Turkish Archives of Pediatrics
Original Article

Comparison of direct and video laryngoscope endotracheal intubations by pediatric residents: A study of a child model with normal airway

1.

Department of Pediatric Intensive Care Unit, İzmir Katip Çelebi University, School of Medicine, İzmir,Turkey

2.

Pediatric Emergency Clinic, University of Health Sciences Tepecik Training and Research Hospital Izmir, Turkey

3.

Pediatric Intensive Care Clinic, University of Health Sciences, Tepecik Training and Research Hospital İzmir, Turkey

Turk Arch Pediatr 2021; 56: 224-229
DOI: 10.5152/TurkArchPediatr.2021.20074
Read: 69 Downloads: 31 Published: 30 April 2021

Objective: This study aimed to compare the efficacy of direct and videolaryngoscopy procedures performed by pediatric residents who had limited experience of direct endotracheal intubation and had not previously used video laryngoscopes in a normal airway child manikin.

Material and Methods: The endotracheal intubations performed by pediatric residents with a direct laryngoscope and Storz C-MAC videolaryngoscope on a pediatric manikin with a normal airway were compared. Theoretical and practical training was given before the study. In the first attempt, the success of the intubation procedure, glottis visual duration, and endotracheal tube insertion time were determined. Practitioners grouped the glottis image between 1-4 according to the Cormack-Lehane Staging (Stage 1 ideal image). After the intervention, the participants scored one to ten points on direct and videolaryngoscopy (1 not useful, 10 very useful).

Results: The success of direct and videolaryngoscopy of 51 pediatric residents on the same manikin was 48 out of 51 (94%) for each method (p> 0.05). Glottis visual duration was similar in both methods (p>0.05); tube insertion and total intubation time were shorter in the video laryngoscope group (p<0.05); glottis image was better in the video laryngoscope group according to Cormack-Lehane Classification (p<0.05). Participants’ rating was higher on videolaryngoscope (p<0.05).

Conclusion: Users with limited endotracheal intubation experience use Video laryncoscope more effectively than direct laryngoscope in children with normal airway model after training.

Cite this article as: Anıl AB, Anıl M, Durak F, et al. Comparison of direct and video laryngoscope endotracheal intubations by pediatric residents: A study of a child model with normal airway. Turk Arch Pediatr 2021; 56(3): 224-9.

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