The Science Journal of the American Association for Respiratory Care

2012 OPEN FORUM Abstracts


Stacy L. Manus1, Rhonda Reed1, Diane Dunn1, Teresa Volsko1, Michael T. Bigham2; 1Respiratory Care, Akron Children’s Hospital, Akron, OH; 2Department Of Pediatric Critical Care, Akron Children’s Hospital, Akron, OH

BACKGROUND: Although the literature suggests video laryngoscopy improves intubation success rates with adults, a dearth of information is available in the pediatric population. This study assessed the role of the GlideScope® video laryngoscope (GVL) in facilitating successful intubations by a pediatric critical care transport team. We hypothesize that GVL will reduce failed intubation rates compared to direct laryngoscopy (DL). METHODS: Prior to the initiation of the study, staff received didactic and simulation based instruction with the GVL and demonstrated competency through a minimum of 5 successful intubations in patients > 10 kg and one intubation in patients < 10 kg in a controlled operating room setting. All patients < 18 years of age transported by our pediatric critical care team were eligible. Patients requiring tracheal intubation were consented and randomized into either the GVL intubation group or intubation by DL using a Miller blade prior to transport. Therapists were permitted a maximum of 3 attempts per technique. Tracheal intubation was confirmed by auscultation, chest excursion, end-tidal CO2 detection, and/or chest x-ray. Two tailed z-test determined differences in the proportion of successful first intubation attempts and overall successful intubation rate. Statistical significance was established at p < 0.05. RESULTS: Nineteen patients were enrolled. No difference in first-time successful intubation rate was detected p = 0.57. Overall intubation success rate was greater with direct laryngoscopy, p = 0.002 (Figure 1). CONCLUSIONS: Overall intubation success rates are significantly worse with GVL when compared to Miller blade in the pediatric critical care transport setting. Sponsored Research - None