ABSTRACT
Objectives
The aim of this study was to compare the performance of the HugeMed® videolaryngoscope with a direct Macintosh laryngoscope for nasotracheal intubation.
Methods
Eighty-eight children aged 4–10 years were randomly assigned to either the HugeMed® videolaryngoscope (HVL) or the Macintosh direct laryngoscope (MDL) group. Intubation difficulty, glottic view grade, time-to-intubation, number of tracheal intubation attempts, use of external laryngeal manipulation and Magill forceps, recovery time, pediatric-anesthesia-delirium-scale (PAEDS) scores, pain due to tracheal intubation, and laryngeal bleeding were evaluated.
Results
Easy tracheal intubation incidence was higher in the HVL group than that in the MDL group (p = 0.001). Glottic view was better in the HVL group as compared to the MDL group (p = 0.027). There was no difference between the groups in terms of time-to-tracheal intubation, number of tracheal intubation attempts, Magill forceps usage, pain, and bleeding due to tracheal intubation. The need for external laryngeal manipulation (p = 0.004) and PAEDS scores (p = 0.006) were higher in the MDL group than those in the HVL group.
Conclusion
HugeMed® videolaryngoscope may provide easier tracheal intubation, create a better glottic view, and significantly reduce the need for additional manipulation compared to the Macintosh direct laryngoscope, for nasotracheal intubation.
Clinical trial registration
www.clinicaltrial.gov identifier is NCT05121597
Declaration of interest
The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.
Reviewers disclosure
Peer reviewers on this manuscript have no relevant financial relationships or otherwise to disclose.
Author contributions
OK and SK conceived the ideas, OK and SK collected the data; SK, OK, and SK analyzed the data; OK and SK wrote the manuscript. All authors read and assented the final version.
Ethical approval
This study was conducted according to ethical principles regulating research in the medical field in convention to the Declaration of Helsinki, version of 2013. The local ethics committee of the Aydin Adnan Menderes University (approval number 2021/24) granted approval of the study protocol.
Informed consent
The study protocol was explained, and written informed consent was obtained from the children’s parents before beginning the study.