Pentax-AWS video laryngoscope for tracheal intubation in a patient with Klippel-Feil syndrome

Jo, Yong Hee; Kim, Mi Kyeong; Kim, Keon-Sik

doi:10.4097/kjae.2013.65.6s.s25

Cited by 1 publication

(1 citation statement)

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“…Several case reports showed successful intubation in paediatric difficult airway using paediatric Intlock installed Pentax AWS. 8,9 A randomised controlled trial in paediatric patients using Airtraq ® , a similar channelled VL, showed shorter intubation time, lesser number of attempts and lesser need for optimization manoeuvers compared to Macintosh laryngoscope. 10 In another paediatric randomised controlled study, however, Airtraq showed no advantage in terms of intubation time over Macintosh laryngoscopes in infants, and showed prolonged intubation time in children.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Pentax Airway Scope and Macintosh laryngoscope for orotracheal intubation in children: A randomised non‐inferiority trial

Kwak

Kim

et al. 2019

Acta Anaesthesiol Scand

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Funding informationDepartmental source. Background: Pentax Airway Scope (AWS) is a recently developed videolaryngoscopefor use in both normal and difficult airways, yet its use in paediatric patients has not been established. The purpose of this study was to evaluate the efficacy of the Pentax AWS regarding intubation time, laryngeal view and ease of intubation in paediatric patients with normal airway, compared to Macintosh laryngoscope.Method: A total of 136 paediatric patients aged 1-10 with American Society of Anaesthesiologists physical status I or II undergoing general anaesthesia were randomly allocated into two groups: Macintosh laryngoscope (n = 68) and Pentax Airway Scope (n = 68). Primary outcome was intubation time. Cormack-Lehane laryngeal view grade, application of optimal laryngeal external manipulation, intubation difficulty scale, intubation failure rate and adverse events were also measured.Result: No significant difference was observed between the two groups regarding intubation time (P = 0.713). As for the laryngeal view grade, the Pentax group resulted in lower graded cases compared to the Macintosh group (P = 0.000). No optimal laryngeal external manipulation application was required in the Pentax group.Intubation difficulty scale resulted in lower values for Pentax group (P = 0.001).Failure rate was not different between the two groups (P = 0.619). There were significantly more teeth injury cases in the Pentax group than Macintosh group (P = 0.042).Conclusion: Pentax Airway Scope provided similar intubation time and success rate, while improving laryngeal view, compared to Macintosh laryngoscopy in children with normal airway. When using Pentax AWS in children, however, the risk of teeth injury may increase.

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Section: Introductionmentioning

confidence: 99%