Preliminary evaluation of SaCoVLM video laryngeal mask-guided intubation in airway management for anesthetized children
Backgrounds To preliminary evaluate the application of novel SaCoVLM video laryngeal mask -guided intubation for anesthetized children. Methods One hundred twenty-four children with microtia (ages 5-15 years,) who required general intubation anaesthesia, were enrolled in the study. After induction o...
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| Published in | BMC anesthesiology Vol. 23; no. 1; pp. 49 - 8 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
London
BioMed Central
08.02.2023
BioMed Central Ltd BMC |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1471-2253 1471-2253 |
| DOI | 10.1186/s12871-023-01996-3 |
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| Abstract | Backgrounds
To preliminary evaluate the application of novel SaCoVLM video laryngeal mask -guided intubation for anesthetized children.
Methods
One hundred twenty-four children with microtia (ages 5-15 years,) who required general intubation anaesthesia, were enrolled in the study. After induction of general anesthesia,guided tracheal intubation under direct vision of the SaCoVLM was performed. Our primary outcome was first-pass success rate of guided tracheal tube placement. Secondary outcome included glottic visualization grades, the first-attempt success rate of LMA placement, the time for LMA placement and time to endotracheal intubation as well as the time for LMA removal after successful intubation, the fiberoptic grade of laryngeal view, the baseline and postinduction hemodynamic parameters were also recorded,and the incidence 24 h complications after operation.
Results
The first-pass success rate of guided tracheal tube placement was 91.1% (95%CI = 1.04–1.14), the status of glottic visualization was classified: grade 1 in 27cases, grade 2 in 36 cases, grade 3 in 41 cases and grade 4 in 20 cases. The first success rate of LMA placement was 92.7% (95%CI = 1.03–1.13), the time for LMA insertion was 15.7 (±9.1) s, intubation time was 30.9 (±17.6) s and withdrawl time was 24.9 (±9.3) s. The incidence of postoperative sore throat at 2 h was 29%, and 16.1% at 24 h, without dysphagia and hypoxia.
Conclusion
The SaCoVLM video laryngeal mask-guided intubation is feasible in children, with a high success rate, could be a new promising device to guide intubation in airway management.
Trial registration
This study was approved by the University’s Institutional Review Board and written informed consent was obtained from all subjects participating in the trial. The trial was registered prior to patient enrollment at
clinicaltrials.gov
(ChiCTR2200061481,
http://www.chictr.org.cn
. Principal investigator: Juan Zhi; Date of registration: 26/06/2022. |
|---|---|
| AbstractList | BackgroundsTo preliminary evaluate the application of novel SaCoVLM video laryngeal mask -guided intubation for anesthetized children.MethodsOne hundred twenty-four children with microtia (ages 5-15 years,) who required general intubation anaesthesia, were enrolled in the study. After induction of general anesthesia,guided tracheal intubation under direct vision of the SaCoVLM was performed. Our primary outcome was first-pass success rate of guided tracheal tube placement. Secondary outcome included glottic visualization grades, the first-attempt success rate of LMA placement, the time for LMA placement and time to endotracheal intubation as well as the time for LMA removal after successful intubation, the fiberoptic grade of laryngeal view, the baseline and postinduction hemodynamic parameters were also recorded,and the incidence 24 h complications after operation.ResultsThe first-pass success rate of guided tracheal tube placement was 91.1% (95%CI = 1.04–1.14), the status of glottic visualization was classified: grade 1 in 27cases, grade 2 in 36 cases, grade 3 in 41 cases and grade 4 in 20 cases. The first success rate of LMA placement was 92.7% (95%CI = 1.03–1.13), the time for LMA insertion was 15.7 (±9.1) s, intubation time was 30.9 (±17.6) s and withdrawl time was 24.9 (±9.3) s. The incidence of postoperative sore throat at 2 h was 29%, and 16.1% at 24 h, without dysphagia and hypoxia.ConclusionThe SaCoVLM