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BJA Advance Access published online on August 8, 2008
British Journal of Anaesthesia, doi:10.1093/bja/aen234
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2008. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

GlideScope® video laryngoscope: a randomized clinical trial in 203 paediatric patients{dagger}

J.-T. Kim, H.-S. Na, J.-Y. Bae, D.-W. Kim, H.-S. Kim*, C. S. Kim and S. D. Kim

Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, # 28 Yongondong, Jongnogu, Seoul 110-744, Korea

* Corresponding author. E-mail: dami0605{at}snu.ac.kr

Background: The GlideScope® intubating device has been reported to provide a comparable or superior laryngoscopic view compared with direct laryngoscopy in adults. This study compared the use of the GlideScope® with direct laryngoscopy for the laryngoscopic view and intubation time in children.

Methods: The laryngoscopic view in 203 children was scored using both the Macintosh laryngoscope and the GlideScope® using Cormack and Lehane (C&L) grades. After scoring each laryngoscopic view with and without BURP, the patients were randomly allocated to two groups. The trachea was intubated using direct laryngoscopy (Group DL, n=100) or the GlideScope® (Group GS, n=103). We compared C&L grades for the two views in the same patient, and also the time to intubate for each group.

Results: The GlideScope® improved the view without BURP in the patients with C&L grade 2 (16/26, P<0.01) and with C&L grades 3 and 4 (7/11, P<0.05). The view with BURP was also improved by the GlideScope® in C&L grade 2 (4/9, P<0.05) and with C&L grades 3 and 4 (4/5, P=0.059). The mean time for tracheal intubation was 36.0 (17.9) s in the GS group and 23.8 (13.9) s in the DL group (P<0.001).

Conclusions: In children, the GlideScope® provided a laryngoscopic view equal to or better than that of direct laryngoscopy but required a longer time for intubation.

Keywords: airway; anaesthesia, paediatric; anaesthetic techniques, laryngoscopy; equipment, laryngoscope; larynx, laryngoscopy

{dagger} Presented in part at the annual scientific meeting of the Korean Society of Anesthesiologists, Seoul, Korea, November 2007.


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