Comparison of McGrath Videolaryngoscope and Macintosh Laryngoscope in Children with Torticollis: Randomized Controlled Trial
We investigated the efficacy of the McGrath videolaryngoscope compared with the Macintosh laryngoscope in children with torticollis. Thirty children aged 1–10 years who underwent surgical release of torticollis were randomly assigned into the McGrath and Macintosh groups. Orotracheal intubation was...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-12-01
|
| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/8/12/1171 |
| _version_ | 1797505841953243136 |
|---|---|
| author | Min Hur Jong Yeop Kim Sang Kee Min Kyuheok Lee Young Ju Won Ji Eun Kim |
| author_facet | Min Hur Jong Yeop Kim Sang Kee Min Kyuheok Lee Young Ju Won Ji Eun Kim |
| author_sort | Min Hur |
| collection | DOAJ |
| description | We investigated the efficacy of the McGrath videolaryngoscope compared with the Macintosh laryngoscope in children with torticollis. Thirty children aged 1–10 years who underwent surgical release of torticollis were randomly assigned into the McGrath and Macintosh groups. Orotracheal intubation was performed by a skilled anesthesiologist. The primary outcome was the intubation time. The Cormack–Lehane grade, lifting force, intubation difficulty scale (IDS), difficulty level, and intubation failure rate were also assessed. The intubation time was significantly longer in the McGrath group than in the Macintosh group (31.4 ± 6.7 s vs. 26.1 ± 5.4 s, <i>p</i> = 0.025). Additionally, the Cormack–Lehane grades were comparable between the groups (<i>p</i> = 0.101). The lifting force and IDS were significantly lower in the McGrath group than in the Macintosh group (<i>p</i> < 0.001 and <i>p</i> = 0.022, respectively). No significant differences were observed with respect to endotracheal intubation difficulty and intubation success rate. Intubation-related complications were also not observed. In conclusion, compared with the Macintosh laryngoscope, the McGrath videolaryngoscope extended the intubation time and did not improve glottic visualization in children with torticollis, despite having a lesser lifting force, lower intubation difficulty scale, and similar success rate. |
| first_indexed | 2024-03-10T04:24:06Z |
| format | Article |
| id | doaj.art-a1d4ab83f8db4df49081606a97835694 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-10T04:24:06Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-a1d4ab83f8db4df49081606a978356942023-11-23T07:42:53ZengMDPI AGChildren2227-90672021-12-01812117110.3390/children8121171Comparison of McGrath Videolaryngoscope and Macintosh Laryngoscope in Children with Torticollis: Randomized Controlled TrialMin Hur0Jong Yeop Kim1Sang Kee Min2Kyuheok Lee3Young Ju Won4Ji Eun Kim5Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon 16499, KoreaDepartment of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon 16499, KoreaDepartment of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon 16499, KoreaDepartment of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon 16499, KoreaDepartment of Anesthesiology and Pain Medicine, Korea University Guro Hospital, Seoul 08308, KoreaDepartment of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon 16499, KoreaWe investigated the efficacy of the McGrath videolaryngoscope compared with the Macintosh laryngoscope in children with torticollis. Thirty children aged 1–10 years who underwent surgical release of torticollis were randomly assigned into the McGrath and Macintosh groups. Orotracheal intubation was performed by a skilled anesthesiologist. The primary outcome was the intubation time. The Cormack–Lehane grade, lifting force, intubation difficulty scale (IDS), difficulty level, and intubation failure rate were also assessed. The intubation time was significantly longer in the McGrath group than in the Macintosh group (31.4 ± 6.7 s vs. 26.1 ± 5.4 s, <i>p</i> = 0.025). Additionally, the Cormack–Lehane grades were comparable between the groups (<i>p</i> = 0.101). The lifting force and IDS were significantly lower in the McGrath group than in the Macintosh group (<i>p</i> < 0.001 and <i>p</i> = 0.022, respectively). No significant differences were observed with respect to endotracheal intubation difficulty and intubation success rate. Intubation-related complications were also not observed. In conclusion, compared with the Macintosh laryngoscope, the McGrath videolaryngoscope extended the intubation time and did not improve glottic visualization in children with torticollis, despite having a lesser lifting force, lower intubation difficulty scale, and similar success rate.https://www.mdpi.com/2227-9067/8/12/1171anesthesiaairway managementintubationpediatricstorticollis |
| spellingShingle | Min Hur Jong Yeop Kim Sang Kee Min Kyuheok Lee Young Ju Won Ji Eun Kim Comparison of McGrath Videolaryngoscope and Macintosh Laryngoscope in Children with Torticollis: Randomized Controlled Trial Children anesthesia airway management intubation pediatrics torticollis |
| title | Comparison of McGrath Videolaryngoscope and Macintosh Laryngoscope in Children with Torticollis: Randomized Controlled Trial |
| title_full | Comparison of McGrath Videolaryngoscope and Macintosh Laryngoscope in Children with Torticollis: Randomized Controlled Trial |
| title_fullStr | Comparison of McGrath Videolaryngoscope and Macintosh Laryngoscope in Children with Torticollis: Randomized Controlled Trial |
| title_full_unstemmed | Comparison of McGrath Videolaryngoscope and Macintosh Laryngoscope in Children with Torticollis: Randomized Controlled Trial |
| title_short | Comparison of McGrath Videolaryngoscope and Macintosh Laryngoscope in Children with Torticollis: Randomized Controlled Trial |
| title_sort | comparison of mcgrath videolaryngoscope and macintosh laryngoscope in children with torticollis randomized controlled trial |
| topic | anesthesia airway management intubation pediatrics torticollis |
| url | https://www.mdpi.com/2227-9067/8/12/1171 |
| work_keys_str_mv | AT minhur comparisonofmcgrathvideolaryngoscopeandmacintoshlaryngoscopeinchildrenwithtorticollisrandomizedcontrolledtrial AT jongyeopkim comparisonofmcgrathvideolaryngoscopeandmacintoshlaryngoscopeinchildrenwithtorticollisrandomizedcontrolledtrial AT sangkeemin comparisonofmcgrathvideolaryngoscopeandmacintoshlaryngoscopeinchildrenwithtorticollisrandomizedcontrolledtrial AT kyuheoklee comparisonofmcgrathvideolaryngoscopeandmacintoshlaryngoscopeinchildrenwithtorticollisrandomizedcontrolledtrial AT youngjuwon comparisonofmcgrathvideolaryngoscopeandmacintoshlaryngoscopeinchildrenwithtorticollisrandomizedcontrolledtrial AT jieunkim comparisonofmcgrathvideolaryngoscopeandmacintoshlaryngoscopeinchildrenwithtorticollisrandomizedcontrolledtrial |