Comparison of Airtraq™ video-laryngoscope and Macintosh laryngoscope for tracheal intubation in adults—a randomised study
Abstract Background Airway management by intubation is considered a major responsibility and vital skill for anaesthesiologists. Direct laryngoscopy and endotracheal intubation under vision continues to be the gold standard for airway management. Though conventional laryngoscopy is done with Macinto...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-05-01
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| Series: | Ain Shams Journal of Anesthesiology |
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| Online Access: | https://doi.org/10.1186/s42077-023-00328-4 |
| _version_ | 1827943569849057280 |
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| author | Seema Meena Sujata Chaudhary Rashmi Salhotra Swati Bharti Bismanjeet Kaur Khurana |
| author_facet | Seema Meena Sujata Chaudhary Rashmi Salhotra Swati Bharti Bismanjeet Kaur Khurana |
| author_sort | Seema Meena |
| collection | DOAJ |
| description | Abstract Background Airway management by intubation is considered a major responsibility and vital skill for anaesthesiologists. Direct laryngoscopy and endotracheal intubation under vision continues to be the gold standard for airway management. Though conventional laryngoscopy is done with Macintosh blade, it has its own drawbacks. The Airtraq™ is a tube/guide channelled video-laryngoscope and can be used in patients with normal as well as difficult airway. On literature review, studies comparing intubation time with Airtraq™ and Macintosh laryngoscopes have shown heterogeneous results. Therefore, the present study was designed to compare the Airtraq™ video-laryngoscope and Macintosh laryngoscope for tracheal intubation in adults. Results The median time to intubation was significantly longer in group A [45 (27–77) s] than in group M [24 (21–26) s] (p < 0.001). In both groups, 96% patients had POGO score 75–100% and CL grade I. Intubation was noted to be easy in 88% cases in group A and 92% in group M (p > 0.05). Three cases in group A required a second attempt for successful intubation, whereas in group M, all cases were intubated in the first attempt (p > 0.05). Hemodynamic parameters and complications were comparable among the groups (p > 0.05). Conclusions Airtraq™ video-laryngoscope took longer time for intubation than Macintosh laryngoscope. However, both the devices were similar in terms of glottic view, ease of intubation, number of intubation attempts, incidence of failed intubation, hemodynamic changes, and complications. The overall performance of Airtraq™ video-laryngoscope was similar to Macintosh laryngoscope in patients having normal airways. |
| first_indexed | 2024-03-13T10:17:23Z |
| format | Article |
| id | doaj.art-03348fcf88ed455bb0380b82d130b0ff |
| institution | Directory Open Access Journal |
| issn | 2090-925X |
| language | English |
| last_indexed | 2024-03-13T10:17:23Z |
| publishDate | 2023-05-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Ain Shams Journal of Anesthesiology |
| spelling | doaj.art-03348fcf88ed455bb0380b82d130b0ff2023-05-21T11:09:22ZengSpringerOpenAin Shams Journal of Anesthesiology2090-925X2023-05-011511810.1186/s42077-023-00328-4Comparison of Airtraq™ video-laryngoscope and Macintosh laryngoscope for tracheal intubation in adults—a randomised studySeema Meena0Sujata Chaudhary1Rashmi Salhotra2Swati Bharti3Bismanjeet Kaur Khurana4Department of Critical Care Medicine, Max Super Speciality HospitalDepartment of Anesthesiology and Intensive Care, VMMC & Safdarjung HospitalDepartment of Anesthesiology, Critical Care and Pain Medicine, University College of Medical Sciences and Guru Teg Bahadur HospitalDepartment of Anesthesiology, Pain Medicine and Critical Care, All India Institute of Medical SciencesDepartment of Anaesthesia, Post Graduate Institute of Medical Education and Research (PGIMER)Abstract Background Airway management by intubation is considered a major responsibility and vital skill for anaesthesiologists. Direct laryngoscopy and endotracheal intubation under vision continues to be the gold standard for airway management. Though conventional laryngoscopy is done with Macintosh blade, it has its own drawbacks. The Airtraq™ is a tube/guide channelled video-laryngoscope and can be used in patients with normal as well as difficult airway. On literature review, studies comparing intubation time with Airtraq™ and Macintosh laryngoscopes have shown heterogeneous results. Therefore, the present study was designed to compare the Airtraq™ video-laryngoscope and Macintosh laryngoscope for tracheal intubation in adults. Results The median time to intubation was significantly longer in group A [45 (27–77) s] than in group M [24 (21–26) s] (p < 0.001). In both groups, 96% patients had POGO score 75–100% and CL grade I. Intubation was noted to be easy in 88% cases in group A and 92% in group M (p > 0.05). Three cases in group A required a second attempt for successful intubation, whereas in group M, all cases were intubated in the first attempt (p > 0.05). Hemodynamic parameters and complications were comparable among the groups (p > 0.05). Conclusions Airtraq™ video-laryngoscope took longer time for intubation than Macintosh laryngoscope. However, both the devices were similar in terms of glottic view, ease of intubation, number of intubation attempts, incidence of failed intubation, hemodynamic changes, and complications. The overall performance of Airtraq™ video-laryngoscope was similar to Macintosh laryngoscope in patients having normal airways.https://doi.org/10.1186/s42077-023-00328-4Airtraq™ video-laryngoscopeMacintosh laryngoscopeTracheal intubationAirway management |
| spellingShingle | Seema Meena Sujata Chaudhary Rashmi Salhotra Swati Bharti Bismanjeet Kaur Khurana Comparison of Airtraq™ video-laryngoscope and Macintosh laryngoscope for tracheal intubation in adults—a randomised study Ain Shams Journal of Anesthesiology Airtraq™ video-laryngoscope Macintosh laryngoscope Tracheal intubation Airway management |
| title | Comparison of Airtraq™ video-laryngoscope and Macintosh laryngoscope for tracheal intubation in adults—a randomised study |
| title_full | Comparison of Airtraq™ video-laryngoscope and Macintosh laryngoscope for tracheal intubation in adults—a randomised study |
| title_fullStr | Comparison of Airtraq™ video-laryngoscope and Macintosh laryngoscope for tracheal intubation in adults—a randomised study |
| title_full_unstemmed | Comparison of Airtraq™ video-laryngoscope and Macintosh laryngoscope for tracheal intubation in adults—a randomised study |
| title_short | Comparison of Airtraq™ video-laryngoscope and Macintosh laryngoscope for tracheal intubation in adults—a randomised study |
| title_sort | comparison of airtraq™ video laryngoscope and macintosh laryngoscope for tracheal intubation in adults a randomised study |
| topic | Airtraq™ video-laryngoscope Macintosh laryngoscope Tracheal intubation Airway management |
| url | https://doi.org/10.1186/s42077-023-00328-4 |
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