Comparison between video-lighted stylet (Intular Scope™) and direct laryngoscope for endotracheal intubation in patients with normal airway
| Autor: | Hyun Jeong Kwak, Hee Yeon Park, Ji Yeon Lee, Jiro Kim, Ho Jin Hur, Wol Seon Jung |
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| Rok vydání: | 2020 |
| Předmět: |
Medicine (General)
Glottis Prospective Clinical Research Report hemodynamic change Intular Scope™ time to intubation Endotracheal intubation Laryngoscopes Biochemistry Lighted stylet 03 medical and health sciences Direct laryngoscope 0302 clinical medicine R5-920 030202 anesthesiology Intubation Intratracheal Medicine Humans In patient endotracheal intubation Scope (project management) Laryngoscopy business.industry Biochemistry (medical) Pharyngitis Cell Biology General Medicine Stylet 030220 oncology & carcinogenesis Anesthesia mean arterial pressure business Airway |
| Zdroj: | The Journal of International Medical Research Journal of International Medical Research, Vol 48 (2020) |
| ISSN: | 1473-2300 |
| Popis: | Objective The Intular Scope™ (Medical Park, South Korea) (IS) is a video-lighted stylet that can be used for endotracheal intubation with excellent visualization by adding a camera to its end. We compared the efficacy of a direct laryngoscope (DL) with that of the IS based on hemodynamic changes, ease of intubation, and postoperative airway morbidities. Methods Seventy patients with expected normal airways were randomized for intubation using an IS (n = 35) or DL (n = 35). The primary outcome was the mean arterial pressure during intubation. The secondary outcomes were the time to intubation (TTI), percentage of glottic opening (POGO) score, and number of intubation attempts. The incidence and severity of bleeding, hoarseness, and sore throat after intubation were also recorded. Results Hemodynamic changes during intubation were not significantly different between the groups. The TTI was longer in the IS than DL group. The POGO score was higher in the IS than DL group. Hoarseness and sore throat were significantly less severe in the IS than DL group. Conclusions Using the IS did not significantly improve hemodynamics and resulted in a longer TTI. However, the IS was associated with less severe postoperative airway morbidities compared with the DL. |
| Databáze: | OpenAIRE |
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