دورية أكاديمية

Comparison of the intubation success rate between the intubating catheter and videolaryngoscope in difficult airways: a prospective randomized trial.

التفاصيل البيبلوغرافية
العنوان: Comparison of the intubation success rate between the intubating catheter and videolaryngoscope in difficult airways: a prospective randomized trial.
المؤلفون: Ozdemirkan A; Selcuk University Faculty of Medicine, Department of Anesthesiology and Intensive Care, Konya, Turkey., Onal O; Selcuk University Faculty of Medicine, Department of Anesthesiology and Intensive Care, Konya, Turkey; Cleveland Clinic Main Hospital, Anesthesiology Institute, Department of Outcomes Research, Cleveland, Ohio, USA. Electronic address: onali@ccf.org., Ozcan IG; Selcuk University Faculty of Medicine, Department of Anesthesiology and Intensive Care, Konya, Turkey., Aslanlar E; Selcuk University Faculty of Medicine, Department of Anesthesiology and Intensive Care, Konya, Turkey., Saltali A; Selcuk University Faculty of Medicine, Department of Anesthesiology and Intensive Care, Konya, Turkey., Sari M; Selcuk University Faculty of Medicine, Department of Anesthesiology and Intensive Care, Konya, Turkey., Ciftci C; Selcuk University Faculty of Medicine, Department of Anesthesiology and Intensive Care, Konya, Turkey., Bayram HH; Selcuk University Faculty of Medicine, Department of Anesthesiology and Intensive Care, Konya, Turkey.
المصدر: Brazilian journal of anesthesiology (Elsevier) [Braz J Anesthesiol] 2022 Jan-Feb; Vol. 72 (1), pp. 55-62. Date of Electronic Publication: 2021 May 12.
نوع المنشور: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Elsevier Editora Ltda Country of Publication: Brazil NLM ID: 101624623 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2352-2291 (Electronic) Linking ISSN: 01040014 NLM ISO Abbreviation: Braz J Anesthesiol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Rio de Janeiro : Elsevier Editora Ltda, 2013-
مواضيع طبية MeSH: Laryngoscopes* , Laryngoscopy*, Anesthesia, General ; Catheters ; Humans ; Intubation, Intratracheal/methods ; Prospective Studies ; Video Recording
مستخلص: Background: Several devices and algorithms have already been examined and compared for difficult airway management. However, there is no existing study comparing the success of the Intubating Catheter (IC) and the Videolaryngoscope (VL) in patients who are difficult to intubate. We aimed to compare Frova IC and McGrath VL in terms of intubation success rates in patients with difficult intubation.
Methods: This prospective, randomized study was performed in an university hospital. Patients who underwent an operation under general anesthesia and whom airway management process was deemed difficult were included in this study. Patients were randomly divided into two groups by envelopes containing a number: the intubating catheter group (Group IC), intubated using the Frova IC, and the videolaryngoscope group (Group VL), intubated using the McGrath VL. Study data were collected by a technician who was blind to the study groups and the type of device used in the intubation procedure.
Results: A total of 49 patients with difficult airway were included in the study, including 25 patients in the Frova IC Group and 24 patients in the McGrath VL Group. The rate of successful intubation was determined to be 88% in Group IC and 66% in Group VL (p = 0.074). The mean duration of intubation attempt in Group VL was 44.62 seconds, whereas in Group IC, it was 51.12 seconds (p = 0.593). Group VL was found to have a significantly lower Cormack-Lehane grade compared to Group IC (p < 0.001).
Conclusion: Frova IC is a candidate to be an indispensable instrument in terms of cost-effectiveness in clinics such as anesthesia and emergency medicine, where difficult intubation cases are frequently encountered. However, the combination of Frova IC and McGrath VL seems to be more successful in difficult intubation situations, so future studies should focus on using these two devices together.
(Copyright © 2021 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.)
التعليقات: Comment in: Braz J Anesthesiol. 2023 May-Jun;73(3):364-365. (PMID: 36894009)
Comment in: Braz J Anesthesiol. 2023 Jul-Aug;73(4):521-522. (PMID: 37137389)
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فهرسة مساهمة: Keywords: Airway management; Catheters; Equipment and supplies; Intratracheal; Intubation
تواريخ الأحداث: Date Created: 20210515 Date Completed: 20220428 Latest Revision: 20240308
رمز التحديث: 20240309
مُعرف محوري في PubMed: PMC9373587
DOI: 10.1016/j.bjane.2021.04.027
PMID: 33991552
قاعدة البيانات: MEDLINE
الوصف
تدمد:2352-2291
DOI:10.1016/j.bjane.2021.04.027