Comparison of truview EVO2 infant laryngoscopy and direct laryngoscopy on hemodynamic parameters and intubation conditions in neonates Yeni̇doǧanlarda truview EVO2 lari̇ngoskop i̇le miller bleydli̇ lari̇ngoskopun hemodi̇nami̇ ve entübasyon koşullari yönünden karçilaştirilmasi


Kuşderci H., Barış S., Kelsaka E., Kocamanoǧlu S.

Anestezi Dergisi, cilt.21, sa.2, ss.119-124, 2013 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 21 Sayı: 2
  • Basım Tarihi: 2013
  • Dergi Adı: Anestezi Dergisi
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.119-124
  • Anahtar Kelimeler: Intubation, Neonate, Truview EVO2 laryngoscope
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

Objective: The aim of this study was to compare the Truview infant EVO2 laryngoscope and the Miller straight blade laryngoscope on hemodynamic effects, laryngeal view and intubation conditions in neonates. Methods: In this prospective randomized study, 100 neonates undergoing surgery under general anesthesia were included into the study. Infants were divided into two groups: Endotracheal intubation was performed with a Truview infant blade (Group VL) or with a Miller 0 blade (Group DL). The hemodynamic parameters (heart rate and mean blood pressure, peripheric oxygen saturation, end-tidal CO2 were recorded at preoperatively, after induction, and 1, 3, 5, 10 min after intubation. Laringoscopic view was assessed with Cormack-Lehane score. Intubation conditions and complications were also recorded. Results: There were no statistical differences among demographic parameters, heart rate, mean blood pressure, peripheral oxygen saturations and Cormack-Lehane scores (p>0.05). Duration of intubation was longer with Truview laryngoscope blade than Miller blade (31.6±7.0 sec vs 19.3±4.5 sec) (p<0.0001). In DL Group, one patient experienced post-extubation hoarseness. Conclusion: It has been found that tracheal intubation with Truview EVO2 infant blade resulted in longer intubation time with similar laryngoscopic view compared to Miller blade in neonates.