The Performance of multi view scope for tracheal intubation of pediatric patients (randomized controlled trial)
Ibrahim, I., Abdelzaher, T., Samaan, S. (2020). The Performance of multi view scope for tracheal intubation of pediatric patients (randomized controlled trial). EKB Journal Management System, 31(1), 210-217. doi: 10.21608/mjmr.2022.221503
Ibrahim T. Ibrahim; Tarek A. Abdelzaher; Sarah N. Samaan. "The Performance of multi view scope for tracheal intubation of pediatric patients (randomized controlled trial)". EKB Journal Management System, 31, 1, 2020, 210-217. doi: 10.21608/mjmr.2022.221503
Ibrahim, I., Abdelzaher, T., Samaan, S. (2020). 'The Performance of multi view scope for tracheal intubation of pediatric patients (randomized controlled trial)', EKB Journal Management System, 31(1), pp. 210-217. doi: 10.21608/mjmr.2022.221503
Ibrahim, I., Abdelzaher, T., Samaan, S. The Performance of multi view scope for tracheal intubation of pediatric patients (randomized controlled trial). EKB Journal Management System, 2020; 31(1): 210-217. doi: 10.21608/mjmr.2022.221503

The Performance of multi view scope for tracheal intubation of pediatric patients (randomized controlled trial)

Minia Journal of Medical Research
Volume 31, Issue 1, January 2020, Page 210-217  XML PDF (468.55 K)
Document Type: Original Article
DOI: 10.21608/mjmr.2022.221503
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Authors
Ibrahim T. Ibrahim; Tarek A. Abdelzaher; Sarah N. Samaan
Department of Anesthesia, El-Minia Faculty of Medicine
Abstract
Introduction: Pediatric endotracheal intubation (ETI) offers unique challenges not seen in the adult 
patient. There are many important anatomical, physiological and pathological differences between 
them. The glottic opening in a child is small and lies further anterior making direct visualization and 
successful placement more difficult. Aim of the work: This randomized controlled equivalent trial 
was designed to evaluate and compare the performance of MVS VL as a new tool versus the 
traditional machintosh DL for intubation of pediatric patients. Patients and Methods: One hundred 
children from 3 to 12 years of both gender, ASA I and II scheduled to undergo elective surgical 
operation under general anesthesia were divided into two equal groups each group 50 patients 
according to sample size, group (A) intubation was done by MultiViewScope (MVS) and group (B) 
intubation was done by direct laryngeoscope .It was a prospective randomizied controlled equivelant 
study on pediatric patients. Results: Our results revealed that there was no statistically significant 
differences between both groups either in heamodynamic response, oxygen saturation or 
complications during procedure and post operative but the main statistically significance difference 
was in hemodynamic parametrs inside the same group and between two groups mainly in PT, TTBV, 
TTI, glottic view and success rate. Discussion: As regard times till intubation especially TTI which 
was our primary outcome, our study results revealed that there was highly statistically significant 
difference between two groups which was longer with MVS than direct laryngeoscope and this 
prolonged time to intubation appeared to have no real clinical significance and this prolongation due 
to lack of training in usage of such new devices as we usually use direct laryngeoscope more than 
indirect one in our routine. Therefore our learning curve raised with time in our study as we got used 
to deal with MVS. We Recommend: We recommend to use DL in patient with Mallampati I and II.
We recommend good training and workshops using VLs on manikain for ordinary intubation and 
difficult intubation before trial in patients.

Keywords
ASA: American society of anaethesiology; BP: blood pressue; ET: endotracheal; DL:direct laryngeoscope; MVS: multi view scope; TTI: time to intubate
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