Comparison of the success with two bending angles for lighted stylet intubation in children: A prospective randomised study
Background and Aim The bend angle of a lighted stylet is an important factor for successful orotracheal intubation. The aim of this study was to test the differences in the success of endotracheal intubation using lighted stylet with 70° versus 90° bend angles in children aged 4–6 years with normal...
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| Veröffentlicht in: | Pediatric anesthesia 2022-04, Vol.32 (4), p.531-538 |
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| creator | Zhang, Yanjun Guo, Hao Hu, Zhanfei Wang, Li Du, Hongyin von Ungern‐Sternberg, Britta |
| description | Background and Aim
The bend angle of a lighted stylet is an important factor for successful orotracheal intubation. The aim of this study was to test the differences in the success of endotracheal intubation using lighted stylet with 70° versus 90° bend angles in children aged 4–6 years with normal airways.
Methods
A total of 136 children with normal airways required orotracheal intubation were enrolled and were randomly allocated to the 90° or 70° bend angle groups. The first‐attempt success rate was assessed as the primary outcome. The intubation time, lighted stylet search time, lighted stylet withdrawal time, hemodynamic responses, and perioperative complications were recorded as secondary outcomes.
Results
All intubations were completed within three attempts (the 90° group, 63/5/0; the 70° group, 55/11/2). The first‐attempt success rate was higher in the 90° group than that in the 70° group (92.6% [63/68 patients] versus 80.9% [55/68 patients], respectively; risk ratio, 1.15; 95% CI, 1.01–1.31; p = .04). Esophageal entry occurred in nine of 83 intubation attempts in the 70° group and two of 73 intubation attempts in the 90° group (risk ratio, 1.09; 95% CI, 1.01–1.19; p = .04). The intubation time and the lighted stylet search time were significantly shorter in the 90° group than that in the 70° group (intubation time: 12.2 ± 2.0 s versus 14.9 ± 2.6 s, respectively; mean difference, 2.65; 95% CI, 1.87–3.43; p |
| doi_str_mv | 10.1111/pan.14398 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2621663456</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2621663456</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3138-bcaf8170030212fc5b88387abb0c9e83f9d56177082a1fade819b6ddb215d9de3</originalsourceid><addsrcrecordid>eNp1kUtP3DAURi1Exatd9A8gS2zKIuBHnDjdjUYtIKGWRbuO_LiZMcrYqe10NOqfr2EoC6R6Yy_OPfp8P4Q-UnJFy7melL-iNe_kATqhdUOqTnTssLypEJVoanGMTlN6JIRy1rAjdMwFqbsyeYL-LMNmUtGl4HEYcF4DTrMxkBLeurzGeRuwBm-dX2HlVyMkPISIR7daZ7A45d0IGTufZ62yKxLnsVm70Ubwn_ECTzGkCUx2vwFH5W3YuPQ8N9vde_RuUGOCDy_3Gfr59cuP5W11__3mbrm4rwynXFbaqEHSlhBOGGWDEVpKLlulNTEdSD50VjS0bYlkig7KgqSdbqzVjArbWeBn6NPeW8L8miHlvoQwMI7KQ5hTX3ZCm4bXoinoxRv0MczRl3SFKhtmtGVtoS73lCm_SxGGfopuo-Kup6R_aqQvjfTPjRT2_MU46w3YV_JfBQW43gNbN8Lu_6b-YfFtr_wLm22WiQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2643921727</pqid></control><display><type>article</type><title>Comparison of the success with two bending angles for lighted stylet intubation in children: A prospective randomised study</title><source>Wiley-Blackwell Journals</source><source>MEDLINE</source><creator>Zhang, Yanjun ; Guo, Hao ; Hu, Zhanfei ; Wang, Li ; Du, Hongyin ; von Ungern‐Sternberg, Britta</creator><creatorcontrib>Zhang, Yanjun ; Guo, Hao ; Hu, Zhanfei ; Wang, Li ; Du, Hongyin ; von Ungern‐Sternberg, Britta</creatorcontrib><description>Background and Aim
The bend angle of a lighted stylet is an important factor for successful orotracheal intubation. The aim of this study was to test the differences in the success of endotracheal intubation using lighted stylet with 70° versus 90° bend angles in children aged 4–6 years with normal airways.
Methods
A total of 136 children with normal airways required orotracheal intubation were enrolled and were randomly allocated to the 90° or 70° bend angle groups. The first‐attempt success rate was assessed as the primary outcome. The intubation time, lighted stylet search time, lighted stylet withdrawal time, hemodynamic responses, and perioperative complications were recorded as secondary outcomes.
