Assessment of TruviewPCD videolaryngoscope for intubation in children

C Añez Simón1, L Barbero Roldán1, V Serrano Gonzalvo1

  • 1Servicio de Anestesiología y Reanimación, Hospital Universitario de Tarragona Joan XXIII, Tarragona, España; ANESTARRACO Grupo de investigación de Anestestesiología y Reanimación del Institut d'Investigacions Sanitàries Pere Virgili (IISPV), Tarragona, España.

Insights

The TruviewPCD device is effective for pediatric tracheal intubation in clinical settings. This study found it useful for managing pediatric airways, though a blade size between 1 and 2 is recommended.

Area of Science:

  • Anesthesiology
  • Pediatric Airway Management

Background:

  • Tracheal intubation is a critical procedure in pediatric anesthesia.
  • Effective airway management devices are essential for patient safety.
  • Limited data exists on the clinical utility of specific devices like TruviewPCD in children.

Purpose of the Study:

  • To evaluate the clinical usefulness of the TruviewPCD device for tracheal intubation in pediatric patients.
  • To gather data for future research on pediatric airway management tools.

Main Methods:

  • Prospective observational study involving 86 children undergoing ENT or pediatric procedures.
  • Exclusion of children with two or more difficult airway criteria.
  • Descriptive statistical analysis of intubation success, time, and complications.

Main Results:

  • Successful tracheal intubation with TruviewPCD in 83 out of 86 patients.
  • Most intubations (79/83) required only one attempt, with a mean glottis view time of 10.8 seconds.
  • 81 patients experienced easy or very easy intubations; only two cases were difficult, with no significant complications.

Conclusions:

  • TruviewPCD demonstrates utility as a device for pediatric airway management.
  • A recommendation for an intermediate blade size between 1 and 2 is suggested due to the wide size gap.
Abstract

Related Concept Videos

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
748
Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
11.1K
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
4.6K
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
2.8K
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
5.6K
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
7.7K