Comparison of the C-MAC®and GlideScope®videolaryngoscopes in patients with cervical spine disorders and immobilisation
| Autor: | Markus Lange, P. Pakos, G. Mols, Norbert Roewer, A. Wolff, H. Trautner, J. Hain, S. Brück |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Laryngoscopy Video Recording Laryngoscopes Immobilization Intubation Intratracheal medicine Sore throat Humans Intubation In patient Elective surgery medicine.diagnostic_test business.industry Tracheal intubation Equipment Design Middle Aged Dysphagia Surgery Anesthesiology and Pain Medicine medicine.anatomical_structure Anesthesia Cervical Vertebrae Female Spinal Diseases medicine.symptom business Cervical vertebrae |
| Zdroj: | Anaesthesia. 70:160-165 |
| ISSN: | 0003-2409 |
| Popis: | In-line stabilisation of the neck can increase the difficulty of tracheal intubation with direct laryngoscopy. We randomly assigned 56 patients with cervical spine pathology scheduled for elective surgery to tracheal intubation using either the C-MAC(®) (n = 26) or GlideScope(®) (n = 30), when the head and neck were stabilised in-line. There was no significant difference in the median (IQR [range]) intubation times between the C-MAC (19 (14-35 [9-90]) s and the GlideScope (23, (15-32 [8-65]) s. The first-attempt failure rate for the C-MAC was 42% (95% CI 23-63%) compared with 7% (95% CI 1-22%) for the GlideScope, p = 0.002. The laryngeal view was excellent and comparable with both devices, with the C-MAC requiring significantly more attempts and optimising manoeuvers (11 vs 5, respectively, p = 0.04). There were no significant differences in postoperative complaints e.g. sore throat, hoarseness and dysphagia. Both devices provided an excellent glottic view in patients with cervical spine immobilisation, but tracheal intubation was more often successful on the first attempt with the GlideScope. |
| Databáze: | OpenAIRE |
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