AI Article Synopsis
- The study compared the effectiveness and safety of three intubation methods: the GlideScope (GS) video laryngoscope, CTrach laryngeal mask airway (LMA), and Shikani optical stylet (SOS) during elective cervical surgery.
- All patients were successfully intubated, but the GS took significantly less time (17.9 seconds) compared to SOS (40.4 seconds) and LMA (80.5 seconds).
- While the GS group had a higher mean arterial pressure shortly after intubation, the CTrach LMA and SOS were still effective and safe alternatives for performing intubation.
Article Abstract
Background: We compared the effectiveness and safety of endotracheal intubation using the GlideScope (GS) video laryngoscope, CTrach laryngeal mask airway (LMA), or Shikani optical stylet rigid laryngoscope (SOS) during elective cervical surgery.
Methods: Forty-five patients undergoing elective cervical surgery were randomly and equally assigned to endotracheal intubation via GS, LMA, or SOS airway management.
Results: Endotracheal intubation was successfully completed in all patients. The mean intubation times of the groups differed significantly (P < .01): GS, 17.9 ± 3.1 s; SOS, 40.4 ± 13.7 s; and LMA, 80.5 ± 22.5 s. The groups had similar heart rates and mean arterial pressures throughout the intubation, except that at 2 minutes after intubation the mean arterial pressure of the GS group (106.1 ± 18.5 mm Hg) was significantly higher than that of the LMA (89.7 ± 18.5 mm Hg) or SOS (89.7 ± 18.5 mm Hg; P < .01). The change in C2-5 Cobb angle from baseline was significantly higher in the GS group (GS, 34.2° ± 7.3°) than the LMA (24.4° ± 5.8°) or SOS (25.5° ± 6.4°); P < .01).
Conclusions: The CTrach LMA and SOS rigid laryngoscope are effective, safe alternatives to the GS video laryngoscope for patients undergoing elective cervical surgery.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5671810 | PMC |
| http://dx.doi.org/10.1097/MD.0000000000007817 | DOI Listing |
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