Document Detail


A comparison between the GlideScope Video Laryngoscope and direct laryngoscope in paediatric patients with difficult airways - a pilot study.
MedLine Citation:
PMID:  20402873     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The GlideScope Video Laryngoscope may improve the view seen at laryngoscopy in adults who have a difficult airway. Manikin studies and case reports suggest it may also be useful in children, although prospective studies are limited in number. We hypothesised that the paediatric GlideScope will result in an improved view seen at laryngoscopy in children with a known difficult airway, compared to direct laryngoscopy. Eighteen children with a history of difficult or failed intubation were prospectively recruited. After inhalational induction, each patient had laryngoscopy performed using a standard blade followed by GlideScope videolaryngoscopy. The GlideScope yielded a significantly improved laryngoscopic view, both with (p = 0.003) and without (p = 0.004) laryngeal pressure. The mean (SD) time taken to achieve the optimal view was 20 (8)s using conventional laryngoscopy and 26 (22)s using the GlideScope (p = 0.5). The GlideScope significantly improves the laryngoscopic view obtained in children with a difficult airway.
Authors:
J Armstrong; J John; C Karsli
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Anaesthesia     Volume:  65     ISSN:  1365-2044     ISO Abbreviation:  Anaesthesia     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-20     Completed Date:  2010-05-07     Revised Date:  2010-07-29    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  353-7     Citation Subset:  AIM; IM    
Affiliation:
University of Toronto, The Hospital for Sick Children, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Anesthesia, General / methods
Child
Child, Preschool
Equipment Design
Humans
Intubation, Intratracheal / instrumentation,  methods
Laryngoscopes*
Laryngoscopy / methods
Pilot Projects
Time Factors
Video Recording / methods*
Comments/Corrections
Comment In:
Anaesthesia. 2010 Aug;65(8):862-3   [PMID:  20649927 ]
Erratum In:
Anaesthesia. 2010 Jun;65(6):658

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


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