Results
All intubations were completed within three attempts (the 90° group, 63/5/0; the 70° group, 55/11/2). The first‐attempt success rate was higher in the 90° group than that in the 70° group (92.6% [63/68 patients] versus 80.9% [55/68 patients], respectively; risk ratio, 1.15; 95% CI, 1.01–1.31; p = .04). Esophageal entry occurred in nine of 83 intubation attempts in the 70° group and two of 73 intubation attempts in the 90° group (risk ratio, 1.09; 95% CI, 1.01–1.19; p = .04). The intubation time and the lighted stylet search time were significantly shorter in the 90° group than that in the 70° group (intubation time: 12.2 ± 2.0 s versus 14.9 ± 2.6 s, respectively; mean difference, 2.65; 95% CI, 1.87–3.43; p < .01; effect size, 1.16; lighted stylet search time: 5.4 ± 1.0 s versus 8.0 ± 1.6 s, respectively; mean difference, 2.66; 95% CI, 2.21–3.12; p < .01; effect size, 1.95).
Conclusions
Lighted stylet intubation with a 90° bend angle improved the first‐attempt success rate and reduced esophageal intubation in children aged 4–6 years with normal airways.</description><identifier>ISSN: 1155-5645</identifier><identifier>EISSN: 1460-9592</identifier><identifier>DOI: 10.1111/pan.14398</identifier><identifier>PMID: 35049111</identifier><language>eng</language><publisher>France: Wiley Subscription Services, Inc</publisher><subject>adverse effects ; Child ; Esophagus ; Humans ; intratracheal ; Intubation ; Intubation, Intratracheal - adverse effects ; Laryngoscopes - adverse effects ; Prospective Studies ; Success ; transillumination</subject><ispartof>Pediatric anesthesia, 2022-04, Vol.32 (4), p.531-538</ispartof><rights>2022 John Wiley & Sons Ltd.</rights><rights>Copyright © 2022 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3138-bcaf8170030212fc5b88387abb0c9e83f9d56177082a1fade819b6ddb215d9de3</cites><orcidid>0000-0002-9505-8947</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpan.14398$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpan.14398$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35049111$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Yanjun</creatorcontrib><creatorcontrib>Guo, Hao</creatorcontrib><creatorcontrib>Hu, Zhanfei</creatorcontrib><creatorcontrib>Wang, Li</creatorcontrib><creatorcontrib>Du, Hongyin</creatorcontrib><creatorcontrib>von Ungern‐Sternberg, Britta</creatorcontrib><title>Comparison of the success with two bending angles for lighted stylet intubation in children: A prospective randomised study</title><title>Pediatric anesthesia</title><addtitle>Paediatr Anaesth</addtitle><description>Background and Aim
The bend angle of a lighted stylet is an important factor for successful orotracheal intubation. The aim of this study was to test the differences in the success of endotracheal intubation using lighted stylet with 70° versus 90° bend angles in children aged 4–6 years with normal airways.
Methods
A total of 136 children with normal airways required orotracheal intubation were enrolled and were randomly allocated to the 90° or 70° bend angle groups. The first‐attempt success rate was assessed as the primary outcome. The intubation time, lighted stylet search time, lighted stylet withdrawal time, hemodynamic responses, and perioperative complications were recorded as secondary outcomes.
Results
All intubations were completed within three attempts (the 90° group, 63/5/0; the 70° group, 55/11/2). The first‐attempt success rate was higher in the 90° group than that in the 70° group (92.6% [63/68 patients] versus 80.9% [55/68 patients], respectively; risk ratio, 1.15; 95% CI, 1.01–1.31; p = .04). Esophageal entry occurred in nine of 83 intubation attempts in the 70° group and two of 73 intubation attempts in the 90° group (risk ratio, 1.09; 95% CI, 1.01–1.19; p = .04). The intubation time and the lighted stylet search time were significantly shorter in the 90° group than that in the 70° group (intubation time: 12.2 ± 2.0 s versus 14.9 ± 2.6 s, respectively; mean difference, 2.65; 95% CI, 1.87–3.43; p < .01; effect size, 1.16; lighted stylet search time: 5.4 ± 1.0 s versus 8.0 ± 1.6 s, respectively; mean difference, 2.66; 95% CI, 2.21–3.12; p < .01; effect size, 1.95).
