Validation of the GlideScope video laryngoscope in pediatric patients.
BACKGROUND
GlideScope laryngoscopy provides a glottic view equal or superior compared to Macintosh laryngoscopy for endotracheal intubation in adult patients. Data evaluating GlideScope laryngoscopy in pediatric patients are lacking. This study compared intubation times of GlideScope laryngoscopy vs Macintosh laryngoscopy in pediatric patients.


METHODS
Sixty ASA I-III patients, aged 10 years or less, were included in this study. Prior to intubation, airway characteristics were measured, and all patients were given an airway class by a separate anesthesiologist using a Macintosh laryngoscope. Patients were then randomly assigned for endotracheal intubation using a Macintosh laryngoscope or the GlideScope, and intubation time was measured. All blades were investigated for blood traces as a surrogate of laryngeal injury.


RESULTS
Demographic data and airway characteristics were not statistically significant different between groups. GlideScope intubation time (14 +/- 5 s) was not different from Macintosh intubation time (13 +/- 5 s). Blood traces were not observed on Macintosh or GlideScope blades.


CONCLUSIONS
The GlideScope video laryngoscope is equally suitable to facilitate orotracheal intubation in pediatric patients compared to the Macintosh laryngoscope with respect to intubation time and laryngeal trauma.
Redel
Andreas
A
Department of Anesthesia and Critical Care, University of Würzburg, Würzburg, Germany. Redel_A@klinik.uni-wuerzburg.de
Karademir
Funda
F
Schlitterlau
Anett
A
Frommer
Matthias
M
Scholtz
Lars-Uwe
LU
Kranke
Peter
P
Kehl
Franz
F
Roewer
Norbert
N
Lange
Markus
M
D000758:Anesthesia; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal; D020704:Laryngoscopes / Q000009:adverse effects; D007828:Laryngoscopy / Q000009:adverse effects; D007830:Larynx / Q000293:injuries; D008297:Male; D013517:Otorhinolaryngologic Surgical Procedures; D011229:Preanesthetic Medication; D016896:Treatment Outcome