AI Article Synopsis
- The study aimed to evaluate the time to intubation and glottic visualization using three types of laryngoscopes in morbidly obese patients.
- Forty-five morbidly obese patients were split into three groups, and the time to intubation and difficulty scores were compared among the Macintosh, McCoy, and Glidescope video laryngoscopes.
- Results showed that the Glidescope took significantly longer to intubate without any benefits in difficulty scores or hemodynamic responses, suggesting that the Macintosh laryngoscope is the preferred option due to its effectiveness and availability.
Article Abstract
Objectives: The aim of the study was to compare time to intubation and glottic visualization between Macintosh, McCoy, and Glidescope video laryngoscope (GVL) in morbidly obese patients.
Methodology: Forty-five American Society of Anesthesiologists I-III morbidly obese patients were randomized into three groups of 15 each and time to intubation, Cormack-Lehane grading, and Intubation Difficulty Score (IDS) were compared.
Results: GVL took more time to intubate (TTI) compared to Macintosh and McCoy laryngoscope ( = 0.0001). Overall IDS were similar between the groups.
Conclusion: To conclude, GVL takes longer TTI with no added advantage in IDS and hemodynamic response to intubation in morbidly obese patients. McCoy is only as effective as Macintosh and hence Macintosh laryngoscope should be laryngoscope of choice due to its widespread availability and familiarity.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044164 | PMC |
| http://dx.doi.org/10.4103/sja.SJA_754_17 | DOI Listing |
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