Evidence map›Paper›PMID 38021331›Full record

ArticleAnesthesiology and pain medicine2023

A Comparative Study of Video Laryngoscopy to Direct Laryngoscopy for Endotracheal Intubation in Pediatric Patients.

Shravya Kanukuntla, Sunil Baikadi VasudevaRao, Sonal Bhat

Abstract read
In one paragraph

Article in Anesthesiology and pain medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Shravya KanukuntlaDepartment of Anaesthesia, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Mangalore, India.
Sunil Baikadi VasudevaRaoDepartment of Anaesthesia, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Mangalore, India.ORCID https://orcid.org/0000-0002-8326-8605
Sonal BhatDepartment of Anaesthesia, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Mangalore, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Direct laryngoscopy is the standard method for intubation in pediatric patients. The introduction of video laryngoscopy brought a paradigm shift in managing pediatric airways. Objectives: We compared the tracheal intubation technique between direct and video laryngoscopy with McIntosh Blade 2 in pediatric patients 2 - 8 years of age requiring airway management. The glottic view and the first pass success rate were compared and analyzed. Methods: An observational cross-sectional study was conducted with 120 children between 2 - 8 years with normal airways. They were divided into video laryngoscopy (Group V) and direct laryngoscopy (Group D). The primary outcome measures included time taken for intubation, number of attempts required, Cormack-Lehane glottic view, use of optimization maneuvers, the requirement of tube repositioning, and hemodynamic parameters before and after intubation. Results: The time taken for intubation was longer in the video laryngoscopy group (group D, 24.28 sec vs. group V, 27.65 seconds (P = 0.01). The Cormack-Lehane glottic view was grade 1 in all the patients in the video laryngoscopy group, while only 35 children showed grade 1 in the direct laryngoscopy group. (P < 0.001). We observed a significant increase in both heart rate and mean arterial pressure in the video laryngoscopy group at 1, 3, 5, and 10 min after intubation (P < 0.001, P < 0.05). Conclusions: The time taken for intubation was more in group V, but the glottic view was much better, and the requirement for external maneuvers was also less. Pressure response to intubation was more in group V compared to group D.

Indexed as

Direct LaryngoscopyHemodynamicsIntubationVideo-Laryngoscopy

Identifiers

PMID38021331
PMCPMC10664164

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