Comparison of conventional and videolaryngoscopy blades in neonates
- 1 January 2020
- journal article
- research article
- Published by BMJ in Archives of Disease in Childhood: Fetal & Neonatal
- Vol. 105 (1), F94-F97
- https://doi.org/10.1136/archdischild-2018-315644
Abstract
Neonatal intubation is an essential but difficult skill to learn. Videolaryngoscopy allows the airway view to be shared by the intubator and supervisor and improves intubation success. Ideally, a videolaryngoscope (VL) should be usable as a conventional laryngoscope (CL). The aims of this report were to describe differences in the shape of currently available CL and VL blades and to compare the direct airway view obtainable on a neonatal manikin with different laryngoscope blades. Three main differences were observed; compared with CL, the VL blades have a reduced vertical height, a curved tip and curved body. The direct airway view obtained by the VL is narrower than that obtained with the CL, although the corresponding view on the VL screen is maintained. Minor adaptation of intubation technique may be required when using a VL. Modifying VL blades to reduce these differences may improve their usefulness as an intubation training tool.Keywords
This publication has 10 references indexed in Scilit:
- Analysis of unsuccessful intubations in neonates using videolaryngoscopy recordingsArchives of Disease in Childhood: Fetal & Neonatal, 2017
- Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation: a Cochrane Systematic ReviewBritish Journal of Anaesthesia, 2017
- Neonatal airway simulators, how good are they? A comparative study of physical and functional fidelityJournal of Perinatology, 2015
- Videolaryngoscopy to Teach Neonatal Intubation: A Randomized TrialPediatrics, 2015
- Videolaryngoscopy versus direct laryngoscopy for tracheal intubation in neonatesCochrane Database of Systematic Reviews, 2015
- Videolaryngoscopy versus direct laryngoscopy for tracheal intubation in neonatesPublished by Wiley ,2012
- Comparative Effectiveness of the C-MAC Video Laryngoscope versus Direct Laryngoscopy in the Setting of the Predicted Difficult AirwayAnesthesiology, 2012
- A comparison of the STORZ video laryngoscope and standard direct laryngoscopy for intubation in the Pediatric airway – a randomized clinical trialPediatric Anesthesia, 2009
- Expected difficult tracheal intubation: a prospective comparison of direct laryngoscopy and video laryngoscopy in 200 patientsBritish Journal of Anaesthesia, 2009
- Neonatal intubation: Success of pediatric traineesThe Journal of Pediatrics, 2005