A randomised controlled trial comparing video laryngoscopy versus conventional blind technique for transoesophageal echocardiography probe insertion in paediatric patients undergoing cardiac surgery: A pilot study.

IF 2.9 Q1 ANESTHESIOLOGY
Indian Journal of Anaesthesia Pub Date : 2025-03-01 Epub Date: 2025-02-17 DOI:10.4103/ija.ija_975_24
Guriqbal Singh, Jigisha Pujara, Ankit Chauhan, Venuthurupalli S P Rajesh, Shrikant Sonune, Jamalpur Sravan Kumar, Himani Pandya
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引用次数: 0

Abstract

Background and aims: Inserting a transoesophageal echocardiography (TEE) probe can cause pharyngeal and oesophageal injuries in paediatric patients undergoing cardiac surgery. The study's primary objective was to assess the incidence of oropharyngeal injury on video laryngoscope (VL) examination at the end of surgery.

Methods: This randomised controlled study was conducted on 100 patients, aged 2-10 years, undergoing elective cardiac surgery requiring TEE evaluation. Patients having a deranged coagulation profile, sore throat, difficult tracheal intubation, trauma during tracheal intubation and contraindications for TEE insertion were excluded from the study. Patients were randomised into the conventional group (Group C; n = 50), where the TEE probe was inserted using the conventional blind insertion technique, and the VL group (Group VL; n = 50). All patients were examined with VL for oropharyngeal injury after removal of the TEE probe at the completion of surgery, and the injury site was documented.

Results: The incidence of pharyngeal mucosal injury was significantly lesser in Group VL (n = 2) than in the Group C (n = 9) (P = 0.025). The number of attempts for successful TEE probe insertion was significantly lower in Group VL (P < 0.05). The mean duration for successful TEE probe insertion at the first attempt was significantly longer in Group VL than in Group C (P < 0.0001).

Conclusion: The use of VL for TEE probe insertion in paediatric patients significantly reduced the incidence of pharyngeal injury related to its insertion and provided direct visualisation of the oesophageal inlet.

一项随机对照试验比较视频喉镜与传统盲法技术在接受心脏手术的儿科患者中经食管超声心动图探头插入:一项初步研究。
背景和目的:在接受心脏手术的儿科患者中插入经食管超声心动图(TEE)探头可引起咽和食管损伤。本研究的主要目的是评估手术结束时视频喉镜(VL)检查口咽损伤的发生率。方法:本随机对照研究纳入100例年龄在2-10岁、接受择期心脏手术、TEE评估的患者。排除凝血功能紊乱、喉咙痛、气管插管困难、气管插管时创伤和TEE插入禁忌的患者。患者随机分为常规组(C组;n = 50),其中TEE探针采用传统的盲插入技术插入,VL组(VL组;N = 50)。所有患者在手术结束后取出TEE探针,用VL检查口咽损伤,并记录损伤部位。结果:VL组咽部黏膜损伤发生率(n = 2)明显低于C组(n = 9) (P = 0.025)。VL组TEE探针成功插入次数明显低于对照组(P < 0.05)。VL组首次TEE探针插入成功的平均持续时间明显长于C组(P < 0.0001)。结论:VL用于TEE探针插入儿科患者可显著降低其插入相关咽损伤的发生率,并提供食管入口的直接可视化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.20
自引率
44.80%
发文量
210
审稿时长
36 weeks
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