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Usefulness of C-curved stylet for intubation with the C-MAC(®) Miller videolaryngoscope in neonates and infants: a prospective randomized controlled trial

BACKGROUND: Optimizing endotracheal tube (ETT) shape is important for successful videolaryngoscope-aided intubation. This prospective randomized controlled study aimed to compare the tube-handling time between a C-curved and hockey stick-shaped stylet in infants and neonates using the C-MAC(®) video...

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Autores principales: Park, Jung-Bin, Kang, Pyo-Yoon, Kim, Taeyup, Ji, Sang-Hwan, Jang, Young-Eun, Kim, Eun-Hee, Kim, Jin-Tae, Kim, Hee-Soo, Lee, Ji Hyun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Anesthesiologists 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10562063/
https://www.ncbi.nlm.nih.gov/pubmed/36550777
http://dx.doi.org/10.4097/kja.22716
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author Park, Jung-Bin
Kang, Pyo-Yoon
Kim, Taeyup
Ji, Sang-Hwan
Jang, Young-Eun
Kim, Eun-Hee
Kim, Jin-Tae
Kim, Hee-Soo
Lee, Ji Hyun
author_facet Park, Jung-Bin
Kang, Pyo-Yoon
Kim, Taeyup
Ji, Sang-Hwan
Jang, Young-Eun
Kim, Eun-Hee
Kim, Jin-Tae
Kim, Hee-Soo
Lee, Ji Hyun
author_sort Park, Jung-Bin
collection PubMed
description BACKGROUND: Optimizing endotracheal tube (ETT) shape is important for successful videolaryngoscope-aided intubation. This prospective randomized controlled study aimed to compare the tube-handling time between a C-curved and hockey stick-shaped stylet in infants and neonates using the C-MAC(®) videolaryngoscope Miller blade. METHODS: A total of 110 infants (age < 1 year) were randomly assigned to either the hockey stick-curved stylet group (group H, n = 53) or the C-curved stylet group (group C, n = 57). The primary outcome was tube handling time after glottis visualization and the secondary outcomes were the total intubation time, incidence of successful intubation, initial tube tip location at the laryngeal inlet, and numerical rating scale for ease of intubation. RESULTS: Tube insertion time and total intubation duration (both in seconds) were significantly shorter in group C than in group H (13.3 ± 8.9 vs. 25.1 ± 27.0, P = 0.002; 19.9 ± 9.4 vs. 32.8 ± 27.1, P = 0.001, respectively). Group C displayed a higher rate of intubation success within 30 s than group H (87.7% vs. 69.8%, P = 0.029). The initial tube tip was located at the center in 34 children in group C (59.6%) and 12 children in group H (26.1%, P < 0.001). Laryngoscope operators rated intubation as easier when provided with a C-curved stylet. CONCLUSIONS: In neonates and infants, modification of the ETT shape into a C-curve may reduce tube handling time compared to the conventional hockey stick-shaped tube during intubation using a C-MAC(®) video laryngoscope Miller blade.
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spelling pubmed-105620632023-10-10 Usefulness of C-curved stylet for intubation with the C-MAC(®) Miller videolaryngoscope in neonates and infants: a prospective randomized controlled trial Park, Jung-Bin Kang, Pyo-Yoon Kim, Taeyup Ji, Sang-Hwan Jang, Young-Eun Kim, Eun-Hee Kim, Jin-Tae Kim, Hee-Soo Lee, Ji Hyun Korean J Anesthesiol Clinical Research Article BACKGROUND: Optimizing endotracheal tube (ETT) shape is important for successful videolaryngoscope-aided intubation. This prospective randomized controlled study aimed to compare the tube-handling time between a C-curved and hockey stick-shaped stylet in infants and neonates using the C-MAC(®) videolaryngoscope Miller blade. METHODS: A total of 110 infants (age < 1 year) were randomly assigned to either the hockey stick-curved stylet group (group H, n = 53) or the C-curved stylet group (group C, n = 57). The primary outcome was tube handling time after glottis visualization and the secondary outcomes were the total intubation time, incidence of successful intubation, initial tube tip location at the laryngeal inlet, and numerical rating scale for ease of intubation. RESULTS: Tube insertion time and total intubation duration (both in seconds) were significantly shorter in group C than in group H (13.3 ± 8.9 vs. 25.1 ± 27.0, P = 0.002; 19.9 ± 9.4 vs. 32.8 ± 27.1, P = 0.001, respectively). Group C displayed a higher rate of intubation success within 30 s than group H (87.7% vs. 69.8%, P = 0.029). The initial tube tip was located at the center in 34 children in group C (59.6%) and 12 children in group H (26.1%, P < 0.001). Laryngoscope operators rated intubation as easier when provided with a C-curved stylet. CONCLUSIONS: In neonates and infants, modification of the ETT shape into a C-curve may reduce tube handling time compared to the conventional hockey stick-shaped tube during intubation using a C-MAC(®) video laryngoscope Miller blade. Korean Society of Anesthesiologists 2023-10 2022-12-23 /pmc/articles/PMC10562063/ /pubmed/36550777 http://dx.doi.org/10.4097/kja.22716 Text en Copyright © The Korean Society of Anesthesiologists, 2023 https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Research Article
Park, Jung-Bin
Kang, Pyo-Yoon
Kim, Taeyup
Ji, Sang-Hwan
Jang, Young-Eun
Kim, Eun-Hee
Kim, Jin-Tae
Kim, Hee-Soo
Lee, Ji Hyun
Usefulness of C-curved stylet for intubation with the C-MAC(®) Miller videolaryngoscope in neonates and infants: a prospective randomized controlled trial
title Usefulness of C-curved stylet for intubation with the C-MAC(®) Miller videolaryngoscope in neonates and infants: a prospective randomized controlled trial
title_full Usefulness of C-curved stylet for intubation with the C-MAC(®) Miller videolaryngoscope in neonates and infants: a prospective randomized controlled trial
title_fullStr Usefulness of C-curved stylet for intubation with the C-MAC(®) Miller videolaryngoscope in neonates and infants: a prospective randomized controlled trial
title_full_unstemmed Usefulness of C-curved stylet for intubation with the C-MAC(®) Miller videolaryngoscope in neonates and infants: a prospective randomized controlled trial
title_short Usefulness of C-curved stylet for intubation with the C-MAC(®) Miller videolaryngoscope in neonates and infants: a prospective randomized controlled trial
title_sort usefulness of c-curved stylet for intubation with the c-mac(®) miller videolaryngoscope in neonates and infants: a prospective randomized controlled trial
topic Clinical Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10562063/
https://www.ncbi.nlm.nih.gov/pubmed/36550777
http://dx.doi.org/10.4097/kja.22716
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