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Videolaryngoscopes in pediatric anesthesia: what's new?

J E Fiadjoe1, P Kovatsis

  • 1Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA - fiadjoej@email.chop.edu.

Minerva Anestesiologica
|September 5, 2013
PubMed

Insights

Videolaryngoscopes (VLs) offer benefits for pediatric intubation but may not suit all children due to airway variations. This review examines their strengths, weaknesses, and appropriate use in pediatric patients.

Area of Science:

  • Pediatric Anesthesiology
  • Airway Management Devices

Background:

  • Anesthesiologists increasingly use videolaryngoscopes (VLs) for endotracheal intubations.
  • Pediatric airways are dynamic and change significantly with age, impacting device suitability.
  • A device effective in older children may not be ideal for infants.

Purpose of the Study:

  • To evaluate the suitability of videolaryngoscopes for all pediatric age groups.
  • To identify the strengths and weaknesses of VLs in pediatric intubation.
  • To determine indications, efficacy assessment, and educational role of VLs in children.

Main Methods:

  • Literature review of videolaryngoscope use in pediatric patients.
  • Analysis of studies addressing VL efficacy, indications, and complications in infants and children.
  • Exploration of VLs' role in teaching standard laryngoscopy.

Main Results:

  • VLs present unique advantages and disadvantages in pediatric airway management.
  • Device performance varies significantly across different pediatric age groups.
  • Specific indications and assessment methods for VL use in children are discussed.

Conclusions:

  • Videolaryngoscopes are valuable tools but require careful consideration of patient age and airway anatomy.
  • Further research is needed to optimize VL selection and application in diverse pediatric populations.
  • VLs may have a role in training, but their effectiveness compared to standard laryngoscopy needs further investigation.

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