Comparison of TruView EVO2 with Miller laryngoscope in paediatric patients

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dc.contributor.authorInal, Mehmet Turan
dc.contributor.authorMemis, Dilek
dc.contributor.authorKargi, Murat
dc.contributor.authorOktay, Zumral
dc.contributor.authorSut, Necdet
dc.date.accessioned2024-06-12T11:08:34Z
dc.date.available2024-06-12T11:08:34Z
dc.date.issued2010
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground Except for neonates and specific malformations in children, management of the paediatric airway is not a major problem for the anaesthetist. Miller laryngoscope was traditionally used for paediatric intubation. The TruView EVO2 system is a recently introduced device with a unique blade that provides a wide and magnified laryngeal view. Objective To assess the value of the TruView EVO2 laryngoscope with that of Miller laryngoscope in paediatric patients. Design Prospective analysis. Measurements and results Fifty 2-8-year paediatric patients presenting for surgery requiring tracheal intubation were randomly assigned to undergo intubation using a Miller (Group M, n = 25) and TruView EVO2 laryngoscope (Group T, n = 25). Preoperative airway evaluation was performed by using the Mallampati scores. The Intubation Difficulty Scale (IDS), the duration of the tracheal intubation procedure, the rate of successful placement of the endotracheal tube in the trachea, the view of the glottis according to the Cormack and Lehane grading criteria, number of intubation attempts, mean arterial pressure (MAP) and heart rate (HR) before and after intubation, lowest peripheric oxygen saturation during intubation attempts and all complications (minor laseration, dental or other airway trauma) were all recorded. Results Preoperative Mallampati scores and the IDS scores were similar between the Miller and TruView EVO2 laryngoscope. The average time for laryngoscopy was 6.36 perpendicular to 0.99 s in group M and 13.8 perpendicular to 7.99 s in group T (P < 0.001). The TruView EVO2 laryngoscope improved the Cormack and Lehane glottic view compared with the Miller laryngoscope. The HR change (difference before and after) in group M was significantly lower than that in group T (P < 0.001). However, the MAP change was similar between groups. The lowest peripheric oxygen saturation during intubation attempts was different between groups, 99.4 +/- 0.57% in group M and 97.6 perpendicular to 2.41% in group T (P < 0.001). Conclusion The results suggest that when compared with the Miller laryngoscope, the TruView EVO2 laryngoscope appears to improve the view of the larynx but requires a longer time for tracheal intubation. The IDS scores were similar; thus, the TruView EVO2 laryngoscope can be a good alternative to traditionally used Miller laryngoscope. Eur J Anaesthesiol 2010; 27: 950-954en_US
dc.identifier.doi10.1097/EJA.0b013e32833f539f
dc.identifier.endpage954en_US
dc.identifier.issn0265-0215
dc.identifier.issn1365-2346
dc.identifier.issue11en_US
dc.identifier.pmid20829701en_US
dc.identifier.scopus2-s2.0-78349258589en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage950en_US
dc.identifier.urihttps://doi.org/10.1097/EJA.0b013e32833f539f
dc.identifier.urihttps://hdl.handle.net/20.500.14551/22487
dc.identifier.volume27en_US
dc.identifier.wosWOS:000282954300008en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofEuropean Journal Of Anaesthesiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectMiller Laryngoscopeen_US
dc.subjectPaediatric Airwayen_US
dc.subjectTruview EVO2 Laryngoscopeen_US
dc.subjectDifficult Tracheal Intubationen_US
dc.subjectMacintoshen_US
dc.subjectBladeen_US
dc.titleComparison of TruView EVO2 with Miller laryngoscope in paediatric patientsen_US
dc.typeArticleen_US

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