Comparison of Cormack Lehane grading system and intubation difficulty score in patients intubated by D-blade video and direct Macintosh laryngoscope: a randomized controlled study
D-blade is a relatively new device in the field of videolaryngoscopy, designed for airway management by enabling indirectoscopic glottic view. In our study, we investigated efficiency of D-blade in comparison with direct Macintosh laryngoscope (gold standard). Fifty-two adult patients with normal ai...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2016-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/262225 |
| _version_ | 1827283100237824000 |
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| author | Iva Pažur Branka Maldini Vedran Hostić Ognjen Ožegić Melanija Obraz |
| author_facet | Iva Pažur Branka Maldini Vedran Hostić Ognjen Ožegić Melanija Obraz |
| author_sort | Iva Pažur |
| collection | DOAJ |
| description | D-blade is a relatively new device in the field of videolaryngoscopy, designed for airway management by enabling indirectoscopic glottic view. In our study, we investigated efficiency of D-blade in comparison with direct Macintosh laryngoscope (gold standard). Fifty-two adult patients with normal airway scheduled for elective surgery in general anesthesia were randomly assigned in D-blade video or direct Macintosh group. In the first video group, patients were laryngoscoped and intubated by D-blade, and in the second group laryngoscopy and intubation were performed by Macintosh laryngoscope. Glottic view was evaluated according to Cormack Lehane grading system (C-L), while duration of intubation and easiness of intubation were evaluated according to the intubation difficulty score (IDS). Additionally, hemodynamic parameters were recorded before and after induction. There were no statistically significant between-group differences in time to intubation, easiness of endotracheal tube insertion, C-L, and IDS. In comparison with direct Macintosh laryngoscope, D-blade showed similar but still favorable characteristics. In our opinion, D-blade is a useful device in airway management and should be used in daily anesthesiologist work. |
| first_indexed | 2024-04-24T09:30:07Z |
| format | Article |
| id | doaj.art-a1352bfb311f4c79b9ec9659b13de7c0 |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:30:07Z |
| publishDate | 2016-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-a1352bfb311f4c79b9ec9659b13de7c02024-04-15T14:04:35ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512016-01-0155.4.56056410.20471/acc.2016.55.04.05Comparison of Cormack Lehane grading system and intubation difficulty score in patients intubated by D-blade video and direct Macintosh laryngoscope: a randomized controlled studyIva Pažur0Branka Maldini1Vedran Hostić2Ognjen Ožegić3Melanija Obraz4Department of Anesthesiology, Intensive Care and Pain Medicine, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaDepartment of Anesthesiology, Intensive Care and Pain Medicine, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; Osijek School of Medicine, Josip Juraj Strossmayer University, Osijek, CroatiaDepartment of Anesthesiology, Intensive Care and Pain Medicine, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaDepartment of Anesthesiology, Intensive Care and Pain Medicine, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaDepartment of Anesthesiology, Intensive Care and Pain Medicine, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaD-blade is a relatively new device in the field of videolaryngoscopy, designed for airway management by enabling indirectoscopic glottic view. In our study, we investigated efficiency of D-blade in comparison with direct Macintosh laryngoscope (gold standard). Fifty-two adult patients with normal airway scheduled for elective surgery in general anesthesia were randomly assigned in D-blade video or direct Macintosh group. In the first video group, patients were laryngoscoped and intubated by D-blade, and in the second group laryngoscopy and intubation were performed by Macintosh laryngoscope. Glottic view was evaluated according to Cormack Lehane grading system (C-L), while duration of intubation and easiness of intubation were evaluated according to the intubation difficulty score (IDS). Additionally, hemodynamic parameters were recorded before and after induction. There were no statistically significant between-group differences in time to intubation, easiness of endotracheal tube insertion, C-L, and IDS. In comparison with direct Macintosh laryngoscope, D-blade showed similar but still favorable characteristics. In our opinion, D-blade is a useful device in airway management and should be used in daily anesthesiologist work.https://hrcak.srce.hr/file/262225Endotracheal intubationDirect laryngoscopyAirway managementVideolaryngoscopy |
| spellingShingle | Iva Pažur Branka Maldini Vedran Hostić Ognjen Ožegić Melanija Obraz Comparison of Cormack Lehane grading system and intubation difficulty score in patients intubated by D-blade video and direct Macintosh laryngoscope: a randomized controlled study Acta Clinica Croatica Endotracheal intubation Direct laryngoscopy Airway management Videolaryngoscopy |
| title | Comparison of Cormack Lehane grading system and intubation difficulty score in patients intubated by D-blade video and direct Macintosh laryngoscope: a randomized controlled study |
| title_full | Comparison of Cormack Lehane grading system and intubation difficulty score in patients intubated by D-blade video and direct Macintosh laryngoscope: a randomized controlled study |
| title_fullStr | Comparison of Cormack Lehane grading system and intubation difficulty score in patients intubated by D-blade video and direct Macintosh laryngoscope: a randomized controlled study |
| title_full_unstemmed | Comparison of Cormack Lehane grading system and intubation difficulty score in patients intubated by D-blade video and direct Macintosh laryngoscope: a randomized controlled study |
| title_short | Comparison of Cormack Lehane grading system and intubation difficulty score in patients intubated by D-blade video and direct Macintosh laryngoscope: a randomized controlled study |
| title_sort | comparison of cormack lehane grading system and intubation difficulty score in patients intubated by d blade video and direct macintosh laryngoscope a randomized controlled study |
| topic | Endotracheal intubation Direct laryngoscopy Airway management Videolaryngoscopy |
| url | https://hrcak.srce.hr/file/262225 |
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