A comparative evaluation between AMBU® aSCOPE™ 3 slim and flexible fiberoptic bronchoscope in paediatric patients undergoing tracheal intubation under general anaesthesia: A prospective randomised clinical trial

ElsevierVolume 46, October 2022, Pages 25-29Trends in Anaesthesia and Critical CareAbstractBackground

Airway management in paediatric patients is a challenging task which demands both expertise and training. Ambu aScope3 slim has been recently introduced in paediatric airway management armamentarium. In the present study, we compared Ambu aScope3 slim with standard flexible fiberoptic bronchoscope in paediatric patients.

Aim

Intubation time using two devices.

Methodology

After approval from institutional ethical committee and parental consent, 60 ASA I and II patients of either sex, between 2 and 10 years of age were randomly divided into 2 groups using computer-generated random number tables. Patients of Group A[N = 30] were intubated using Ambu® aScope™ 3 slim, while patients of Group B [N = 30] were intubated using Flexible Fiberoptic Bronchoscope. Primary objective was intubation time using two devices. Secondary objectives included POGO score, number of attempts for successful intubation, adjustment manoeuvres like head tilt or readjustment of head position, lingual traction by an assistant and haemodynamic changes.

Results

The mean intubation time (T = T1+T2) taken among Group A was 40.27 ± 4.25 s and of Group B was 42.17 ± 4.94 s (p-value using the Unpaired t-test was > 0.05). POGO score, number of attempts for successful intubation, adjustment manoeuvres and haemodynamic changes were comparable in the two groups. None of the patients in the two groups had any episode of bradycardia and desaturation during intubation attempts.

Conclusion

Both the devices were comparable concerning intubation time, POGO score, intubation attempts and haemodynamic parameters in paediatric patients. However, we found Ambu® aScope™ 3 slim to be easier to use than the Flexible Fiberoptic Bronchoscope as it was easier to set up and hold.

View full text

© 2022 Elsevier Ltd. All rights reserved.

留言 (0)

沒有登入
gif