PMID- 30692885
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220331
IS  - 1658-354X (Print)
IS  - 0975-3125 (Electronic)
VI  - 13
IP  - 1
DP  - 2019 Jan-Mar
TI  - GlideScope((R)) cobalt video laryngoscope versus direct Miller laryngoscope for 
      lateral position-tracheal intubation in neonates with myelodysplasia: A 
      prospective randomized study.
PG  - 28-34
LID - 10.4103/sja.SJA_460_18 [doi]
AB  - BACKGROUND AND OBJECTIVE: Anesthesiologists encounter difficulties during 
      laryngoscopy and tracheal intubation of neonates with myelodysplasia. Tracheal 
      intubation in lateral position in such cases deemed profitable but not easy 
      because of the compromised laryngeal view. We compared GlideScope video 
      laryngoscope (GVL) versus conventional Miller direct laryngoscope (DL) for 
      tracheal intubation in laterally positioned neonates with myelodysplasia. 
      MATERIALS AND METHODS: Sixty neonates scheduled for elective surgical repair of 
      meningeocele or meningeomyelocele under general anesthesia were allocated 
      randomly for endotracheal intubation using GVL or DL. Percentage of glottis 
      opening (POGO) scores, time to best glottis view (TBGV), endotracheal tube 
      passage time (TPT), intubation time (IT), intubation attempts, and overall 
      success rate of intubation were recorded. RESULTS: TBGV was significantly shorter 
      in GVL group (median = 6.8 s, range = 3.5-28.2 s) in comparison with DL group 
      (median = 8.4 s, range = 4.8-32.7 s) (P = 0.01); however, TPT and IT were 
      comparable. POGO scores were significantly higher with GVL group than DL group 
      (median = 93.8, range = 45-100 and median = 82.4, range 10-100, respectively) (P 
      = 0.001). Overall success of intubation was the same; however, three patients in 
      GVL group required a second attempt for intubation in comparison with five 
      patients in DL group. One patient in DL group required a third attempt. 
      CONCLUSION: In laterally positioned neonates, GVL is easier than DL with a 
      similar intubation time, comparable time required for tube passage, better views 
      of the glottis, shorter times to obtain the best glottic view, and high success 
      rate as compared with DL. GlideScope seems to be an effective approach for 
      endotracheal intubation of laterally positioned neonates with myelodysplasia.
FAU - Salama, Eman Ramadan
AU  - Salama ER
AD  - Department of Anesthesia and Surgical ICU, Faculty of Medicine, Tanta University, 
      Tanta, Egypt.
FAU - El Amrousy, Doaa
AU  - El Amrousy D
AD  - Department of Pediatrics, Faculty of Medicine, Tanta University, Tanta, Egypt.
LA  - eng
PT  - Journal Article
PL  - India
TA  - Saudi J Anaesth
JT  - Saudi journal of anaesthesia
JID - 101500601
PMC - PMC6329240
OTO - NOTNLM
OT  - Cobalt video laryngoscope
OT  - direct laryngoscope
OT  - neonates
OT  - tracheal intubation
COIS- There are no conflicts of interest.
EDAT- 2019/01/30 06:00
MHDA- 2019/01/30 06:01
PMCR- 2019/01/01
CRDT- 2019/01/30 06:00
PHST- 2019/01/30 06:00 [entrez]
PHST- 2019/01/30 06:00 [pubmed]
PHST- 2019/01/30 06:01 [medline]
PHST- 2019/01/01 00:00 [pmc-release]
AID - SJA-13-28 [pii]
AID - 10.4103/sja.SJA_460_18 [doi]
PST - ppublish
SO  - Saudi J Anaesth. 2019 Jan-Mar;13(1):28-34. doi: 10.4103/sja.SJA_460_18.