video laryngeal mask-guided intubation is feasible in children, with a high success rate, could be a new promising device to guide intubation in airway management.Trial registrationThis study was approved by the University’s Institutional Review Board and written informed consent was obtained from all subjects participating in the trial. The trial was registered prior to patient enrollment at clinicaltrials.gov (ChiCTR2200061481, http://www.chictr.org.cn. Principal investigator: Juan Zhi; Date of registration: 26/06/2022. To preliminary evaluate the application of novel SaCoVLM video laryngeal mask -guided intubation for anesthetized children.BACKGROUNDSTo preliminary evaluate the application of novel SaCoVLM video laryngeal mask -guided intubation for anesthetized children.One hundred twenty-four children with microtia (ages 5-15 years,) who required general intubation anaesthesia, were enrolled in the study. After induction of general anesthesia,guided tracheal intubation under direct vision of the SaCoVLM was performed. Our primary outcome was first-pass success rate of guided tracheal tube placement. Secondary outcome included glottic visualization grades, the first-attempt success rate of LMA placement, the time for LMA placement and time to endotracheal intubation as well as the time for LMA removal after successful intubation, the fiberoptic grade of laryngeal view, the baseline and postinduction hemodynamic parameters were also recorded,and the incidence 24 h complications after operation.METHODSOne hundred twenty-four children with microtia (ages 5-15 years,) who required general intubation anaesthesia, were enrolled in the study. After induction of general anesthesia,guided tracheal intubation under direct vision of the SaCoVLM was performed. Our primary outcome was first-pass success rate of guided tracheal tube placement. Secondary outcome included glottic visualization grades, the first-attempt success rate of LMA placement, the time for LMA placement and time to endotracheal intubation as well as the time for LMA removal after successful intubation, the fiberoptic grade of laryngeal view, the baseline and postinduction hemodynamic parameters were also recorded,and the incidence 24 h complications after operation.The first-pass success rate of guided tracheal tube placement was 91.1% (95%CI = 1.04-1.14), the status of glottic visualization was classified: grade 1 in 27cases, grade 2 in 36 cases, grade 3 in 41 cases and grade 4 in 20 cases. The first success rate of LMA placement was 92.7% (95%CI = 1.03-1.13), the time for LMA insertion was 15.7 (±9.1) s, intubation time was 30.9 (±17.6) s and withdrawl time was 24.9 (±9.3) s. The incidence of postoperative sore throat at 2 h was 29%, and 16.1% at 24 h, without dysphagia and hypoxia.RESULTSThe first-pass success rate of guided tracheal tube placement was 91.1% (95%CI = 1.04-1.14), the status of glottic visualization was classified: grade 1 in 27cases, grade 2 in 36 cases, grade 3 in 41 cases and grade 4 in 20 cases. The first success rate of LMA placement was 92.7% (95%CI = 1.03-1.13), the time for LMA insertion was 15.7 (±9.1) s, intubation time was 30.9 (±17.6) s and withdrawl time was 24.9 (±9.3) s. The incidence of postoperative sore throat at 2 h was 29%, and 16.1% at 24 h, without dysphagia and hypoxia.The SaCoVLM video laryngeal mask-guided intubation is feasible in children, with a high success rate, could be a new promising device to guide intubation in airway management.CONCLUSIONThe SaCoVLM video laryngeal mask-guided intubation is feasible in children, with a high success rate, could be a new promising device to guide intubation in airway management.This study was approved by the University's Institutional Review Board and written informed consent was obtained from all subjects participating in the trial. The trial was registered prior to patient enrollment at clinicaltrials.gov (ChiCTR2200061481, http://www.chictr.org.cn . Principal investigator: Juan Zhi; Date of registration: 26/06/2022.TRIAL REGISTRATIONThis study was approved by the University's Institutional Review Board and written informed consent was obtained from all subjects participating in the trial. The trial was registered prior to patient enrollment at