Document Detail


GlideScope video laryngoscope: a randomized clinical trial in 203 paediatric patients.
MedLine Citation:
PMID:  18689807     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The GlideScope intubating device has been reported to provide a comparable or superior laryngoscopic view compared with direct laryngoscopy in adults. This study compared the use of the GlideScope with direct laryngoscopy for the laryngoscopic view and intubation time in children. METHODS: The laryngoscopic view in 203 children was scored using both the Macintosh laryngoscope and the GlideScope using Cormack and Lehane (C&L) grades. After scoring each laryngoscopic view with and without BURP, the patients were randomly allocated to two groups. The trachea was intubated using direct laryngoscopy (Group DL, n=100) or the GlideScope (Group GS, n=103). We compared C&L grades for the two views in the same patient, and also the time to intubate for each group. RESULTS: The GlideScope improved the view without BURP in the patients with C&L grade 2 (16/26, P<0.01) and with C&L grades 3 and 4 (7/11, P<0.05). The view with BURP was also improved by the GlideScope in C&L grade 2 (4/9, P<0.05) and with C&L grades 3 and 4 (4/5, P=0.059). The mean time for tracheal intubation was 36.0 (17.9) s in the GS group and 23.8 (13.9) s in the DL group (P<0.001). CONCLUSIONS: In children, the GlideScope provided a laryngoscopic view equal to or better than that of direct laryngoscopy but required a longer time for intubation.
Authors:
J-T Kim; H-S Na; J-Y Bae; D-W Kim; H-S Kim; C S Kim; S D Kim
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2008-08-08
Journal Detail:
Title:  British journal of anaesthesia     Volume:  101     ISSN:  1471-6771     ISO Abbreviation:  Br J Anaesth     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-10     Completed Date:  2008-10-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372541     Medline TA:  Br J Anaesth     Country:  England    
Other Details:
Languages:  eng     Pagination:  531-4     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, # 28 Yongondong, Jongnogu, Seoul 110-744, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Child, Preschool
Equipment Design
Female
Humans
Infant
Intubation, Intratracheal / instrumentation,  methods
Laryngoscopes*
Laryngoscopy
Male
Time Factors
Video Recording*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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