Cuff inflation technique is better than Magill forceps technique to facilitate nasotracheal intubation guiding by GlideScope® video laryngoscope
Abstract Video laryngoscopy is often selected to assist nasotracheal intubation in allowing better laryngeal visualization, although there is no comparative study evaluating the effectiveness between auxiliary techniques by using Magill forceps and inflated cuff in GlideScope video laryngoscopy for...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-08-01
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| Series: | Kaohsiung Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/kjm2.12559 |
| _version_ | 1811338701515522048 |
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| author | Chia‐Heng Lin Kuang‐Yi Tseng Miao‐Pei Su Wen‐Ming Chuang Ping‐Yang Hu Kuang‐I Cheng |
| author_facet | Chia‐Heng Lin Kuang‐Yi Tseng Miao‐Pei Su Wen‐Ming Chuang Ping‐Yang Hu Kuang‐I Cheng |
| author_sort | Chia‐Heng Lin |
| collection | DOAJ |
| description | Abstract Video laryngoscopy is often selected to assist nasotracheal intubation in allowing better laryngeal visualization, although there is no comparative study evaluating the effectiveness between auxiliary techniques by using Magill forceps and inflated cuff in GlideScope video laryngoscopy for nasotracheal intubation. Fifty‐one of 100 patients in a Magill forceps group and 47 of 100 patients in a cuff inflation group were included in the final analysis in this randomized, single‐blind, parallel, clinical trial study. Induction agents were routinely administered according to body weight, while intubation time spent, attempts, and related side effects were recorded. Compared to the Magill forceps group, the cuff inflation technique shortened the total intubation time (70.0 ± 24.5 s vs. 87.0 ± 25.0 s, p = 0.001) and the time of advancing the nasotracheal tube from oropharyngeal space into the trachea (25.9 ± 16.4 s vs. 42.3 ± 21.2 s, p < 0.001). However, the number of intubation attempts was not significantly different between groups. During tube advancement, the tube was rotated to accommodate the glottis and trachea more frequently in the cuff inflation group (p = 0.009), but the blade of the laryngoscope shifted and was adjusted to the proper position more frequently in the Magill forceps group (p < 0.001). In the Magill forceps group, the tube cuff might be clipped incidentally and the intubator might shift their gaze away from the screen during intubation, although there was no significant difference in intubation‐related side effects between groups. Unlike the conventional approach, nasotracheal intubation with the GlideScope® video laryngoscope using the auxiliary technique of cuff inflation could be more suited than using Magill forceps. |
| first_indexed | 2024-04-13T18:15:01Z |
| format | Article |
| id | doaj.art-53cf59b317d6413cb086336f2f83aee2 |
| institution | Directory Open Access Journal |
| issn | 1607-551X 2410-8650 |
| language | English |
| last_indexed | 2024-04-13T18:15:01Z |
| publishDate | 2022-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-53cf59b317d6413cb086336f2f83aee22022-12-22T02:35:42ZengWileyKaohsiung Journal of Medical Sciences1607-551X2410-86502022-08-0138879680310.1002/kjm2.12559Cuff inflation technique is better than Magill forceps technique to facilitate nasotracheal intubation guiding by GlideScope® video laryngoscopeChia‐Heng Lin0Kuang‐Yi Tseng1Miao‐Pei Su2Wen‐Ming Chuang3Ping‐Yang Hu4Kuang‐I Cheng5Department of Anesthesiology Kaohsiung Medical University Hospital Kaohsiung TaiwanDepartment of Anesthesiology Kaohsiung Medical University Hospital Kaohsiung TaiwanDepartment of Anesthesiology Kaohsiung Medical University Hospital Kaohsiung TaiwanDepartment of Anesthesiology Qishan Hospital of the Ministry of Health and Welfare Kaohsiung TaiwanDepartment of Anesthesiology Kaohsiung Medical University Hospital Kaohsiung TaiwanDepartment of Anesthesiology Kaohsiung Medical University Hospital Kaohsiung TaiwanAbstract Video laryngoscopy is often selected to assist nasotracheal intubation in allowing better laryngeal visualization, although there is no comparative study evaluating the effectiveness between auxiliary techniques by using Magill forceps and inflated cuff in GlideScope video laryngoscopy for nasotracheal intubation. Fifty‐one of 100 patients in a Magill forceps group and 47 of 100 patients in a cuff inflation group were included in the final analysis in this randomized, single‐blind, parallel, clinical trial study. Induction agents were routinely administered according to body weight, while intubation time spent, attempts, and related side effects were recorded. Compared to the Magill forceps group, the cuff inflation technique shortened the total intubation time (70.0 ± 24.5 s vs. 87.0 ± 25.0 s, p = 0.001) and the time of advancing the nasotracheal tube from oropharyngeal space into the trachea (25.9 ± 16.4 s vs. 42.3 ± 21.2 s, p < 0.001). However, the number of intubation attempts was not significantly different between groups. During tube advancement, the tube was rotated to accommodate the glottis and trachea more frequently in the cuff inflation group (p = 0.009), but the blade of the laryngoscope shifted and was adjusted to the proper position more frequently in the Magill forceps group (p < 0.001). In the Magill forceps group, the tube cuff might be clipped incidentally and the intubator might shift their gaze away from the screen during intubation, although there was no significant difference in intubation‐related side effects between groups. Unlike the conventional approach, nasotracheal intubation with the GlideScope® video laryngoscope using the auxiliary technique of cuff inflation could be more suited than using Magill forceps.https://doi.org/10.1002/kjm2.12559cuff inflationGlideScope video laryngoscopeMagill forcepsnasotracheal intubation |
| spellingShingle | Chia‐Heng Lin Kuang‐Yi Tseng Miao‐Pei Su Wen‐Ming Chuang Ping‐Yang Hu Kuang‐I Cheng Cuff inflation technique is better than Magill forceps technique to facilitate nasotracheal intubation guiding by GlideScope® video laryngoscope Kaohsiung Journal of Medical Sciences cuff inflation GlideScope video laryngoscope Magill forceps nasotracheal intubation |
| title | Cuff inflation technique is better than Magill forceps technique to facilitate nasotracheal intubation guiding by GlideScope® video laryngoscope |
| title_full | Cuff inflation technique is better than Magill forceps technique to facilitate nasotracheal intubation guiding by GlideScope® video laryngoscope |
| title_fullStr | Cuff inflation technique is better than Magill forceps technique to facilitate nasotracheal intubation guiding by GlideScope® video laryngoscope |
| title_full_unstemmed | Cuff inflation technique is better than Magill forceps technique to facilitate nasotracheal intubation guiding by GlideScope® video laryngoscope |
| title_short | Cuff inflation technique is better than Magill forceps technique to facilitate nasotracheal intubation guiding by GlideScope® video laryngoscope |
| title_sort | cuff inflation technique is better than magill forceps technique to facilitate nasotracheal intubation guiding by glidescope r video laryngoscope |
| topic | cuff inflation GlideScope video laryngoscope Magill forceps nasotracheal intubation |
| url | https://doi.org/10.1002/kjm2.12559 |
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