Comparison of ease of intubation in patients using C-MAC D-Blade between simulated cormack lehane 1 and 2 videolaryngoscopic view : a randomised controlled trial

Background: Difficult intubation could result in both morbidity and mortality. Current surging popularity with videolaryngoscope such as C-MAC D-Blade can reduce the risk of complications associated with difficult intubation. Despite showing good glottis view, the unique laryngoscope shape could...

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Main Author: Semanat, Ahmad Shamil
Format: Thesis
Language:English
Published: 2020
Subjects:
Online Access:http://eprints.usm.my/57265/1/DR%20AHMAD%20SHAMIL%20BIN%20SEMANAT-24%20pages.pdf
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author Semanat, Ahmad Shamil
author_facet Semanat, Ahmad Shamil
author_sort Semanat, Ahmad Shamil
collection USM
description Background: Difficult intubation could result in both morbidity and mortality. Current surging popularity with videolaryngoscope such as C-MAC D-Blade can reduce the risk of complications associated with difficult intubation. Despite showing good glottis view, the unique laryngoscope shape could pose a problem during tracheal intubation. Having a lesser appearance of the glottis may hypothetically ease the endotracheal tube delivery. This study compares the ease of intubation in patients using C-MAC D-Blade between simulated Cormack Lehane 1 and 2 videolaryngoscopic view among adult patient undergoing elective surgery. Methods: 94 adults with no features of difficult intubation undergoing elective surgical procedures in Hospital Universiti Sains Malaysia Kelantan were recruited and randomly assigned to two groups either A for Cormack Lehane 1 (n=46) or B for Cormack Lehane 2 (n=48) videolaryngoscopic view. The outcome measured include duration of intubations, number of intubation attempts, and easiness of intubations. Results: Duration of intubation was less (7.7 ± 1.93s) in Group B than in Group A (9.2 ± 2.49s) with a mean difference of 1.4s (95% CI=0.53, 2.35, p=0.002). There is no significant difference between the two groups in terms of the number of intubation attempts (p=0.322) and easiness of intubation (p=0.78). Conclusion: Cormack-Lehane 2 videolaryngoscopic view significantly reduce time to intubation compared to Cormack-Lehane 1 videolaryngoscopic view when using C-MAC D-Blade.
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spelling usm.eprints-572652023-03-14T08:38:35Z http://eprints.usm.my/57265/ Comparison of ease of intubation in patients using C-MAC D-Blade between simulated cormack lehane 1 and 2 videolaryngoscopic view : a randomised controlled trial Semanat, Ahmad Shamil RF Otorhinolaryngology Background: Difficult intubation could result in both morbidity and mortality. Current surging popularity with videolaryngoscope such as C-MAC D-Blade can reduce the risk of complications associated with difficult intubation. Despite showing good glottis view, the unique laryngoscope shape could pose a problem during tracheal intubation. Having a lesser appearance of the glottis may hypothetically ease the endotracheal tube delivery. This study compares the ease of intubation in patients using C-MAC D-Blade between simulated Cormack Lehane 1 and 2 videolaryngoscopic view among adult patient undergoing elective surgery. Methods: 94 adults with no features of difficult intubation undergoing elective surgical procedures in Hospital Universiti Sains Malaysia Kelantan were recruited and randomly assigned to two groups either A for Cormack Lehane 1 (n=46) or B for Cormack Lehane 2 (n=48) videolaryngoscopic view. The outcome measured include duration of intubations, number of intubation attempts, and easiness of intubations. Results: Duration of intubation was less (7.7 ± 1.93s) in Group B than in Group A (9.2 ± 2.49s) with a mean difference of 1.4s (95% CI=0.53, 2.35, p=0.002). There is no significant difference between the two groups in terms of the number of intubation attempts (p=0.322) and easiness of intubation (p=0.78). Conclusion: Cormack-Lehane 2 videolaryngoscopic view significantly reduce time to intubation compared to Cormack-Lehane 1 videolaryngoscopic view when using C-MAC D-Blade. 2020 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/57265/1/DR%20AHMAD%20SHAMIL%20BIN%20SEMANAT-24%20pages.pdf Semanat, Ahmad Shamil (2020) Comparison of ease of intubation in patients using C-MAC D-Blade between simulated cormack lehane 1 and 2 videolaryngoscopic view : a randomised controlled trial. Masters thesis, Universiti Sains Malaysia.
spellingShingle RF Otorhinolaryngology
Semanat, Ahmad Shamil
Comparison of ease of intubation in patients using C-MAC D-Blade between simulated cormack lehane 1 and 2 videolaryngoscopic view : a randomised controlled trial
title Comparison of ease of intubation in patients using C-MAC D-Blade between simulated cormack lehane 1 and 2 videolaryngoscopic view : a randomised controlled trial
title_full Comparison of ease of intubation in patients using C-MAC D-Blade between simulated cormack lehane 1 and 2 videolaryngoscopic view : a randomised controlled trial
title_fullStr Comparison of ease of intubation in patients using C-MAC D-Blade between simulated cormack lehane 1 and 2 videolaryngoscopic view : a randomised controlled trial
title_full_unstemmed Comparison of ease of intubation in patients using C-MAC D-Blade between simulated cormack lehane 1 and 2 videolaryngoscopic view : a randomised controlled trial
title_short Comparison of ease of intubation in patients using C-MAC D-Blade between simulated cormack lehane 1 and 2 videolaryngoscopic view : a randomised controlled trial
title_sort comparison of ease of intubation in patients using c mac d blade between simulated cormack lehane 1 and 2 videolaryngoscopic view a randomised controlled trial
topic RF Otorhinolaryngology
url http://eprints.usm.my/57265/1/DR%20AHMAD%20SHAMIL%20BIN%20SEMANAT-24%20pages.pdf
work_keys_str_mv AT semanatahmadshamil comparisonofeaseofintubationinpatientsusingcmacdbladebetweensimulatedcormacklehane1and2videolaryngoscopicviewarandomisedcontrolledtrial