Journal article
A comparison of videolaryngoscopy using standard blades or non-standard blades in children in the Paediatric Difficult Intubation Registry
British journal of anaesthesia : BJA, Vol.126(1), pp.331-339
01/2021
DOI: 10.1016/j.bja.2020.08.010
PMID: 32950248
Abstract
The design of a videolaryngoscope blade may affect its efficacy. We classified videolaryngoscope blades as standard and non-standard shapes to compare their efficacy performing tracheal intubation in children enrolled in the Paediatric Difficult Intubation Registry.
Cases entered in the Registry from March 2017 to January 2020 were analysed. We compared the success rates of initial and eventual tracheal intubation, complications, and technical difficulties between the two groups and by weight stratification.
Videolaryngoscopy was used in 1313 patients. Standard and non-standard blades were used in 529 and 740 patients, respectively. Both types were used in 44 patients. In children weighing <5 kg, standard blades had significantly greater success than non-standard blades at initial (51% vs 26%, P=0.002) and eventual (81% vs 58%, P=0.002) attempts at tracheal intubation. In multivariable logistic regression analysis, standard blades had 3-fold greater odds of success at initial tracheal intubations compared with non-standard blades (adjusted odds ratio 3.0, 95% confidence interval): 1.32–6.86, P=0.0009). Standard blades had 2.6-fold greater odds of success at eventual tracheal intubation compared with non-standard blades in children weighing <5 kg (adjusted odds ratio 2.6, 95% confidence interval: 1.08–6.25, P=0.033). There was no significant difference found in children weighing ≥5 kg.
In infants weighing <5 kg, videolaryngoscopy with standard blades was associated with a significantly greater success rate than videolaryngoscopy with non-standard blades. Videolaryngoscopy with a standard blade is a sensible choice for tracheal intubation in children who weigh <5 kg.
Details
- Title: Subtitle
- A comparison of videolaryngoscopy using standard blades or non-standard blades in children in the Paediatric Difficult Intubation Registry
- Creators
- James Peyton - Harvard UniversityRaymond Park - Boston Children's HospitalSteven J. Staffa - Boston Children's HospitalStefano Sabato - Royal Children's HospitalThomas W. Templeton - Wake Forest UniversityMary Lyn Stein - Boston Children's HospitalAnnery G. Garcia-Marcinkiewicz - Children's Hospital of PhiladelphiaEdgar Kiss - The University of Texas Southwestern Medical CenterJohn Edem Fiadjoe - Children's Hospital of PhiladelphiaBritta von Ungern-Sternberg - Department of Anaesthesia and Pain Management, Perth Children's Hospital, Perth, Western Australia, AustraliaFranklin Chiao - Westchester Medical CenterPatrick Olomu - Cook Children's Health Care SystemDavid Zurakowski - Harvard UniversityPete G. Kovatsis - Boston Children's HospitalDavid Sommerfield - Harvard UniversityChris Holmes - Department of Anaesthesia and Pain Management, The Royal Children's Hospital, Victoria, AustraliaNiroop Ravula - UC Davis Children's HospitalChristine Jette - Stanford MedicineSam Mireles - Stanford MedicineClyde Matava - Department of Anesthesia, The Hospital for Sick Children, Toronto, CanadaSimon Whyte - Department of Anesthesiology, Pharmacology and Therapeutics, BC Children's Hospital, Vancouver, CanadaEduardo Vega - Pontificia Universidad Católica de ChileLei Yang - West China Medical Center of Sichuan UniversityPiedad Echeverry-Marin - Theodore Roosevelt High SchoolCarolina Perez-Pradilla - Theodore Roosevelt High SchoolElizabeth Starker - Children's Hospital ColoradoJennifer Zieg - Children's Hospital ColoradoJudit Szolnoki - Children's Hospital ColoradoAngela Lee - Department of Anesthesiology, Pain and Perioperative Medicine, Children's National Medical Center, Washington, DC, USAEugenie Heitmiller - Department of Anesthesiology, Pain