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Paediatric video laryngoscopy and airway management: What's the clinical evidence?
Fu-Shan Xue1, Ya-Yang Liu1, Hui-Xian Li1
1Department of anaesthesiology, plastic surgery hospital, Chinese academy of medical sciences and Peking union medical college, 33 Ba-Da-Chu Road, Shi-Jing-Shan District, 100144 Beijing, People's Republic of China.
Insights
Videolaryngoscopy offers improved safety for difficult pediatric airway management. This review examines current evidence on its effectiveness and safety in children.
Area of Science:
- Anesthesiology
- Pediatric Critical Care
- Emergency Medicine
Background:
- Paediatric airway management complications, though rare, carry severe consequences.
- Recent technological advancements have enhanced the safety of managing difficult paediatric airways.
- Videolaryngoscopy, utilizing video and optical technology for indirect laryngeal visualization, represents an evolution in intubation.
- Videolaryngoscopes are gaining attention as novel devices for pediatric airway management.
Purpose of the Study:
- To review and synthesize existing clinical evidence on the efficacy and safety of videolaryngoscopy in pediatric airway management.
Main Methods:
- Narrative review of current clinical evidence.
- Focus on studies evaluating videolaryngoscope use in pediatric patients.
Main Results:
- Evidence suggests videolaryngoscopy may improve visualization during pediatric intubation.
- Studies are exploring its impact on intubation success rates and adverse events in children.
- Further research is needed to fully establish its role and benefits.
Conclusions:
- Videolaryngoscopy shows promise as a valuable tool for improving pediatric airway management.
- Continued investigation is essential to confirm its safety and efficacy profile in diverse pediatric populations.
- This technology may contribute to safer outcomes in managing challenging pediatric airways.
Abstract:
The major complications of paediatric airway management are uncommon, but the outcomes are often severe. Over the last decade, additions and advancements in the devices and technology have significantly improved our ability to manage difficult paediatric airways safely. Videolaryngoscopy involves the use of video and optical technology to facilitate indirect visualisation of the larynx during intubation and has been seen as an evolutionary step in intubation technology. Over the past few years, videolaryngoscopes have been receiving plenty of attention as new airway devices for use in paediatric patients. The objective of this narrative review is to specify the existing clinical evidence regarding the efficiency and safety of videolaryngoscopy in paediatric airway management.