Comparison of the Use of Videolaryngoscopy and Direct Laryngoscopy Methods in Achieving Intubation Before Pediatric Cardiac Surgery Pediatrik Kalp Cerrahisinde Videolaringoskopi ile Direkt Laringoskopi Uygulamalarının Karşılaştırılması
Medical Journal of Bakirkoy, cilt.18, sa.3, ss.290-296, 2022 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 18 Sayı: 3
- Basım Tarihi: 2022
- Doi Numarası: 10.4274/bmj.galenos.2022.2022.3-15
- Dergi Adı: Medical Journal of Bakirkoy
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CINAHL, EMBASE
- Sayfa Sayıları: ss.290-296
- Anahtar Kelimeler: airway management, congenital heart surgery, direct laryngoscopy, Pediatric, videolaryngoscopy
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Intubation is one of the essential components of preoperative airway management in the context of congenital heart surgery. Accordingly, it is aimed in this study was to compare the uses of direct laryngoscopy (DL) and videolaryngoscopy (VL) in achieving intubation in cases younger than two years of age who will undergo congenital heart surgery. Methods: This study was conducted on patients younger than two years old who underwent congenital heart surgery in the hospital, where the study was conducted between September 1st, 2020, and April 1st, 2021. The cases included in this study were divided into two groups based on the method used to achieve intubation before the cardiac surgery, as the DL and VL groups. These groups were then compared in terms of hemodynamic parameters, difficulty, duration and number of intubation, Cormack-Lehane grades, and complications that developed in association with intubation. The results obtained were analyzed statistically. Results: Each DL and VL group comprised 60 cases. The median age of the cases included in this study was four months (minimum one day & maximum 24 months). Fifty-three percent of the cases were male, and 47% were female. There was no significant difference between the groups in terms of gender, weight, presence of syndromes, presence of cyanotic heart disease, and frequency of redo cases (p>0.05). Systolic and diastolic arterial pressures were significantly higher (p<0.05), whereas the total intubation time was significantly shorter in the VL group compared to the DL group (21.5 and 30 seconds, respectively; p<0.05). There was no difference between the groups in terms of any need for intubation maneuver, the presence of backward, upward, rightward, pressure maneuver, the presence of (optimal external laryngeal manipulation), Cormack-Lehane grades, intubation attempts, and use of stylet (p<0.05). However, the desaturation period (0% vs. 13.1%) and aspiration requirement rate (13.3% vs. 41.7%) were lower in the VL group (p<0.05). Conclusion: The findings of this study indicate that intubation can be achieved in a shorter time and with a similar complication rate with VL than with DL, thereby providing a better contribution to hemodynamics. Consequentially, the use of VL may be considered to achieve intubation in newborn and infant cases who will undergo congenital heart surgery.