and Perioperative Medicine, Children's National Medical Center, Washington, DC, USAMohamed Rehman - Johns Hopkins All Children's HospitalLillian Zamora - Johns Hopkins All Children's HospitalAllison Fernandez - Johns Hopkins All Children's HospitalJonathan Meserve - Department of Anesthesiology, Spectrum Health Partners Maine, South Portland, ME, USASolmaletha Bhattacharya - Massachusetts General HospitalPaul Reynolds - Department of Pediatric Anesthesiology, University of Michigan Health Center, Ann Arbor, MI, USAIan Lewis - Department of Pediatric Anesthesiology, University of Michigan Health Center, Ann Arbor, MI, USABishr Haydar - Department of Pediatric Anesthesiology, University of Michigan Health Center, Ann Arbor, MI, USAMegan Therrian - Department of Pediatric Anesthesiology, University of Michigan Health Center, Ann Arbor, MI, USALinare Sarmiento - Department of Anesthesiology, National Institute of Pediatrics, Mexico City, MexicoMartina Richtsfeld - University of MinnesotaKumar Belani - University of MinnesotaSara Robertson - University of Mississippi Medical CenterKumar Sathyamoorthy - University of Mississippi Medical CenterCharles Schrock - Department of Anesthesiology, Washington University School of Medicine in St Louis, St Louis, MO, USAJurgen de Graaff - Department of Anesthesia, Erasmus MC Sophia's Children Hospital Rotterdam, Rotterdam, The NetherlandsCodruta Soneru - Department of Anesthesiology, University of New Mexico, Albuquerque, NM, USANeeta Singh - Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, New York, NY, USABrad Taicher - Duke UniversityPilar Castro - Cleveland ClinicN.R. Riveros Perez - Cleveland ClinicPaul Stricker - Children's Hospital of PhiladelphiaJustin L. Lockman - Children's Hospital of PhiladelphiaJorge Galvez - Children's Hospital of PhiladelphiaRebecca Isserman - Children's Hospital of PhiladelphiaBrian Struyk - Children's Hospital of PhiladelphiaChristopher Ward - Children's Hospital of PhiladelphiaGrace Hsu - Children's Hospital of PhiladelphiaAkira Nishisaki - Children's Hospital of PhiladelphiaRamesh Kodavatiganti - Children's Hospital of PhiladelphiaLuis S. Ramos - Children's Hospital of PhiladelphiaEric Scheu - Children's Hospital of PhiladelphiaBenjamin Bruins - Children's Hospital of PhiladelphiaTally Goldfarb - Department of Anesthesiology and Pain Management, University of Texas Southwestern and Children's Health System of Texas, Dallas, TX, USAPeter Szmuk - Department of Anesthesiology and Pain Management, University of Texas Southwestern and Children's Health System of Texas, Dallas, TX, USARanu Jain - Department of Anesthesiology, University of Texas Medical School at Houston, Houston, TX, USAMaria Matuszczak - Department of Anesthesiology, University of Texas Medical School at Houston, Houston, TX, USADavid Polaner - University of Washington School of MedicineAgnes Hunyady - University of Washington School of MedicineAdrian Bosenberg - University of Washington School of MedicineSee Tham - University of Washington School of MedicineDaniel Low - University of Washington School of MedicineGuelay B. Rosas - University of Wisconsin School of Medicine and Public HealthLisa K. Lee - Department of Anesthesia, University of California, Los Angeles, CA, USAIhab Iyah - Department of Anesthesia, University of California, Los Angeles, CA, USANicholas Dalesio - Johns Hopkins MedicineRob Greenberg - Johns Hopkins MedicinePeDI Collaborative Investigators
- Resource Type
- Journal article
- Publication Details
- British journal of anaesthesia : BJA, Vol.126(1), pp.331-339
- DOI
- 10.1016/j.bja.2020.08.010
- PMID
- 32950248
- NLM abbreviation
- Br J Anaesth
- ISSN
- 0007-0912
- eISSN
- 1471-6771
- Publisher
- Elsevier Ltd
- Language
- English
- Date published
- 01/2021
- Academic Unit
- Anesthesia
- Record Identifier
- 9984656597302771
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