Besdata视频喉镜与直接喉镜在新生儿和6月龄婴儿中的比较——随机对照试验。

IF 1.7 4区医学 Q2 ANESTHESIOLOGY

Pediatric Anesthesia Pub Date : 2025-05-01 Epub Date: 2025-02-15 DOI:10.1111/pan.15083

Vedha Venkatesh, Gnanasekaran Srinivasan, Prasanna Udupi Bidkar, Priya Rudingwa

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引用次数: 0

摘要

导言：婴儿气道管理是具有挑战性的，视频喉镜可以帮助减少插管尝试和提高声门的可视化。在本研究中，我们比较了Besdata视频喉镜与Miller喉镜在新生儿和6月龄婴儿中的应用。方法：在征得家长知情书面同意后，将80例择期手术需要气管插管的患儿随机分为DL组和VL组。DL组使用米勒刀片直接喉镜，VL组使用Besdata视频喉镜米勒刀片。我们比较两组插管时间、声门显像时间、声门打开百分率（POGO）评分、Cormack Lehane （CL）评分、首次尝试成功率、喉外操作需求和并发症。结果：两组插管时间中位数（四分位间距，IQR）分别为36.0 s（30.5-39.0）和35.0 s (28.0-40.0) (p = 0.35)，差异无统计学意义。中位数差异（95%置信区间，CI）为0.0 s[-4.0 ~ 5.0]。声门显像的中位（IQR）时间分别为13.0 s（10.0-15.5）和10.0 s (8.0-12.0)， DL组和VL组的中位差异（95% CI）分别为2.0 s[1-6]，显示视频喉镜显像时间较短。我们还发现更好的POGO评分和减少了使用Besdata视频喉镜进行最佳外喉操作的需要。两组的首次插管成功率、导管的使用和并发症相似。结论：与传统喉镜相比，Besdata零尺寸Miller刀片视频喉镜在新生儿和6月龄婴儿插管时间相似。两组间的首次插管成功率也具有可比性。然而，Besdata视频喉镜与相对更好的声门可视化相关。试验注册：印度临床试验注册中心(CTRI；www.ctri.nic.in): CTRI / 2021/012/038787。

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Comparison of a Besdata Video Laryngoscope With a Direct Laryngoscope in Neonates and Infants of 6 Months of Age-A Randomized Controlled Trial.

Introduction: Airway management of infants is challenging, and video laryngoscopes can help reduce intubation attempts and improve glottic visualization. In this study, we compared the Besdata video laryngoscope with the Miller laryngoscope in neonates and infants 6 months of age.

Methods: After obtaining informed written consent from the parents, we randomized 80 infants scheduled for elective surgery requiring endotracheal intubation into two groups, Group DL and Group VL. We used a direct laryngoscope with a Miller blade in group DL and a Besdata video laryngoscope with a Miller blade in group VL. We compared the time taken for intubation, glottis visualization time, percentage of glottic opening (POGO) score, Cormack Lehane (CL) grades, first attempt success rate, need for external laryngeal manipulation, and complications between the two groups.

Results: The median (interquartile range, IQR) time taken for intubation was 36.0 s (30.5-39.0) versus 35.0 s (28.0-40.0) (p = 0.35), similar in both groups. The median difference (95% confidence interval, CI) was 0.0 s [-4.0 to 5.0]. The median (IQR) time for glottic visualization was 13.0 s (10.0-15.5) versus 10.0 s (8.0-12.0), and the median difference (95% CI) was 2.0 s [1-6] in group DL and group VL, respectively, showing shorter time with a video laryngoscope. We also found better POGO scores and decreased need for optimal external laryngeal manipulation with a Besdata video laryngoscope. The first attempt intubation success rate, use of bougie, and complications were similar in both groups.

Conclusion: The Besdata video laryngoscope with a zero-size Miller blade has shown a similar intubation time when compared with a conventional laryngoscope in neonates and infants of 6 months of age. The first attempt intubation success rate was also comparable between the two groups. However, the Besdata video laryngoscope is associated with comparatively better glottic visualization.

Trial registration: Clinical Trial Registry of India (CTRI; www.ctri.nic.in): CTRI/2021/012/038787.

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来源期刊

Pediatric Anesthesia 医学-麻醉学

CiteScore

3.20

自引率

11.80%

发文量

222

审稿时长

3-8 weeks

期刊介绍： Devoted to the dissemination of research of interest and importance to practising anesthetists everywhere, the scientific and clinical content of Pediatric Anesthesia covers a wide selection of medical disciplines in all areas relevant to paediatric anaesthesia, pain management and peri-operative medicine. The International Editorial Board is supported by the Editorial Advisory Board and a team of Senior Advisors, to ensure that the journal is publishing the best work from the front line of research in the field. The journal publishes high-quality, relevant scientific and clinical research papers, reviews, commentaries, pro-con debates, historical vignettes, correspondence, case presentations and book reviews.