Videolaryngoscopy vs. Direct Laryngoscopy for Elective Airway Management in Paediatric Anaesthesia Article Swipe
Eva Klabusayová
,
Jozef Klučka
,
Martina Kosinová
,
Michaela Ťoukálková
,
Roman Štoudek
,
Milan Kratochvíl
,
Lukáš Mareček
,
Michal Svoboda
,
Petr Jabandžiev
,
Milan Urík
,
Petr Štourač
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1097/eja.0000000000001595
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1097/eja.0000000000001595
BACKGROUND The indirect visualisation of the glottic area with a videolaryngoscope could improve intubation conditions which may possibly lead to a higher success rate of the first intubation attempt. OBJECTIVE Comparison of videolaryngoscopy and direct laryngoscopy for elective airway management in paediatric patients. DESIGN Prospective randomised controlled trial. SETTINGS Operating room. PARTICIPANTS 535 paediatric patients undergoing elective anaesthesia with tracheal intubation. 501 patients were included in the final analysis. INTERVENTIONS Patients were randomly allocated to the videolaryngoscopy group ( n = 265) and to the direct laryngoscopy group ( n = 269) for the primary airway management. MAIN OUTCOME MEASURES The first attempt intubation success rate was assessed as the primary outcome. The secondary outcomes were defined as: the time to successful intubation (time to the first EtCO 2 wave), the overall intubation success rate, the number of intubation attempts, the incidence of complications, and the impact of the length of the operator's clinical practice. RESULTS The study was terminated after the planned interim analysis for futility. There were no significant demographic differences between the two groups. The first attempt intubation success rate was lower in the videolaryngoscopy group; 86.8% ( n = 211) vs. 92.6% ( n = 239), P = 0.046. The mean time to the first EtCO 2 wave was longer in the videolaryngoscopy group at 39.0 s ± 36.7 compared to the direct laryngoscopy group, 23.6 s ± 24.7 ( P < 0.001). There was no difference in the overall intubation success rate, in the incidence of complications nor significant difference based on the length of the clinical practice of the operator. CONCLUSIONS The first attempt intubation success rate was lower in the videolaryngoscopy group in comparison to the direct laryngoscopy group. The time needed for successful intubation with videolaryngoscopy was longer compared with direct laryngoscopy. TRIAL REGISTRATION Clinicaltrials.gov identifier: NCT03747250
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1097/eja.0000000000001595
- OA Status
- hybrid
- Cited By
- 15
- References
- 31
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3201529762
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W3201529762Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1097/eja.0000000000001595Digital Object Identifier
- Title
-
Videolaryngoscopy vs. Direct Laryngoscopy for Elective Airway Management in Paediatric AnaesthesiaWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-09-22Full publication date if available
- Authors
-
Eva Klabusayová, Jozef Klučka, Martina Kosinová, Michaela Ťoukálková, Roman Štoudek, Milan Kratochvíl, Lukáš Mareček, Michal Svoboda, Petr Jabandžiev, Milan Urík, Petr ŠtouračList of authors in order
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https://doi.org/10.1097/eja.0000000000001595Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1097/eja.0000000000001595Direct OA link when available
- Concepts
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Medicine, Laryngoscopy, Anesthesia, Airway management, Airway, Intubation, Laryngoscopes, Tracheal intubationTop concepts (fields/topics) attached by OpenAlex
- Cited by
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15Total citation count in OpenAlex
- Citations by year (recent)
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2025: 5, 2024: 3, 2023: 4, 2022: 2Per-year citation counts (last 5 years)
- References (count)
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31Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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