269) for the primary airway management. MAIN OUTCOME MEASURES The first attempt intubation success rate was assessed as the primary outcome. The secondary outcomes were defined as: the time to successful intubation (time to the first EtCO2 wave), the overall intubation success rate, the number of intubation attempts, the incidence of complications, and the impact of the length of the operator's clinical practice. RESULTS The study was terminated after the planned interim analysis for futility. There were no significant demographic differences between the two groups. The first attempt intubation success rate was lower in the videolaryngoscopy group; 86.8% (n = 211) vs. 92.6% (n = 239), P = 0.046. The mean time to the first EtCO2 wave was longer in the videolaryngoscopy group at 39.0 s +/- 36.7 compared to the direct laryngoscopy group, 23.6 s +/- 24.7 (P < 0.001). There was no difference in the overall intubation success rate, in the incidence of complications nor significant difference based on the length of the clinical practice of the operator. CONCLUSIONS The first attempt intubation success rate was lower in the videolaryngoscopy group in comparison to the direct laryngoscopy group. The time needed for successful intubation with videolaryngoscopy was longer compared with direct laryngoscopy.
ER  -

KLABUSAYOVÁ, Eva, Jozef KLUČKA, Martina KOSINOVÁ, Michaela ŤOUKÁLKOVÁ, Roman ŠTOUDEK, Milan KRATOCHVÍL, Lukáš MAREČEK, Michal SVOBODA, Petr JABANDŽIEV, Milan URÍK and Petr ŠTOURAČ. Videolaryngoscopy vs. Direct Laryngoscopy for Elective Airway Management in Paediatric Anaesthesia A prospective randomised controlled trial. \textit{European Journal of Anaesthesiology}. Philadelphia: Lippincott Williams \&{} Wilkins, 2021, vol.~38, No~11, p.~1187-1193. ISSN~0265-0215. Available from: https://dx.doi.org/10.1097/EJA.0000000000001595.

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