دورية أكاديمية
Comparison between GlideRite® rigid stylet and Parker Flex-It™ stylet to facilitate GlideScope intubation in simulated difficult intubation: a randomized controlled study
| العنوان: | Comparison between GlideRite® rigid stylet and Parker Flex-It™ stylet to facilitate GlideScope intubation in simulated difficult intubation: a randomized controlled study |
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| المؤلفون: | Ji Won Bak, Yeonji Noh, Juyoun Kim, Byeongmun Hwang, Seongsik Kang, Heejeong Son, Minsoo Kim |
| المصدر: | Anesthesia and Pain Medicine, Vol 17, Iss 1, Pp 104-111 (2022) |
| بيانات النشر: | Korean Society of Anesthesiologists, 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Anesthesiology LCC:Medicine |
| مصطلحات موضوعية: | airway management, general anesthesia, intubation, laryngoscopes, Anesthesiology, RD78.3-87.3, Medicine |
| الوصف: | Background The GlideScope® videolaryngoscope (GVL) is widely used in patients with difficult airways and provides a good glottic view. However, the acute angle of the blade can make insertion and advancement of an endotracheal tube (ETT) more difficult than direct laryngoscopy, and the use of a stylet is recommended. This randomized controlled trial compared Parker Flex-It™ stylet (PFS) with GlideRite® rigid stylet (GRS) to facilitate intubation with the GVL in simulated difficult intubations. Methods Fifty-four patients were randomly allocated to undergo GVL intubation using either GRS (GRS group) or PFS (PFS group). The total intubation time (TIT), 100-mm visual analog scale (VAS) for ease of intubation, success rate at the first attempt, use of laryngeal manipulation, tube advancement rate by assistant, and complications were recorded. Results There was no significant difference between the GRS and PFS groups regarding TIT (50.3 ± 12.0 s in the GRS group and 57.8 ± 18.8 s in the PFS group, P = 0.108). However, intubation was more difficult in the PFS group than in the GRS group according to VAS score (P = 0.011). Cases in which the ETT was advanced from the stylet by an assistant, were more frequent in the GRS group than in the PFS group (P = 0.002). The overall incidence of possible complications was not significantly different. Conclusions In patients with a simulated difficult airway, there was no difference in TIT using either the PFS or GRS. However, endotracheal intubation with PFS is more difficult to perform than GRS. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1975-5171 2383-7977 |
| Relation: | http://www.anesth-pain-med.org/upload/pdf/apm-21095.pdf; https://doaj.org/toc/1975-5171; https://doaj.org/toc/2383-7977 |
| DOI: | 10.17085/apm.21095 |
| URL الوصول: | https://doaj.org/article/316193c8d61444158bee26b34d1387d4 |
| رقم الأكسشن: | edsdoj.316193c8d61444158bee26b34d1387d4 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 19755171 23837977 |
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| DOI: | 10.17085/apm.21095 |