Influence of Curved Video Laryngoscope Blade Sizes and Patient Heights on Video Laryngoscopic Views: A Randomized Controlled Trial
This study aimed to compare the video laryngoscope views facilitated by curved blades 3 and 4 with an exploration of the relationship between these views and patient height. Conducted as a randomized controlled trial, this study enrolled adults scheduled for surgery under general anesthesia. Intubat...
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| Format: | Article |
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MDPI AG
2024-02-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/14/2/209 |
| _version_ | 1797297726597103616 |
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| author | Jong-Ho Kim Bo-Reum Cheon Hyesook Kim Sung-Mi Hwang Jae-Jun Lee Young-Suk Kwon |
| author_facet | Jong-Ho Kim Bo-Reum Cheon Hyesook Kim Sung-Mi Hwang Jae-Jun Lee Young-Suk Kwon |
| author_sort | Jong-Ho Kim |
| collection | DOAJ |
| description | This study aimed to compare the video laryngoscope views facilitated by curved blades 3 and 4 with an exploration of the relationship between these views and patient height. Conducted as a randomized controlled trial, this study enrolled adults scheduled for surgery under general anesthesia. Intubation procedures were recorded, and the percentage of glottic opening was measured before tube insertion. Multivariate analysis validated the impact of various factors, including blade size and patient height, on the percentage of glottic opening scores. A total of 192 patients were included. The median percentage of glottic opening scores for curved blades 3 and 4 were 100 and 83, respectively (<i>p</i> < 0.001). The unstandardized coefficient indicated a significant negative impact of blade 4 on the percentage of glottic opening scores (−13, <i>p</i> < 0.001). In the locally estimated scatterplot smoothing analysis, blade 3 exhibited a steady rise in glottic opening scores with increasing height, whereas blade 4 showed a peak followed by a decline around 185 cm. The unstandardized coefficient of height showed no significant association (0, <i>p</i> = 0.819). The study observed superior laryngoscopic views with blade 3 compared to blade 4. However, no significant association was found between laryngoscopic views and patient height. |
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| format | Article |
| id | doaj.art-3bd3c8136f244e438264a1661ae8893f |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-07T22:24:34Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-3bd3c8136f244e438264a1661ae8893f2024-02-23T15:23:51ZengMDPI AGJournal of Personalized Medicine2075-44262024-02-0114220910.3390/jpm14020209Influence of Curved Video Laryngoscope Blade Sizes and Patient Heights on Video Laryngoscopic Views: A Randomized Controlled TrialJong-Ho Kim0Bo-Reum Cheon1Hyesook Kim2Sung-Mi Hwang3Jae-Jun Lee4Young-Suk Kwon5Department of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon 24253, Republic of KoreaDepartment of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon 24253, Republic of KoreaInstitute of New Frontier Research, College of Medicine, Hallym University, Chuncheon 24253, Republic of KoreaDepartment of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon 24253, Republic of KoreaDepartment of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon 24253, Republic of KoreaDepartment of Anesthesiology and Pain Medicine, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon 24253, Republic of KoreaThis study aimed to compare the video laryngoscope views facilitated by curved blades 3 and 4 with an exploration of the relationship between these views and patient height. Conducted as a randomized controlled trial, this study enrolled adults scheduled for surgery under general anesthesia. Intubation procedures were recorded, and the percentage of glottic opening was measured before tube insertion. Multivariate analysis validated the impact of various factors, including blade size and patient height, on the percentage of glottic opening scores. A total of 192 patients were included. The median percentage of glottic opening scores for curved blades 3 and 4 were 100 and 83, respectively (<i>p</i> < 0.001). The unstandardized coefficient indicated a significant negative impact of blade 4 on the percentage of glottic opening scores (−13, <i>p</i> < 0.001). In the locally estimated scatterplot smoothing analysis, blade 3 exhibited a steady rise in glottic opening scores with increasing height, whereas blade 4 showed a peak followed by a decline around 185 cm. The unstandardized coefficient of height showed no significant association (0, <i>p</i> = 0.819). The study observed superior laryngoscopic views with blade 3 compared to blade 4. However, no significant association was found between laryngoscopic views and patient height.https://www.mdpi.com/2075-4426/14/2/209laryngoscopebody heightvideo-assisted techniquesrandomized controlled trialendotracheal intubation |
| spellingShingle | Jong-Ho Kim Bo-Reum Cheon Hyesook Kim Sung-Mi Hwang Jae-Jun Lee Young-Suk Kwon Influence of Curved Video Laryngoscope Blade Sizes and Patient Heights on Video Laryngoscopic Views: A Randomized Controlled Trial Journal of Personalized Medicine laryngoscope body height video-assisted techniques randomized controlled trial endotracheal intubation |
| title | Influence of Curved Video Laryngoscope Blade Sizes and Patient Heights on Video Laryngoscopic Views: A Randomized Controlled Trial |
| title_full | Influence of Curved Video Laryngoscope Blade Sizes and Patient Heights on Video Laryngoscopic Views: A Randomized Controlled Trial |
| title_fullStr | Influence of Curved Video Laryngoscope Blade Sizes and Patient Heights on Video Laryngoscopic Views: A Randomized Controlled Trial |
| title_full_unstemmed | Influence of Curved Video Laryngoscope Blade Sizes and Patient Heights on Video Laryngoscopic Views: A Randomized Controlled Trial |
| title_short | Influence of Curved Video Laryngoscope Blade Sizes and Patient Heights on Video Laryngoscopic Views: A Randomized Controlled Trial |
| title_sort | influence of curved video laryngoscope blade sizes and patient heights on video laryngoscopic views a randomized controlled trial |
| topic | laryngoscope body height video-assisted techniques randomized controlled trial endotracheal intubation |
| url | https://www.mdpi.com/2075-4426/14/2/209 |
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