| Title: |
A comparison of the STORZ video laryngoscope and standard direct laryngoscopy for intubation in the Pediatric airway – a randomized clinical trial |
| Authors: |
VLATTEN, ARNIM; AUCOIN, SYLVIE; LITZ, SHARON; MACMANUS, BRIAN; SODER, CHRIS |
| Source: |
Pediatric Anesthesia ; volume 19, issue 11, page 1102-1107 ; ISSN 1155-5645 1460-9592 |
| Publisher Information: |
Wiley |
| Publication Year: |
2009 |
| Collection: |
Wiley Online Library (Open Access Articles via Crossref) |
| Description: |
Summary Introduction: Direct laryngoscopy can be challenging in infants and neonates. Even with an optimal line of sight to the glottic opening, the viewing angle has been measured at 15°. The STORZ DCI video laryngoscope (Karl Storz, Tuttlingen, Germany) incorporates a fiberoptic camera in the light source of a standard laryngoscope of variable sizes. The image is displayed on a screen with a viewing angle of 80°. We studied the effectiveness of the STORZ DCI as an airway tool compared to standard direct laryngoscopy in children with normal airway. Methods: In this prospective, randomized study, 56 children (ages 4 years or younger) undergoing elective surgery with the need for endotracheal intubation were divided into two groups: children who underwent standard direct laryngoscopy using a Miller 1 or Macintosh 2 blade (DL) and children who underwent video laryngoscopy using the STORZ DCI video laryngoscope with a Miller 1 blade (VL). Time to best view (TTBV), time to intubate (TTI), Cormack–Lehane (CL), and percentage of glottis opening seen (POGO) score were recorded. Results: TTBV in DL was 5.5 (4–8) s and 7 (4.2–9) s in VL. TTI in DL was 21 (17–29) s and in VL 27 (22–37) s ( P = 0.006). The view as assessed by POGO score was 97.5% (60–100%) in DL and 100% (100–100%) in the VL ( P = 0.003). Data are presented as median and interquartile range and analyzed using t ‐test. Discussion: This study demonstrates that the STORZ DCI video laryngoscope provides an improved view to the glottis in children with normal airway anatomy, but requires a longer time for intubation. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1111/j.1460-9592.2009.03127.x |
| Availability: |
https://doi.org/10.1111/j.1460-9592.2009.03127.x; https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.1460-9592.2009.03127.x; https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1460-9592.2009.03127.x |
| Rights: |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
| Accession Number: |
edsbas.54694135 |
| Database: |
BASE |