A Prospective Observational Study of Technical Difficulty With GlideScope-Guided Tracheal Intubation in Children

Anesthesia and Analgesia
Bin ZhangJohn E Fiadjoe

Abstract

The GlideScope Cobalt is one of the most commonly used videolaryngoscopes in pediatric anesthesia. Although visualization of the airway may be superior to direct laryngoscopy, users need to learn a new indirect way to insert the tracheal tube. Learning this indirect approach requires focused practice and instruction. Identifying the specific points during tube placement, during which clinicians struggle, would help with targeted education. We conducted this prospective observational study to determine the incidence and location of technical difficulties using the GlideScope, the success rates of various corrective maneuvers used, and the impact of technical difficulty on success rate. We conducted this observational study at our quaternary pediatric hospital between February 2014 and August 2014. We observed 200 GlideScope-guided intubations and documented key intubation-related outcomes. Inclusion criteria for patients were <6 years of age and elective surgery requiring endotracheal intubation. We documented the number of advancement maneuvers required to intubate the trachea, the location where technical difficulty occurred, the types of maneuvers used to address difficulties, and the tracheal intubation success rate. We used...Continue Reading

References

Feb 3, 2005·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Richard M CooperStuart A McCluskey
Dec 15, 2006·Critical Care Medicine·Elisheva SimchenInbal Weiss-Salz
Jun 30, 2007·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Yoshihiro Hirabayashi
Jan 26, 2012·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·John C Sakles, Leah Kalin

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Citations

Feb 6, 2020·Paediatric Anaesthesia·Mary Lyn SteinPete G Kovatsis
Sep 21, 2020·British Journal of Anaesthesia·James PeytonUNKNOWN PeDI Collaborative Investigators

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