clinicaltrials.gov (ChiCTR2200061481, http://www.chictr.org.cn . Principal investigator: Juan Zhi; Date of registration: 26/06/2022. Abstract Backgrounds To preliminary evaluate the application of novel SaCoVLM video laryngeal mask -guided intubation for anesthetized children. Methods One hundred twenty-four children with microtia (ages 5-15 years,) who required general intubation anaesthesia, were enrolled in the study. After induction of general anesthesia,guided tracheal intubation under direct vision of the SaCoVLM was performed. Our primary outcome was first-pass success rate of guided tracheal tube placement. Secondary outcome included glottic visualization grades, the first-attempt success rate of LMA placement, the time for LMA placement and time to endotracheal intubation as well as the time for LMA removal after successful intubation, the fiberoptic grade of laryngeal view, the baseline and postinduction hemodynamic parameters were also recorded,and the incidence 24 h complications after operation. Results The first-pass success rate of guided tracheal tube placement was 91.1% (95%CI = 1.04–1.14), the status of glottic visualization was classified: grade 1 in 27cases, grade 2 in 36 cases, grade 3 in 41 cases and grade 4 in 20 cases. The first success rate of LMA placement was 92.7% (95%CI = 1.03–1.13), the time for LMA insertion was 15.7 (±9.1) s, intubation time was 30.9 (±17.6) s and withdrawl time was 24.9 (±9.3) s. The incidence of postoperative sore throat at 2 h was 29%, and 16.1% at 24 h, without dysphagia and hypoxia. Conclusion The SaCoVLM video laryngeal mask-guided intubation is feasible in children, with a high success rate, could be a new promising device to guide intubation in airway management. Trial registration This study was approved by the University’s Institutional Review Board and written informed consent was obtained from all subjects participating in the trial. The trial was registered prior to patient enrollment at clinicaltrials.gov (ChiCTR2200061481, http://www.chictr.org.cn . Principal investigator: Juan Zhi; Date of registration: 26/06/2022. To preliminary evaluate the application of novel SaCoVLM video laryngeal mask -guided intubation for anesthetized children. One hundred twenty-four children with microtia (ages 5-15 years,) who required general intubation anaesthesia, were enrolled in the study. After induction of general anesthesia,guided tracheal intubation under direct vision of the SaCoVLM was performed. Our primary outcome was first-pass success rate of guided tracheal tube placement. Secondary outcome included glottic visualization grades, the first-attempt success rate of LMA placement, the time for LMA placement and time to endotracheal intubation as well as the time for LMA removal after successful intubation, the fiberoptic grade of laryngeal view, the baseline and postinduction hemodynamic parameters were also recorded,and the incidence 24 h complications after operation. The first-pass success rate of guided tracheal tube placement was 91.1% (95%CI = 1.04-1.14), the status of glottic visualization was classified: grade 1 in 27cases, grade 2 in 36 cases, grade 3 in 41 cases and grade 4 in 20 cases. The first success rate of LMA placement was 92.7% (95%CI = 1.03-1.13), the time for LMA insertion was 15.7 (±9.1) s, intubation time was 30.9 (±17.6) s and withdrawl time was 24.9 (±9.3) s. The incidence of postoperative sore throat at 2 h was 29%, and 16.1% at 24 h, without dysphagia and hypoxia. The SaCoVLM video laryngeal mask-guided intubation is feasible in children, with a high success rate, could be a new promising device to guide intubation in airway management. This study was approved by the University's Institutional Review Board and written informed consent was obtained from all subjects participating in the trial. The trial was registered prior to patient enrollment at clinicaltrials.gov (ChiCTR2200061481, http://www.chictr.org.cn . Principal investigator: Juan Zhi; Date of registration: 26/06/2022. Backgrounds To preliminary evaluate the application of novel SaCoVLM video laryngeal mask -guided intubation for anesthetized children. Methods One hundred twenty-four children with microtia (ages 5-15 years,) who required general intubation