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Videolaryngoscopes improve laryngeal visualization in children under 3 years. In this study we aimed to compare Hugemed and McGrath videolaryngoscopes regarding their Cormach-Lehane (CL) and percentage of glottic opening (POGO) scores. Furthermore, tracheal intubation success rates, need for cricoid pressure and optimization maneuvers, and hemodynamic changes are compared.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| The group of patients (Group M, n=20) was intubated with the McGrath videolaryngoscope. | Active Comparator | Before intubation, Cormack-Lehane score and percentage of glottis opening (POGO) score were recorded by applying direct and indirect laryngoscopy with the Macgreth videolaryngoscope. All tracheal intubations were performed by the same expert with over 10 years of experience in pediatric anesthesia. |
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| For the group (Group H, n=20), the Hugemed videolaryngoscope was used. | Experimental | Patients were intubated using one of the appropriate blades numbered 1, 2, or 3 based on their height, weight, and age. After the induction of general anesthesia, patients underwent direct and indirect laryngoscopy with videolaryngoscopes. The Modified Cormack-Lehane score and Percentage of Glottic Opening (POGO) score were recorded, and orotracheal intubation was performed. Number of attempts, need for cricoid pressure, optimization maneuvers, success rate, and hemodynamic parameters of both groups were recorded. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hugemed Videolaryngoscope | Device | After general anesthesia induction, the first group of patients (Group M, n=20) was intubated with the McGrath videolaryngoscope. For the second group (Group H, n=20), the Hugemed videolaryngoscope was used. Patients were intubated using one of the appropriate blades numbered 1, 2, or 3 based on their height, weight, and age. |
| Measure | Description | Time Frame |
|---|---|---|
| Success of intubation | Number of attempts of the intubation. | Procedure (At the time of the intubation of the patient.) |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of glottis opening (POGO) | The primary aim of this study was to compare the percentage of glottis opening (POGO, 0-100%) scores in direct and indirect laryngoscopy performed with HugeMed and McGrath video laryngoscopes in pediatric patients. | Procedure (At the time of the intubation of the patient.) |
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Inclusion Criteria:
total of 40 elective surgical patients under the age of 3, classified as ASA 1-3 risk group, who underwent general anesthesia with no anticipated difficult airway.
Exclusion Criteria:
Patients who could not obtain parental consent, those classified as ASA 4 and above, individuals with serious cardiac and respiratory problems, and patients anticipated to have a difficult airway were not included in the study.
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| Name | Affiliation | Role |
|---|---|---|
| Gamze Çabaklı | Marmara University Department of Anesthesiology and Reanimation | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Marmara University Pendik Research and Training Hospital | Istanbul | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40218139 | Derived | Cabakli GT, Saracoglu KT, Abdullayev R, Guclu E, Ratajczyk P, Saracoglu A. A Comparison of McGrath Mac and HugeMed Video Laryngoscopes in Pediatric Patients Under 3 Years Old-A Prospective Randomized Trial. Healthcare (Basel). 2025 Apr 7;13(7):842. doi: 10.3390/healthcare13070842. |
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| Need for optimization maneuvers |
Whether there are any optimization maneuvers by an assistant. |
| Procedure (At the time of the intubation of the patient.) |
| Degree of hemodynamic changes | Whether there are any acute changes in the patient heart rate during the intubation. | Procedure (At the time of the intubation of the patient.) |
| blood pressure | Whether there are any acute changes in the patient blood pressure during the intubation. | Procedure (At the time of the intubation of the patient.) |
| Success of intubation | Number of attempts of the intubation. | Procedure (At the time of the intubation of the patient.) |