Pediatric anesthesia & critical care
Use of Video Laryngoscope to Reduce Complications of Transesophageal Echocardiography Probe Insertion in Children
Authors' conclusion
VL does not demonstrate superiority over conventional methods of TEE probe insertion in children regarding injury incidence or first-attempt success rate.
Study context
- Population
- Children aged 0 to 18 years undergoing elective cardiac surgery, tertiary care hospital
- Participants
- 130 children
- Comparison
- Video laryngoscope-assisted vs conventional transesophageal echocardiography (TEE) probe insertion
- Cn = 64reference
- Video laryngoscopy (VL)n = 66
- Primary endpoint
- Incidence of oropharyngeal injury
Methodological detailssingle-centre
- Single-centre
Primary result
As reported in the abstract
Oropharyngeal injury
P = 0.543
- Overall incidence of oropharyngeal injuries
- 7.7%
Secondary outcomes
| Outcome | P value |
|---|---|
| Haemodynamic response to probe insertion | P < 0.05 |
- Single attempt for TEE probe insertion — Children requiring only 1 attempt (overall) · no significant difference
- 90.8% · P = 0.579
- Haemodynamic response to probe insertion: higher % increase in mean BP during and higher HR increase after insertion in VL
Relation of esophageal inlet to larynx
- Posterior
- 62%
- Left posterolateral
- 20.9%
- Right posterolateral
- 17.1%
Original publication
Use of Video Laryngoscope to Reduce Complications of Transesophageal Echocardiography Probe Insertion in Children. J Cardiothorac Vasc Anesth. Published 25 November 2025. doi:10. 1053/ j. jvca. 2025. 11. 033
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