Comparison of the Success of Two Techniques for the Endotracheal Intubation with C-MAC Video Laryngoscope Miller Blade in Children: A Prospective Randomized Study

Background. Ease of endotracheal intubation with C-MAC video laryngoscope (VLS) with Miller blades 0 and 1 has not been evaluated in children. Methods. Sixty children weighing 3–15 kg with normal airway were randomly divided into two groups. Intubation was done with C-MAC VLS Miller blade using eith...

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Main Authors: Renu Sinha, Ankur Sharma, Bikash Ranjan Ray, Ravinder Kumar Pandey, Vanlalnghka Darlong, Jyotsna Punj, Chandralekha Chandralekha, Ashish Datt Upadhyay
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Anesthesiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2016/4196813
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author Renu Sinha
Ankur Sharma
Bikash Ranjan Ray
Ravinder Kumar Pandey
Vanlalnghka Darlong
Jyotsna Punj
Chandralekha Chandralekha
Ashish Datt Upadhyay
author_facet Renu Sinha
Ankur Sharma
Bikash Ranjan Ray
Ravinder Kumar Pandey
Vanlalnghka Darlong
Jyotsna Punj
Chandralekha Chandralekha
Ashish Datt Upadhyay
author_sort Renu Sinha
collection DOAJ
description Background. Ease of endotracheal intubation with C-MAC video laryngoscope (VLS) with Miller blades 0 and 1 has not been evaluated in children. Methods. Sixty children weighing 3–15 kg with normal airway were randomly divided into two groups. Intubation was done with C-MAC VLS Miller blade using either nonstyletted endotracheal tube (ETT) (group WS) or styletted ETT (group S). The time for intubation and total procedure, intubation attempts, failed intubation, blade repositioning or external laryngeal maneuver, and complications were recorded. Results. The median (minimum/maximum) time for intubation in group WS and group S was 19.5 (9/48) seconds and 13.0 (18/55) seconds, respectively (p=0.03). The median (minimum/maximum) time for procedure in group WS was 30.5 (18/72) seconds and in group S was 24.5 (14/67) seconds, respectively (p=0.02). Intubation in first attempt was done in 28 children in group WS and in 30 children in group S. Repositioning was required in 14 children in group WS and in 7 children in group S (p=0.06). There were no failure to intubate, desaturation, and bradycardia in both groups. Conclusion. Styletted ETT significantly reduces time for intubation and time for procedure in comparison to nonstyletted ETT.
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spelling doaj-art-68c4400e71c7489ca31ec5b70c168cf22025-02-03T01:12:05ZengWileyAnesthesiology Research and Practice1687-69621687-69702016-01-01201610.1155/2016/41968134196813Comparison of the Success of Two Techniques for the Endotracheal Intubation with C-MAC Video Laryngoscope Miller Blade in Children: A Prospective Randomized StudyRenu Sinha0Ankur Sharma1Bikash Ranjan Ray2Ravinder Kumar Pandey3Vanlalnghka Darlong4Jyotsna Punj5Chandralekha Chandralekha6Ashish Datt Upadhyay7Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi 110029, IndiaDepartment of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi 110029, IndiaDepartment of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi 110029, IndiaDepartment of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi 110029, IndiaDepartment of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi 110029, IndiaDepartment of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi 110029, IndiaDepartment of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi 110029, IndiaDepartment of Biostatistics, All India Institute of Medical Sciences (AIIMS), New Delhi 110029, IndiaBackground. Ease of endotracheal intubation with C-MAC video laryngoscope (VLS) with Miller blades 0 and 1 has not been evaluated in children. Methods. Sixty children weighing 3–15 kg with normal airway were randomly divided into two groups. Intubation was done with C-MAC VLS Miller blade using either nonstyletted endotracheal tube (ETT) (group WS) or styletted ETT (group S). The time for intubation and total procedure, intubation attempts, failed intubation, blade repositioning or external laryngeal maneuver, and complications were recorded. Results. The median (minimum/maximum) time for intubation in group WS and group S was 19.5 (9/48) seconds and 13.0 (18/55) seconds, respectively (p=0.03). The median (minimum/maximum) time for procedure in group WS was 30.5 (18/72) seconds and in group S was 24.5 (14/67) seconds, respectively (p=0.02). Intubation in first attempt was done in 28 children in group WS and in 30 children in group S. Repositioning was required in 14 children in group WS and in 7 children in group S (p=0.06). There were no failure to intubate, desaturation, and bradycardia in both groups. Conclusion. Styletted ETT significantly reduces time for intubation and time for procedure in comparison to nonstyletted ETT.http://dx.doi.org/10.1155/2016/4196813
spellingShingle Renu Sinha
Ankur Sharma
Bikash Ranjan Ray
Ravinder Kumar Pandey
Vanlalnghka Darlong
Jyotsna Punj
Chandralekha Chandralekha
Ashish Datt Upadhyay
Comparison of the Success of Two Techniques for the Endotracheal Intubation with C-MAC Video Laryngoscope Miller Blade in Children: A Prospective Randomized Study
Anesthesiology Research and Practice
title Comparison of the Success of Two Techniques for the Endotracheal Intubation with C-MAC Video Laryngoscope Miller Blade in Children: A Prospective Randomized Study
title_full Comparison of the Success of Two Techniques for the Endotracheal Intubation with C-MAC Video Laryngoscope Miller Blade in Children: A Prospective Randomized Study
title_fullStr Comparison of the Success of Two Techniques for the Endotracheal Intubation with C-MAC Video Laryngoscope Miller Blade in Children: A Prospective Randomized Study
title_full_unstemmed Comparison of the Success of Two Techniques for the Endotracheal Intubation with C-MAC Video Laryngoscope Miller Blade in Children: A Prospective Randomized Study
title_short Comparison of the Success of Two Techniques for the Endotracheal Intubation with C-MAC Video Laryngoscope Miller Blade in Children: A Prospective Randomized Study
title_sort comparison of the success of two techniques for the endotracheal intubation with c mac video laryngoscope miller blade in children a prospective randomized study
url http://dx.doi.org/10.1155/2016/4196813
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