Incidence of transient sinus pause in cardiac rhythm increases with the use of hyperangulated videolaryngoscope blade compared to standard angle blade during tracheal intubation: A prospective randomised controlled trial
Primary result · Transient sinus pauseResult — go to the resultOdds ratio 5.73 95% CI 1.53–21.53Authors' conclusion
The hyperangulated videolaryngoscope blade is associated with a higher incidence of transient sinus pause than the standard angle blade during tracheal intubation.
Study context
- Population
- Patients scheduled for GA, tertiary university hospitalincluded in final analysis
- Participants
- 134 patients
- Comparison
- Hyperangulated vs Standard
- Primary endpoint
- Transient decrease in heart rate or transient sinus pause during tracheal intubation
Methodological detailsprospective, single-centre
- Prospective
- Single-centre
Primary result
Transient sinus pause
Odds ratio
5.73
95% CI 1.53–21.53
P = 0.010
By group
Hyperangulated vs Standard
OR 5.73 (95% CI 1.53–21.53); P = 0.010
As reported in the abstract
Further findings
Intubation conditions
- Percentage of glottic opening score significantly higher in Hyperangulated
- Backward, upward, and rightward pressure significantly less frequent in Hyperangulated
- Direct epiglottis lifting significantly more frequent in Hyperangulated
- Total time of blade in mouth significantly longer in Hyperangulated
Original publication
Incidence of transient sinus pause in cardiac rhythm increases with the use of hyperangulated videolaryngoscope blade compared to standard angle blade during tracheal intubation: A prospective randomised controlled trial. Eur J Anaesthesiol. Published 13 February 2026. doi:10.
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