alexa Comparison of Direct and Video Assisted Views of the Larynx during Routine Intubation in Infants and Children | OMICS International
ISSN: 2155-6148

Journal of Anesthesia & Clinical Research
Open Access

Like us on:
OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Comparison of Direct and Video Assisted Views of the Larynx during Routine Intubation in Infants and Children

Ashwani K Chhibber1*, Dawn Sweeney2, Kenneth Cheng3 and Amie Hoefnagel4

1Professor of Anesthesiology and Pediatrics, University of Rochester Medical Center Anesthesiology, USA

2Associate Professor of Anesthesiology and Pediatrics, University of Rochester Medical Center Anesthesiology, USA

3Associate Professor of Anesthesiology, University of Rochester Medical Center Anesthesiology, USA

4Assistant professor of Anesthesiology, University of Rochester Medical Center Anesthesiology, USA

*Corresponding Author:
Ashwani K Chhibber
Department of Anesthesiology and Pediatrics
University of Rochester Medical Center Anesthesiology
601 Elmwood Ave, Box 604
Rochester, New York 14642, USA
Tel: 1-585-275-1386
Fax: 1-585-244-7271
E-mail: [email protected]

Received date: October 17, 2014; Accepted date: December 03, 2014; Published date: December 10, 2014

Citation: Chhibber AK, Sweeney D, Cheng K, Hoefnagel A (2014) Comparison of Direct and Video Assisted Views of the Larynx during Routine Intubation in Infants and Children. J Anesth Clin Res 5:481. doi: 10.4172/2155-6148.1000481

Copyright: © 2014 Chhibber AK. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Purpose: Video assisted laryngoscopy has been rapidly incorporated into the anesthesiologist’s arsenal for challenging adult airway management. The development of pediatric video airway equipment presents an opportunity to expand upon the previous reliance on direct laryngoscopy alone. This study utilized the Storz DCI® Video Laryngoscope which consists of a standard straight 0 and 1 blade combined with a 2.8 mm fiberoptic light bundle built into the left side of the blade. Method: The ease of use, best direct and video-assisted glottic view was documented for 50 infants and children less than 2 years of age. Direct laryngoscopy was performed with the naked eye (direct view). The best views obtained with and without external laryngeal manipulation were graded by the laryngoscopist without looking at the video monitor. The views on the video monitor, located in front of the intubator and to the right of the patient, were simultaneously graded independently by another pediatric anesthesiologist. Results: Fifty infants and children, ages ranging from one day to 22 months, were enrolled in the study. There were 37 males, and 13 females. The average age was 10.5 months. ASA physical status ranged from I to III, with the vast majority of patients being either class I or II. The grade of laryngeal view on the video monitor was significantly improved when compared with that of direct laryngoscopy (p<0.05). Conclusion: In our study the view on the monitor screen was, on average, one grade better than the direct view. In only one instance was the view obtained with the video laryngoscope worse than that obtained under direct vision. The magnified view provided by the video laryngoscope allows for better visualization of airway structures in difficult airways and further help in facilitating securing the airway.

Keywords

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version