Comparison of Direct Laryngoscopy, Truview EVO2 and Glidescope in Pediatric Patients
| Status: | Archived |
|---|---|
| Conditions: | Hospital |
| Therapuetic Areas: | Other |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 7/1/2011 |
| Start Date: | December 2009 |
| End Date: | December 2012 |
The purpose of this study is to compare the effectiveness of two novel videolaryngoscope
systems, the Glidescope and the Truview PCD against standard direct laryngoscopy (DL) in
pediatric patients. The investigators primary hypothesis is that the use of
videolaryngoscope devices, Glidescope and Truview provide better laryngeal views in
pediatric patients as measured by Cormack and ehane (C&L) (1 to 4, 4 the worst), without
increasing the time taken to intubate (TTI), compared with direct laryngoscopy (DL).
The investigators secondary hypotheses are that the use of Glidescope and Truview PCD
provoke less hemodynamic response and fewer episodes of de-saturation in pediatric patients.
Advances in airway management have led to development on videolaryngoscopy devices including
the Glidescope® (Verathon Inc, Bothwell, USA), the AWD® (Pentax Corporation, Tokio, Japan)
and most recently the Truview PCD (Truphatek International Ltd, Netanya, Israel). The use of
videolaryngoscopy devices in adults have demonstrated some advantages including, minimal
trauma on the airway and better view of the glottis.
The Glidescope is designed with a 60º angle and a camera on the inferior aspect just at the
inflection point. The view is obtained anteriorly and the camera is located remote from the
glottis providing a good visual field. The video image is displayed on a Liquid Crystal
Display (LCD), with electronic recording available. Despite a good experience using
Glidescope in adults, few studies have been published in pediatric patients. Kim et al. in a
randomized study comparing the use of Glidescope with direct laryngoscopy in children,
demonstrated better or equal laryngoscopic view with longer time for intubation using the
Glidescope (1). Despite a good view of the glottis, some problems associated with
positioning the endotracheal tube has been described in adults. Cooper reported two cases of
adult patients with pharyngeal injuries using glidescope (2). No cases associated with
complications have been reported on pediatric population.
We found this trial at
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Cleveland Clinic Florida Cleveland Clinic Florida, located in Weston, West Palm Beach, Palm Beach Gardens...
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