The role of videolaryngoscopy in cleft surgery: A single center comparative study before and during the COVID-19 pandemic

Cleft lip and palate (CLCP) surgeries necessitate precise airway management, especially in pediatric cases with anatomical variations. The Covid-19 pandemic posed unprecedented challenges to anesthesiology practices that required adaptations to ensure patient safety and minimize viral transmission....

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Veröffentlicht in:	Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2024-07, Vol.94, p.98-102
Hauptverfasser:	Tümer, Murat, Şimşek, Eser, Yılbaş, Aysun A., Canbay, Özgür
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Sprache:	eng
Schlagworte:	Anesthesia Cleft lip and palate surgery COVID-19 pandemic Videolaryngoscopy
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container_title	Journal of plastic, reconstructive & aesthetic surgery
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creator	Tümer, Murat Şimşek, Eser Yılbaş, Aysun A. Canbay, Özgür
description	Cleft lip and palate (CLCP) surgeries necessitate precise airway management, especially in pediatric cases with anatomical variations. The Covid-19 pandemic posed unprecedented challenges to anesthesiology practices that required adaptations to ensure patient safety and minimize viral transmission. Videolaryngoscopy (VL) emerged as a valuable tool in airway management during the pandemic, offering improved intubation success rates and reduced aerosol generation risks. This retrospective study compared anesthesiology practices in CLCP surgeries before (2015–2019) and during the Covid-19 (2019–2022) pandemic at a tertiary care center. Patient demographics, anesthesia techniques, intubation difficulty, airway management, and intraoperative and postoperative follow-up were analyzed from anesthesia records. This study included 1282 cases. Demographics were similar between periods. During the pandemic, there was a significant decrease in the number of patients under one year old (p
doi_str_mv	10.1016/j.bjps.2024.04.062
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The Covid-19 pandemic posed unprecedented challenges to anesthesiology practices that required adaptations to ensure patient safety and minimize viral transmission. Videolaryngoscopy (VL) emerged as a valuable tool in airway management during the pandemic, offering improved intubation success rates and reduced aerosol generation risks. This retrospective study compared anesthesiology practices in CLCP surgeries before (2015–2019) and during the Covid-19 (2019–2022) pandemic at a tertiary care center. Patient demographics, anesthesia techniques, intubation difficulty, airway management, and intraoperative and postoperative follow-up were analyzed from anesthesia records. This study included 1282 cases. Demographics were similar between periods. During the pandemic, there was a significant decrease in the number of patients under one year old (p < 0.001) and a higher prevalence of micrognathia and comorbidities (p = 0.001 and p = 0.038, respectively). Difficult intubation and intraoperative complication rates decreased during the pandemic, but they were not statistically significant. VL usage during the pandemic contributed to improved extubating success (p < 0.001). VL usage and improved patient outcomes were observed during the pandemic, potentially due to proactive measures and infection control protocols. Decision-making processes for extubation and intensive care unit stay became crucial during the pandemic. Understanding the role of VL and its adaptations during the Covid-19 pandemic is vital for optimizing perioperative care in CLCP surgeries and other procedures requiring airway management. 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subjects	Anesthesia Cleft lip and palate surgery COVID-19 pandemic Videolaryngoscopy
title	The role of videolaryngoscopy in cleft surgery: A single center comparative study before and during the COVID-19 pandemic
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