The video laryngoscope (VL) Aand (DL) was introduced to aid visualization of the glottis during intubation in critically ill children.
Be able to differentiate using direct laryngoscope and videolarynsgocope in children.
All intubations occurring in pediatric intensive care unit were collected on a prospective database. VL was introduced in our unit September 2016. We studied data 1 year prior to and 1 year after introduction of VL. Categorical and continuous data were presented as counts (percentages) and median (interquartile range). Comparison between the VL and DL group were made using the Chi-square test and Mann-Whitney U test as appropriate
A total of 182 intubations performed in our PICU over 2-year study period. Median age of patients requiring intubation was 0.5 (0.0, 4.3) years. Majority of intubations were emergent 141/182 (77.5%) the main indication was ventilation failure [45/182 (24.7%)]. No difference in the proportion of out-of-hours intubation [35 (35.0) vs 32 (39.0); p=0.644] and oral route of intubation [90 (90.0) vs. 72 (87.8); p=0.643] between the two groups. The number of intubation attempts were similar in the VL and DL groups [1 attempt in 50 (61.0) vs. 65 (65.0), 2 attempts in 17 (20.7) vs. 19 (19.0) and >/= 3 attempts in 15 (18.3) vs. 16 (16.0) respectively; p=0.851]. The oxygen saturation during intubations were similar in the VL and DL groups [pulse oximetry 95 (70, 100) % vs. 97 (73, 100) %; p=0.178].
There was no difference in the number of intubation use of VL as compared to DL.