anaesthesia, were enrolled in the study. After induction of general anesthesia,guided tracheal intubation under direct vision of the SaCoVLM was performed. Our primary outcome was first-pass success rate of guided tracheal tube placement. Secondary outcome included glottic visualization grades, the first-attempt success rate of LMA placement, the time for LMA placement and time to endotracheal intubation as well as the time for LMA removal after successful intubation, the fiberoptic grade of laryngeal view, the baseline and postinduction hemodynamic parameters were also recorded,and the incidence 24 h complications after operation. Results The first-pass success rate of guided tracheal tube placement was 91.1% (95%CI = 1.04–1.14), the status of glottic visualization was classified: grade 1 in 27cases, grade 2 in 36 cases, grade 3 in 41 cases and grade 4 in 20 cases. The first success rate of LMA placement was 92.7% (95%CI = 1.03–1.13), the time for LMA insertion was 15.7 (±9.1) s, intubation time was 30.9 (±17.6) s and withdrawl time was 24.9 (±9.3) s. The incidence of postoperative sore throat at 2 h was 29%, and 16.1% at 24 h, without dysphagia and hypoxia. Conclusion The SaCoVLM video laryngeal mask-guided intubation is feasible in children, with a high success rate, could be a new promising device to guide intubation in airway management. Trial registration This study was approved by the University’s Institutional Review Board and written informed consent was obtained from all subjects participating in the trial. The trial was registered prior to patient enrollment at clinicaltrials.gov (ChiCTR2200061481, http://www.chictr.org.cn . Principal investigator: Juan Zhi; Date of registration: 26/06/2022. Backgrounds To preliminary evaluate the application of novel SaCoVLM video laryngeal mask -guided intubation for anesthetized children. Methods One hundred twenty-four children with microtia (ages 5-15 years,) who required general intubation anaesthesia, were enrolled in the study. After induction of general anesthesia,guided tracheal intubation under direct vision of the SaCoVLM was performed. Our primary outcome was first-pass success rate of guided tracheal tube placement. Secondary outcome included glottic visualization grades, the first-attempt success rate of LMA placement, the time for LMA placement and time to endotracheal intubation as well as the time for LMA removal after successful intubation, the fiberoptic grade of laryngeal view, the baseline and postinduction hemodynamic parameters were also recorded,and the incidence 24 h complications after operation. Results The first-pass success rate of guided tracheal tube placement was 91.1% (95%CI = 1.04-1.14), the status of glottic visualization was classified: grade 1 in 27cases, grade 2 in 36 cases, grade 3 in 41 cases and grade 4 in 20 cases. The first success rate of LMA placement was 92.7% (95%CI = 1.03-1.13), the time for LMA insertion was 15.7 ([+ or -]9.1) s, intubation time was 30.9 ([+ or -]17.6) s and withdrawl time was 24.9 ([+ or -]9.3) s. The incidence of postoperative sore throat at 2 h was 29%, and 16.1% at 24 h, without dysphagia and hypoxia. Conclusion The SaCoVLM video laryngeal mask-guided intubation is feasible in children, with a high success rate, could be a new promising device to guide intubation in airway management. Trial registration This study was approved by the University's Institutional Review Board and written informed consent was obtained from all subjects participating in the trial. The trial was registered prior to patient enrollment at clinicaltrials.gov (ChiCTR2200061481, Keywords: Laryngeal mask airway, Visual, Tracheal intubation, Airway management, Children To preliminary evaluate the application of novel SaCoVLM video laryngeal mask -guided intubation for anesthetized children. One hundred twenty-four children with microtia (ages 5-15 years,) who required general intubation anaesthesia, were enrolled in the study. After induction of general anesthesia,guided tracheal intubation under direct vision of the SaCoVLM was performed. Our primary outcome was first-pass success rate of guided tracheal tube placement. Secondary outcome included glottic visualization grades, the first-attempt success