Pediatric anesthesia & critical care

Use of Video Laryngoscope to Reduce Complications of Transesophageal Echocardiography Probe Insertion in Children

J Cardiothorac Vasc AnesthPublished Randomised controlled trial

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

OutcomeP value
Haemodynamic response to probe insertionP < 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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