The effect of placement of a support under the shoulders on laryngeal visualization with a C-MAC Miller Video Laryngoscope in children younger than 2 years of age

dc.authoridOZGUL, Ulku/0000-0003-3738-1751
dc.authoridÇOLAK, CEMİL/0000-0001-5406-098X
dc.authoridbegeç, zekine/0000-0002-9506-1871
dc.authoridKoylu Mizrak, Zeynep/0000-0002-7774-9971
dc.authorwosidOZGUL, Ulku/ABI-6823-2020
dc.authorwosidÇOLAK, CEMİL/ABI-3261-2020
dc.authorwosidbegeç, zekine/ABI-5491-2020
dc.contributor.authorGencay, Zeynep Koylu
dc.contributor.authorBegec, Zekine
dc.contributor.authorOzgul, Ulku
dc.contributor.authorColak, Cemil
dc.date.accessioned2024-08-04T20:46:04Z
dc.date.available2024-08-04T20:46:04Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground We aimed to evaluate glottis visualization and time to intubation in children younger than 2 years of age during laryngoscopy performed with a C-MAC Miller Video Laryngoscope in a position determined by placing a folded towel under the shoulders to align the oral-pharyngeal and laryngeal axes in the horizontal plane. Methods Ninety-six children younger than 2 years of age, who were classified by the American Society of Anesthesiologists as having a physical status I or II and who were scheduled for elective surgery necessitating endotracheal intubation under general anesthesia, were included in the study. All patients were intubated with a C-MAC Miller Video Laryngoscope. The children intubated by placing a folded towel under the shoulders were categorized as Group 1 (n = 48), and the children intubated without placement of a folded towel were categorized as Group 2 (n = 48). The percentage of glottis opening and Cormack-Lehane Scores, values of visual analogue scale to determine the ease of using a C-MAC Miller Video Laryngoscope, time to intubation, number of intubation attempts, optimization procedures and complications were recorded for all children. Results There was a statistically significant difference between Group 1 (mean +/- SD; 97.71 +/- 4.24) and Group 2 (mean +/- SD; 94.17 +/- 7.09) in terms of the percentage of glottis opening scores (P = 0.004). The mean difference in the percentage of glottis opening scores (95% confidence interval) between the groups was 3.54 (1.17-5.90). Conclusion We showed that a folded towel placed under the shoulders in children younger than 2 years of age improves glottis visualization provides ease of use of the C-MAC Miller Video Laryngoscope. Therefore, we think that the placement of a folded towel under the shoulders during the use of a C-MAC Miller Video Laryngoscope may be useful for airway management in children younger than 2 years of age.en_US
dc.description.sponsorship[2017/599]en_US
dc.description.sponsorshipThe financial support for the project number 2017/599 was supplied by the Inonu University Scientific Research Project Center.en_US
dc.identifier.doi10.1111/pan.13685
dc.identifier.endpage820en_US
dc.identifier.issn1155-5645
dc.identifier.issn1460-9592
dc.identifier.issue8en_US
dc.identifier.pmid31211460en_US
dc.identifier.scopus2-s2.0-85069684780en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage814en_US
dc.identifier.urihttps://doi.org/10.1111/pan.13685
dc.identifier.urihttps://hdl.handle.net/11616/98881
dc.identifier.volume29en_US
dc.identifier.wosWOS:000477456900001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofPediatric Anesthesiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectairway managementen_US
dc.subjectinfanten_US
dc.subjectlaryngoscopyen_US
dc.subjectpatient positionen_US
dc.titleThe effect of placement of a support under the shoulders on laryngeal visualization with a C-MAC Miller Video Laryngoscope in children younger than 2 years of ageen_US
dc.typeArticleen_US

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