Evaluation of lightwand-guided endotracheal intubation for patients with missing or no teeth: a randomized controlled study
Background: Unhealthy teeth can seriously affect general health and increase the risk of death in elderly people. There has been no confirmation of which device is most effective for elderly patients with teeth loss. Therefore, we compared four intubation devices in elderly patients with partial and...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-07-01
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| Series: | Brazilian Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0104001421001238 |
| _version_ | 1811181085814423552 |
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| author | Xiaoyan Ge Wei Liu Ziting Zhang Fenglei Xie Tengfei Zhao Yuanhai Li |
| author_facet | Xiaoyan Ge Wei Liu Ziting Zhang Fenglei Xie Tengfei Zhao Yuanhai Li |
| author_sort | Xiaoyan Ge |
| collection | DOAJ |
| description | Background: Unhealthy teeth can seriously affect general health and increase the risk of death in elderly people. There has been no confirmation of which device is most effective for elderly patients with teeth loss. Therefore, we compared four intubation devices in elderly patients with partial and total tooth loss aiming to reduce risk during anesthesia. Methods: Two hundred patients were randomized to undergo tracheal intubation with the Macintosh laryngoscope, the Glidescope, the Fiberoptic bronchoscope or the Lightwand as part of general anesthesia. A unified protocol of anesthetic medications was used. HR and BP were measured at T0, T1, T2, T3, T4 and T5. Catecholamine (epinephrine and norepinephrine) blood samples were drawn at T0, T1 and T2. Intubation time and postoperative complications, including dental damage and losses, were recorded. Results: Reduced fluctuations in HR, DBP, and SBP were observed in the Lightwand group. Intubation time was significantly shorter in the Lightwand group (p < 0.05). There was no statistically significant difference between the groups in epinephrine levels, but norepinephrine levels were less volatile in the Fiberoptic bronchoscope and Lightwand groups. Fewer patients in the Lightwand group experienced dental damage and other postoperative complications than in the other three groups. Although a higher success rate on the first attempt was as high as in the Fiberoptic bronchoscope group, shorter intubation time was observed only in the Lightwand group. Conclusion: The Lightwand offers less hemodynamic stimulation than the Macintosh laryngoscope, Glidescope, and Fiberoptic bronchoscope. Because it had the shortest intubation time, the Lightwand caused the least damage to the teeth and throat of elderly patients. Our findings showed that tracheal intubation with the Lightwand was advantageous for preventing cardiovascular stress responses with short intubation times and fewer postoperative complications. |
| first_indexed | 2024-04-11T09:13:53Z |
| format | Article |
| id | doaj.art-5ee7e99549514dbcad8c2463d1ac9ef1 |
| institution | Directory Open Access Journal |
| issn | 0104-0014 |
| language | English |
| last_indexed | 2024-04-11T09:13:53Z |
| publishDate | 2021-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Anesthesiology |
| spelling | doaj.art-5ee7e99549514dbcad8c2463d1ac9ef12022-12-22T04:32:26ZengElsevierBrazilian Journal of Anesthesiology0104-00142021-07-01714395401Evaluation of lightwand-guided endotracheal intubation for patients with missing or no teeth: a randomized controlled studyXiaoyan Ge0Wei Liu1Ziting Zhang2Fenglei Xie3Tengfei Zhao4Yuanhai Li5Anhui Medical University, The First Affiliated Hospital, Department of Anesthesiology, Hefei, China; Bozhou People’s Hospital, Department of Anesthesiology, Bozhou, ChinaBozhou People’s Hospital, Department of Anesthesiology, Bozhou, ChinaBozhou People’s Hospital, Department of Anesthesiology, Bozhou, ChinaBozhou People’s Hospital, Department of Anesthesiology, Bozhou, ChinaBozhou People’s Hospital, Department of Anesthesiology, Bozhou, ChinaAnhui Medical University, The First Affiliated Hospital, Department of Anesthesiology, Hefei, China; Corresponding author.Background: Unhealthy teeth can seriously affect general health and increase the risk of death in elderly people. There has been no confirmation of which device is most effective for elderly patients with teeth loss. Therefore, we compared four intubation devices in elderly patients with partial and total tooth loss aiming to reduce risk during anesthesia. Methods: Two hundred patients were randomized to undergo tracheal intubation with the Macintosh laryngoscope, the Glidescope, the Fiberoptic bronchoscope or the Lightwand as part of general anesthesia. A unified protocol of anesthetic medications was used. HR and BP were measured at T0, T1, T2, T3, T4 and T5. Catecholamine (epinephrine and norepinephrine) blood samples were drawn at T0, T1 and T2. Intubation time and postoperative complications, including dental damage and losses, were recorded. Results: Reduced fluctuations in HR, DBP, and SBP were observed in the Lightwand group. Intubation time was significantly shorter in the Lightwand group (p < 0.05). There was no statistically significant difference between the groups in epinephrine levels, but norepinephrine levels were less volatile in the Fiberoptic bronchoscope and Lightwand groups. Fewer patients in the Lightwand group experienced dental damage and other postoperative complications than in the other three groups. Although a higher success rate on the first attempt was as high as in the Fiberoptic bronchoscope group, shorter intubation time was observed only in the Lightwand group. Conclusion: The Lightwand offers less hemodynamic stimulation than the Macintosh laryngoscope, Glidescope, and Fiberoptic bronchoscope. Because it had the shortest intubation time, the Lightwand caused the least damage to the teeth and throat of elderly patients. Our findings showed that tracheal intubation with the Lightwand was advantageous for preventing cardiovascular stress responses with short intubation times and fewer postoperative complications.http://www.sciencedirect.com/science/article/pii/S0104001421001238Endotracheal intubationElderly patientsLightwand |
| spellingShingle | Xiaoyan Ge Wei Liu Ziting Zhang Fenglei Xie Tengfei Zhao Yuanhai Li Evaluation of lightwand-guided endotracheal intubation for patients with missing or no teeth: a randomized controlled study Brazilian Journal of Anesthesiology Endotracheal intubation Elderly patients Lightwand |
| title | Evaluation of lightwand-guided endotracheal intubation for patients with missing or no teeth: a randomized controlled study |
| title_full | Evaluation of lightwand-guided endotracheal intubation for patients with missing or no teeth: a randomized controlled study |
| title_fullStr | Evaluation of lightwand-guided endotracheal intubation for patients with missing or no teeth: a randomized controlled study |
| title_full_unstemmed | Evaluation of lightwand-guided endotracheal intubation for patients with missing or no teeth: a randomized controlled study |
| title_short | Evaluation of lightwand-guided endotracheal intubation for patients with missing or no teeth: a randomized controlled study |
| title_sort | evaluation of lightwand guided endotracheal intubation for patients with missing or no teeth a randomized controlled study |
| topic | Endotracheal intubation Elderly patients Lightwand |
| url | http://www.sciencedirect.com/science/article/pii/S0104001421001238 |
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