Conclusions
Lighted stylet intubation with a 90° bend angle improved the first‐attempt success rate and reduced esophageal intubation in children aged 4–6 years with normal airways.</description><subject>adverse effects</subject><subject>Child</subject><subject>Esophagus</subject><subject>Humans</subject><subject>intratracheal</subject><subject>Intubation</subject><subject>Intubation, Intratracheal - adverse effects</subject><subject>Laryngoscopes - adverse effects</subject><subject>Prospective Studies</subject><subject>Success</subject><subject>transillumination</subject><issn>1155-5645</issn><issn>1460-9592</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUtP3DAURi1Exatd9A8gS2zKIuBHnDjdjUYtIKGWRbuO_LiZMcrYqe10NOqfr2EoC6R6Yy_OPfp8P4Q-UnJFy7melL-iNe_kATqhdUOqTnTssLypEJVoanGMTlN6JIRy1rAjdMwFqbsyeYL-LMNmUtGl4HEYcF4DTrMxkBLeurzGeRuwBm-dX2HlVyMkPISIR7daZ7A45d0IGTufZ62yKxLnsVm70Ubwn_ECTzGkCUx2vwFH5W3YuPQ8N9vde_RuUGOCDy_3Gfr59cuP5W11__3mbrm4rwynXFbaqEHSlhBOGGWDEVpKLlulNTEdSD50VjS0bYlkig7KgqSdbqzVjArbWeBn6NPeW8L8miHlvoQwMI7KQ5hTX3ZCm4bXoinoxRv0MczRl3SFKhtmtGVtoS73lCm_SxGGfopuo-Kup6R_aqQvjfTPjRT2_MU46w3YV_JfBQW43gNbN8Lu_6b-YfFtr_wLm22WiQ</recordid><startdate>202204</startdate><enddate>202204</enddate><creator>Zhang, Yanjun</creator><creator>Guo, Hao</creator><creator>Hu, Zhanfei</creator><creator>Wang, Li</creator><creator>Du, Hongyin</creator><creator>von Ungern‐Sternberg, Britta</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9505-8947</orcidid></search><sort><creationdate>202204</creationdate><title>Comparison of the success with two bending angles for lighted stylet intubation in children: A prospective randomised study</title><author>Zhang, Yanjun ; Guo, Hao ; Hu, Zhanfei ; Wang, Li ; Du, Hongyin ; von Ungern‐Sternberg, Britta</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3138-bcaf8170030212fc5b88387abb0c9e83f9d56177082a1fade819b6ddb215d9de3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>adverse effects</topic><topic>Child</topic><topic>Esophagus</topic><topic>Humans</topic><topic>intratracheal</topic><topic>Intubation</topic><topic>Intubation, Intratracheal - adverse effects</topic><topic>Laryngoscopes - adverse effects</topic><topic>Prospective Studies</topic><topic>Success</topic><topic>transillumination</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Yanjun</creatorcontrib><creatorcontrib>Guo, Hao</creatorcontrib><creatorcontrib>Hu, Zhanfei</creatorcontrib><creatorcontrib>Wang, Li</creatorcontrib><creatorcontrib>Du, Hongyin</creatorcontrib><creatorcontrib>von Ungern‐Sternberg, Britta</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Yanjun</au><au>Guo, Hao</au><au>Hu, Zhanfei</au><au>Wang, Li</au><au>Du, Hongyin</au><au>von Ungern‐Sternberg, Britta</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of the success with two bending angles for lighted stylet intubation in children: A prospective randomised study</atitle><jtitle>Pediatric anesthesia</jtitle><addtitle>Paediatr Anaesth</addtitle><date>2022-04</date><risdate>2022</risdate><volume>32</volume><issue>4</issue><spage>531</spage><epage>538</epage><pages>531-538</pages><issn>1155-5645</issn><eissn>1460-9592</eissn><abstract>Background and Aim
The bend angle of a lighted stylet is an important factor for successful orotracheal intubation. The aim of this study was to test the differences in the success of endotracheal intubation using lighted stylet with 70° versus 90° bend angles in children aged 4–6 years with normal airways.
Methods
A total of 136 children with normal airways required orotracheal intubation were enrolled and were randomly allocated to the 90° or 70° bend angle groups. The first‐attempt success rate was assessed as the primary outcome. The intubation time, lighted stylet search time, lighted stylet withdrawal time, hemodynamic responses, and perioperative complications were recorded as secondary outcomes.
Results
All intubations were completed within three attempts (the 90° group, 63/5/0; the 70° group, 55/11/2). The first‐attempt success rate was higher in the 90° group than that in the 70° group (92.6% [63/68 patients] versus 80.9% [55/68 patients], respectively; risk ratio, 1.15; 95% CI, 1.01–1.31; p = .04). Esophageal entry occurred in nine of 83 intubation attempts in the 70° group and two of 73 intubation attempts in the 90° group (risk ratio, 1.09; 95% CI, 1.01–1.19; p = .04). The intubation time and the lighted stylet search time were significantly shorter in the 90° group than that in the 70° group (intubation time: 12.2 ± 2.0 s versus 14.9 ± 2.6 s, respectively; mean difference, 2.65; 95% CI, 1.87–3.43; p < .01; effect size, 1.16; lighted stylet search time: 5.4 ± 1.0 s versus 8.0 ± 1.6 s, respectively; mean difference, 2.66; 95% CI, 2.21–3.12; p < .01; effect size, 1.95).
Conclusions
Lighted stylet intubation with a 90° bend angle improved the first‐attempt success rate and reduced esophageal intubation in children aged 4–6 years with normal airways.</abstract><cop>France</cop><pub>Wiley Subscription Services, Inc</pub><pmid>35049111</pmid><doi>10.1111/pan.14398</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-9505-8947</orcidid></addata></record> |
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| ispartof | Pediatric anesthesia, 2022-04, Vol.32 (4), p.531-538 |
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| language | eng |
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| source | Wiley-Blackwell Journals; MEDLINE |
| subjects | adverse effects Child Esophagus Humans intratracheal Intubation Intubation, Intratracheal - adverse effects Laryngoscopes - adverse effects Prospective Studies Success transillumination |
| title | Comparison of the success with two bending angles for lighted stylet intubation in children: A prospective randomised study |
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