rate of LMA placement, the time for LMA placement and time to endotracheal intubation as well as the time for LMA removal after successful intubation, the fiberoptic grade of laryngeal view, the baseline and postinduction hemodynamic parameters were also recorded,and the incidence 24 h complications after operation. The first-pass success rate of guided tracheal tube placement was 91.1% (95%CI = 1.04-1.14), the status of glottic visualization was classified: grade 1 in 27cases, grade 2 in 36 cases, grade 3 in 41 cases and grade 4 in 20 cases. The first success rate of LMA placement was 92.7% (95%CI = 1.03-1.13), the time for LMA insertion was 15.7 ([+ or -]9.1) s, intubation time was 30.9 ([+ or -]17.6) s and withdrawl time was 24.9 ([+ or -]9.3) s. The incidence of postoperative sore throat at 2 h was 29%, and 16.1% at 24 h, without dysphagia and hypoxia. The SaCoVLM video laryngeal mask-guided intubation is feasible in children, with a high success rate, could be a new promising device to guide intubation in airway management. |
| ArticleNumber | 49 |
| Audience | Academic |
| Author | Wei, Ling-Xin Yang, Dong Zhi, Juan Zhang, Yan-Ming Wang, Qian-Yu Deng, Xiao-Ming |
| Author_xml | – sequence: 1 givenname: Juan surname: Zhi fullname: Zhi, Juan organization: Department of Anesthesiology, Chinese Academy of Medical Sciences & Peking Union Medical College Plastic Surgery Hospital and Institute – sequence: 2 givenname: Xiao-Ming surname: Deng fullname: Deng, Xiao-Ming email: dengxm@psh.pumc.edu.cn organization: Department of Anesthesiology, Chinese Academy of Medical Sciences & Peking Union Medical College Plastic Surgery Hospital and Institute – sequence: 3 givenname: Yan-Ming surname: Zhang fullname: Zhang, Yan-Ming organization: Department of Anesthesiology, Chinese Academy of Medical Sciences & Peking Union Medical College Plastic Surgery Hospital and Institute – sequence: 4 givenname: Ling-Xin surname: Wei fullname: Wei, Ling-Xin organization: Department of Anesthesiology, Chinese Academy of Medical Sciences & Peking Union Medical College Plastic Surgery Hospital and Institute – sequence: 5 givenname: Qian-Yu surname: Wang fullname: Wang, Qian-Yu organization: Department of Anesthesiology, Chinese Academy of Medical Sciences & Peking Union Medical College Plastic Surgery Hospital and Institute – sequence: 6 givenname: Dong surname: Yang fullname: Yang, Dong email: yangdongpumc@126.com organization: Department of Anesthesiology, Chinese Academy of Medical Sciences & Peking Union Medical College Plastic Surgery Hospital and Institute |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36755214$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_3390_jcm12165197 crossref_primary_10_1213_ANE_0000000000006673 crossref_primary_10_1016_j_redar_2024_501688 crossref_primary_10_1097_AIA_0000000000000457 crossref_primary_10_3390_healthcare11182468 crossref_primary_10_1016_j_redare_2025_501688 |
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| PublicationTitle | BMC anesthesiology |
| PublicationTitleAbbrev | BMC Anesthesiol |
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| PublicationYear | 2023 |
| Publisher | BioMed Central BioMed Central Ltd BMC |
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| References_xml | – volume: 7 start-page: 115 issue: 3 year: 2018 ident: 1996_CR4 publication-title: J Pediatr Intensive Care doi: 10.1055/s-0038-1624576 – volume: 38 start-page: 637 issue: 6 year: 2016 ident: 1996_CR11 publication-title: Zhongguo Yi Xue Ke Xue Yuan Xue Bao doi: 10.3881/j.issn.1000-503X.2016.06.003 – volume: 12 start-page: e10178 issue: 9 year: 2020 ident: 1996_CR15 publication-title: Cureus doi: 10.7759/cureus.10178 – volume: 72 start-page: 570 issue: 6 year: 2019 ident: 1996_CR22 publication-title: Korean J Anesthesiol doi: 10.4097/kja.d.18.00367 – volume: 11 start-page: 409 issue: 4 year: 2001 ident: 1996_CR1 publication-title: Paediatr Anaesth doi: 10.1046/j.1460-9592.2001.00683.x – volume: 75 start-page: 104 year: 2017 ident: 1996_CR25 publication-title: Neurosci Biobehav Rev doi: 10.1016/j.neubiorev.2017.01.039 – volume: 22 start-page: 3 issue: 1 year: 2022 ident: 1996_CR13 publication-title: BMC Anesthesiol doi: 10.1186/s12871-021-01541-0 – volume: 22 start-page: 