Comparison of C-MAC D-Blade with macintosh laryngoscope for endotracheal intubation in patients with cervical spine immobilization: A randomized controlled trial
| Autor: | Nidhi Agrawal, Anju Gupta, Ankita Kabi, Suman Saini, K.K. Girdhar |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.diagnostic_test
business.industry medicine.medical_treatment Tracheal intubation Laryngoscopy 030208 emergency & critical care medicine Critical Care and Intensive Care Medicine law.invention 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine Randomized controlled trial Laryngoscopes 030202 anesthesiology law Anesthesia medicine Intubation In patient Elective surgery Cervical spine immobilization business |
| Zdroj: | Trends in Anaesthesia and Critical Care. 37:35-41 |
| ISSN: | 2210-8440 |
| DOI: | 10.1016/j.tacc.2020.10.002 |
| Popis: | Background Recently, indirect laryngoscopes have emerged as an important tool in managing a difficult airway but the literature is insufficient on the comparison of C-MAC D-Blade with Macintosh for tracheal intubation during manual-in-line stabilization. We compared the efficacy of C-MAC D-blade with Macintosh laryngoscope for tracheal intubation in patients with manual-in-line stabilization. Methods Eighty adult patients undergoing elective surgery under general anesthesia were intubated after application of MILS using C-MAC D-Blade (n = 40) or Macintosh laryngoscope (n = 40) as per group allocation. Intubation Difficulty Scale was the primary outcome. We also recorded the duration of laryngoscopy, modified Cormack-Lehane grading, time taken for intubation, total intubation time, optimizing maneuvers required, number of attempts, and complications. Result The median intubation difficulty score (inter-quartile range) was significantly lower with C-MAC D-Blade[(0, 0–1) vs (3, 2–3)](P Conclusion C-MAC D-Blade is superior to the Macintosh laryngoscope in terms of lower Intubation Difficulty Score in patients undergoing tracheal intubation with cervical spine immobilization. |
| Databáze: | OpenAIRE |
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