GlideScope® Cobalt AVL Video Baton for Intubation in Infants Weighing Less Than 10 Kilograms

Patrick Olomu; Asif Khan; Jeffrey Steiner; Edgar Kiss; Roxana Ploski; Peter Szmuk

doi:10.24015/JAPM.2016.0032

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GlideScope® Cobalt AVL Video Baton for Intubation in Infants Weighing Less Than 10 Kilograms

Journal article

Open access

GlideScope® Cobalt AVL Video Baton for Intubation in Infants Weighing Less Than 10 Kilograms

Patrick Olomu, Asif Khan, Jeffrey Steiner, Edgar Kiss, Roxana Ploski and Peter Szmuk

Journal of anesthesia and perioperative medicine, Vol.3(6), pp.236-240

11/18/2016

DOI: 10.24015/JAPM.2016.0032

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Abstract

Background: The use of videolaryngoscopes (VL) within pediatric anesthesia has become more prominent in younger and smaller neonates and infants. This prospective study utilizes the GlideScope® Cobalt AVL Video Baton (GSC) as a tool for orotracheal intubation in pediatric patients weighing less than 10 kg scheduled for surgery. We hypothesized that the GSC would yield a high success rate, along with intubation times less than 30 seconds and a majority of optimal glottic views, regardless of user experience. Methods: Two hundred pediatric subjects, less than 10 kg in weight, undergoing surgical procedures with general anesthesia underwent orotracheal intubation using the GSC. Time to best glottic view, time to intubation, total intubation time, Cormack and Lehane grade, and number of intubation attempts were documented. Results: Our results showed a 90% (180/200) first-attempt success rate and an overall success rate of 99% (198/200) with the GlideScope® Cobalt blade. The mean (±SE) time to best view (TTBV) and time to intubation (TTI) were 6.2±5.5 seconds and 14.0±14.3 seconds, respectively. The mean (±SE) total intubation time (TIT) was 19.5±16.3 seconds, with a Cormack and Lehane grade 1 view in almost 90% of patients. Conclusions: This study demonstrates a high first-attempt intubation success rate in pediatric patients weighing less than 10 kg with the GlideScope® Cobalt videolaryngoscope, regardless of user experience. In addition to this, intubation times of less than 30 seconds, improved glottic views, and a low incidence of complications were demonstrated with this device.

Anesthesiology

Clinical Trials

Pediatrics

Anesthesia

Babies

Cobalt

Intubation

Larynx

Medical personnel

Patients

Studies

Success

Details

Title: Subtitle: GlideScope® Cobalt AVL Video Baton for Intubation in Infants Weighing Less Than 10 Kilograms
Creators: Patrick Olomu
Asif Khan
Jeffrey Steiner
Edgar Kiss
Roxana Ploski
Peter Szmuk
Resource Type: Journal article
Publication Details: Journal of anesthesia and perioperative medicine, Vol.3(6), pp.236-240
DOI: 10.24015/JAPM.2016.0032
ISSN: 2306-773X
eISSN: 2520-3002
Publisher: Evidence Based Communications
Language: English
Date published: 11/18/2016
Academic Unit: Anesthesia
Record Identifier: 9984657736402771

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