Hiệu quả của đặt nội khí quản bằng đèn soi thanh quản video ở trẻ em tại khoa cấp cứu và chống độc, Bệnh viện Nhi Trung ương

Abstract

Video laryngoscopy is a novel technique that enhances the accuracy of endotracheal intubation in pediatric patients. This study aimed to evaluate the first-attempt success rate and early complications of endotracheal intubation using a video laryngoscope at the Department of Emergency and Poison Control, Vietnam National Children’s Hospital. A prospective descriptive study was conducted on 471 pediatric patients who underwent endotracheal intubation between July 2024 and June 2025. The median age was 13 months old, 49.7% was under 12 months old. The overall first-attempt success rate was 80.9%. The success rate was significantly higher in the video laryngoscope group compared with the direct laryngoscope group (89.8% vs. 78.6%; p = 0.013). Among patients with predicted difficult airways, the first-attempt success rate was higher with video laryngoscopy (65.4% vs. 52.3%), though the difference was not statistically significant (p > 0.05). The complication rate was lower in the video laryngoscope group (32.7% vs. 38.6%), and severe complications such as bradycardia, esophageal intubation, cardiac arrest, and aspiration occurred only in the direct laryngoscope group. As such, video laryngoscopy improves first-attempt success and reduces complications, particularly in difficult airway cases, and should be considered for routine use in pediatric emergency airway management.