Hostname: page-component-76fb5796d-x4r87 Total loading time: 0 Render date: 2024-04-28T15:21:24.708Z Has data issue: false hasContentIssue false
  • English
  • Français

DESIGN AND DEVELOPMENT OF A LOW-COST PEDIATRIC VIDEOLARYNGOSCOPE

Published online by Cambridge University Press:  19 June 2023

Maria José Londoño ,
Jose Fernando Arango  and
Juan Felipe Isaza
Maria José Londoño*
Affiliation:
EAFIT university;
Jose Fernando Arango
Affiliation:
Hospital Pablo Tobón Uribe
Juan Felipe Isaza
Affiliation:
EAFIT university;
*
Londoño, Maria Jose, EAFIT, Colombia, mlondo98@eafit.edu.co

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Endotracheal intubation is performed to provide ventilatory support to a patient of any age. Every medical procedure that requires general anesthesia requires intubation, and for this reason, it is a life-saving procedure. This maneuver is a challenge in pediatric patients between 0 months and 12 years of age, since their anatomy and oxygen consumption differ compared to an adult.

In patients with difficult airways, where there is no good visibility of the structures, a videolaryngoscope is used. It has higher success rates compared to a conventional laryngoscope. Its use has become widespread since the COVID-19 pandemic, as it reduces exposure to respiratory secretions.

This article presents the design, manufacture and testing of a low-cost pediatric videolaryngoscope, for patients between 6 and 12 months, and which are intended to respond to the low availability of this type of equipment in Colombian health care centers. The BioDesign Innovation Process methodology was adapted for its creation. The prototypes were manufactured using 3D printing. Validation was performed by 28 experts using simulators and the results were promising, obtaining a success rate of 98.8% for the designed device.

Keywords

Pediatric videolaryngoscopePediatric intubationBiomedical designDesign process3D printing
Type
Article
Information
Proceedings of the Design Society , Volume 3: ICED23 , July 2023 , pp. 1217 - 1226
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
The Author(s), 2023. Published by Cambridge University Press

References

Fiadjoe, J.E., Nishisaki, A., Jagannathan, N., Hunyady, A.I., Greenberg, R.S., Reynolds, P.I., Matuszczak, M.E., et al. (2016), “Airway management complications in children with difficult tracheal intubation from the Pediatric Difficult Intubation (PeDI) registry: a prospective cohort analysis”, The Lancet Respiratory Medicine, Elsevier, Vol. 4 No. 1, pp. 37–48. https://doi.org/10.1016/s2213-2600(15)00508-1CrossRefGoogle Scholar
Gupta, A., Sharma, R. and Gupta, N. (2021), “Evolution of videolaryngoscopy in pediatric population”, Journal of Anaesthesiology Clinical Pharmacology, Wolters Kluwer Medknow Publications, 1 January. https://doi.org/10.4103/joacp.joacp_7_19Google Scholar
de Jong, A., Pardo, E., Rolle, A., Bodin-Lario, S., Pouzeratte, Y. and Jaber, S. (2020), “Airway management for COVID-19: a move towards universal videolaryngoscope?”, The Lancet Respiratory Medicine, Lancet Publishing Group, Vol. 8 No. 6, p. 555. https://doi.org/10.1016/s2213-2600(20)30221-6CrossRefGoogle Scholar
Komatsu, R., Kasuya, Y., Yogo, H., Sessler, D.I., Mascha, E., Yang, D. and Ozaki, M. (2010), “Learning Curves for Bag-and-mask Ventilation and Orotracheal IntubationAn Application of the Cumulative Sum Method”, Anesthesiology, American Society of Anesthesiologists, Vol. 112 No. 6, pp. 1525–1531. https://doi.org/10.1097/aln.0b013e3181d96779CrossRefGoogle Scholar
Konrad, C., Schupfer, G., Wietlisbach, M. and Gerber, H. (1998), “Learning Manual Skills in Anesthesiology”, Anesthesia & Analgesia, Ovid Technologies (Wolters Kluwer Health), Vol. 86 No. 3, pp. 635–639. https://doi.org/10.1097/00132586-199810000-00057CrossRefGoogle Scholar
Miller, K.A., Monuteaux, M.C., Roussin, C. and Nagler, J. (2019), “Self-Confidence in Endotracheal Intubation Among Pediatric Interns: Associations with Gender, Experience, and Performance”, Academic Pediatrics, Elsevier Inc., Vol. 19 No. 7, pp. 822–827. https://doi.org/10.1016/j.acap.2019.06.013CrossRefGoogle Scholar
Myatra, S.N., Patwa, A. and Divatia, J.V. (2022), “Videolaryngoscopy for all intubations: Is direct laryngoscopy obsolete?”, Indian Journal of Anaesthesia, Wolters Kluwer Medknow Publications, 1 March. https://doi.org/10.4103/ija.ija_234_22Google Scholar
Ramón, C. and Juan Pablo, A. (2011), “Manejo avanzado de la vía aerea”, Revista Médica Clínica Las Condes, Elsevier, Vol. 22 No. 3, pp. 270–279. https://doi.org/10.1016/s0716-8640(11)70426-6CrossRefGoogle Scholar
Rujirojindakul, P., McNeil, E., Rueangchira-Urai, R. and Siripunt, N. (2014), “Learning curves of Macintosh laryngoscope in nurse anesthetist trainees using cumulative sum method”, Anesthesiology Research and Practice, Hindawi Publishing Corporation, Vol. 2014. https://doi.org/10.1155/2014/850731.CrossRefGoogle Scholar
Sun, Y., Lu, Y., Huang, Y. and Jiang, H. (2014), “Pediatric video laryngoscope versus direct laryngoscope: A meta-analysis of randomized controlled trials”, Paediatric Anaesthesia, Vol. 24 No. 10, pp. 1056–1065. https://doi.org/10.1111/pan.12458CrossRefGoogle Scholar
Swaika, S., Ghosh, S. and Bhattacharyya, C. (2019), “Airway devices in paediatric anaesthesia”, Indian Journal of Anaesthesia, Wolters Kluwer Medknow Publications, 1 September. https://doi.org/10.4103/ija.ija_550_19Google Scholar
Thampi, S., Yap, A., Fan, L. and Ong, J. (2020), “Special considerations for the management of COVID-19 pediatric patients in the operating room and pediatric intensive care unit in a tertiary hospital in Singapore”, Paediatric Anaesthesia, Blackwell Publishing Ltd, Vol. 30 No. 6, pp. 642–646. https://doi.org/10.1111/pan.13863CrossRefGoogle Scholar
Wallace, C. and Engelhardt, T. (2015), “Videolaryngoscopes in Paediatric Anaesthesia”, Current Treatment Options in Pediatrics, Springer International Publishing, 1 March. https://doi.org/10.1007/s40746-014-0007-zCrossRefGoogle Scholar
Yock, P. et al. (2015), Biodesign, Cambridge University Press, Cambrigde UK.CrossRefGoogle Scholar