Comparison of the intubation success rate between the intubating catheter and videolaryngoscope in difficult airways: a prospective randomized trial
| العنوان: | Comparison of the intubation success rate between the intubating catheter and videolaryngoscope in difficult airways: a prospective randomized trial |
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| المؤلفون: | Irem Gumus Ozcan, Ozkan Onal, Emine Aslanlar, Ali Ozgul Saltali, Mehmet Sari, Hasan Huseyin Bayram, Cansu Ciftci, Aysun Ozdemirkan |
| المصدر: | Brazilian Journal of Anesthesiology, Issue: ahead, Published: 12 NOV 2021 Brazilian Journal of Anesthesiology, Vol 72, Iss 1, Pp 55-62 (2022) Brazilian Journal of Anesthesiology, Volume: 72, Issue: 1, Pages: 55-62, Published: 28 FEB 2022 |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Catheters, medicine.medical_treatment, Video Recording, Airway management, Anesthesia, General, Laryngoscopes, law.invention, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, Anesthesiology, 030202 anesthesiology, law, medicine, Intubation, Intratracheal, Intubation, Humans, RD78.3-87.3, In patient, Prospective Studies, Difficult intubation, Laryngoscopy, business.industry, General Medicine, University hospital, Intratracheal, Catheter, Intubation procedure, Anesthesia, Equipment and supplies, business |
| الوصف: | 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 costeffectiveness 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. |
| وصف الملف: | text/html |
| تدمد: | 2352-2291 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::861962fc2eacf9ef36bc74ad6b27e3be https://pubmed.ncbi.nlm.nih.gov/33991552 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....861962fc2eacf9ef36bc74ad6b27e3be |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 23522291 |
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