302 issue: 1 year: 2022 ident: 1996_CR21 publication-title: BMC Anesthesiol doi: 10.1186/s12871-022-01843-x – volume: 35 start-page: 217 issue: 2 year: 2021 ident: 1996_CR18 publication-title: J Clin Monit Comput doi: 10.1007/s10877-020-00537-4 – volume: 14 start-page: 88 issue: 2 year: 2022 ident: 1996_CR24 publication-title: J Clin Med Res doi: 10.14740/jocmr4665 – volume: 76 start-page: 457 issue: 2 year: 1993 ident: 1996_CR12 publication-title: Anesth Analg – volume: 46 start-page: 474 issue: 5 year: 2018 ident: 1996_CR14 publication-title: Anaesth Intensive Care doi: 10.1177/0310057X1804600508 – volume: 136 start-page: 31 issue: 1 year: 2022 ident: 1996_CR5 publication-title: Anesthesiology doi: 10.1097/ALN.0000000000004002 – volume: 22 start-page: 400 issue: 3 year: 2009 ident: 1996_CR3 publication-title: Curr Opin Anaesthesiol doi: 10.1097/ACO.0b013e3283294d06 – volume: 51 start-page: 1167 issue: 12 year: 1996 ident: 1996_CR9 publication-title: Anaesthesia doi: 10.1111/j.1365-2044.1996.tb15062.x – volume: 20 start-page: 120 issue: 1 year: 2020 ident: 1996_CR23 publication-title: BMC Anesthesiol doi: 10.1186/s12871-020-01038-2 – volume: 116 start-page: 579 issue: 5 year: 2016 ident: 1996_CR17 publication-title: Br J Anaesth doi: 10.1093/bja/aew104 – volume: 74 start-page: 751 issue: 6 year: 2019 ident: 1996_CR16 publication-title: Anaesthesia doi: 10.1111/anae.14637 – volume: 32 start-page: 429 issue: 4 year: 1985 ident: 1996_CR7 publication-title: Can Anaesth Soc J doi: 10.1007/BF03011357 – volume: 86 start-page: 387 issue: 4 year: 2020 ident: 1996_CR2 publication-title: Minerva Anestesiol doi: 10.23736/S0375-9393.19.13895-3 – volume: 81 start-page: 69 issue: 1 year: 1994 ident: 1996_CR8 publication-title: Anesthesiology doi: 10.1097/00000542-199407000-00011 – ident: 1996_CR6 doi: 10.1007/s10877-021-00780-3 – volume: 18 start-page: 77 issue: 1 year: 2008 ident: 1996_CR19 publication-title: Paediatr Anaesth doi: 10.1111/j.1460-9592.2007.02354.x – volume: 19 start-page: 55 issue: Suppl 1 year: 2009 ident: 1996_CR20 publication-title: Paediatr Anaesth doi: 10.1111/j.1460-9592.2009.02997.x – volume: 67 start-page: 139 issue: 2 year: 2012 ident: 1996_CR10 publication-title: Anaesthesia doi: 10.1111/j.1365-2044.2011.06960.x |
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To preliminary evaluate the application of novel SaCoVLM video laryngeal mask -guided intubation for anesthetized children.
Methods
One hundred... To preliminary evaluate the application of novel SaCoVLM video laryngeal mask -guided intubation for anesthetized children. One hundred twenty-four children... Backgrounds To preliminary evaluate the application of novel SaCoVLM video laryngeal mask -guided intubation for anesthetized children. Methods One hundred... To preliminary evaluate the application of novel SaCoVLM video laryngeal mask -guided intubation for anesthetized children. One hundred twenty-four children... BackgroundsTo preliminary evaluate the application of novel SaCoVLM video laryngeal mask -guided intubation for anesthetized children.MethodsOne hundred... To preliminary evaluate the application of novel SaCoVLM video laryngeal mask -guided intubation for anesthetized children.BACKGROUNDSTo preliminary evaluate... Abstract Backgrounds To preliminary evaluate the application of novel SaCoVLM video laryngeal mask -guided intubation for anesthetized children. Methods One... |
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| SubjectTerms | Adolescent Airway Management Anesthesia Anesthesia, General Anesthesiology Cameras Child Child, Preschool Children Critical Care Medicine Data collection Dysphagia Emergency Medicine Equipment and supplies Fiber optics Humans Hypoxia Intensive Internal Medicine Intubation Intubation, Intratracheal Laryngeal mask airway, Visual, Tracheal intubation Laryngeal Masks Medicine Medicine & Public Health Microtia Patients Pharyngitis Pharyngitis - epidemiology Pharyngitis - etiology Respiratory tract Software Surgery Visualization |
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| Title | Preliminary evaluation of SaCoVLM video laryngeal mask-guided intubation in airway management for anesthetized children |
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