Tracheal intubation in patients with cervical spine immobilization: a comparison of the Airwayscope, LMA CTrach, and the Macintosh laryngoscopes.

Hdl Handle:
http://hdl.handle.net/10147/127659
Title:
Tracheal intubation in patients with cervical spine immobilization: a comparison of the Airwayscope, LMA CTrach, and the Macintosh laryngoscopes.
Authors:
Malik, M A; Subramaniam, R; Churasia, S; Maharaj, C H; Harte, B H; Laffey, J G
Affiliation:
Department of Anaesthesia, Galway University Hospitals, Galway, Ireland.
Citation:
Tracheal intubation in patients with cervical spine immobilization: a comparison of the Airwayscope, LMA CTrach, and the Macintosh laryngoscopes. 2009, 102 (5):654-61 Br J Anaesth
Journal:
British journal of anaesthesia
Issue Date:
May-2009
URI:
http://hdl.handle.net/10147/127659
DOI:
10.1093/bja/aep056
PubMed ID:
19336535
Abstract:
The purpose of this study was to evaluate the effectiveness of the Pentax AWS, and the LMA CTrach, in comparison with the Macintosh laryngoscope, when performing tracheal intubation in patients with neck immobilization using manual in-line axial cervical spine stabilization.; Ninety patients undergoing anaesthesia who required tracheal intubation were randomly assigned to undergo intubation using a Macintosh (n=30), LMA CTrach (n=30), or AWS (n=30) laryngoscope. All patients were intubated by one of the three anaesthetists familiar with the use of each laryngoscope.; The intubation difficulty scores were significantly higher with the Macintosh laryngoscope and were significantly lower with the AWS compared with the LMA CTrach. All 30 patients were successfully intubated with the Macintosh and the AWS device, compared with 27 patients with the LMA CTrach. The duration of both the first and the successful tracheal intubation attempts was significantly longer with the LMA CTrach compared with the AWS and Macintosh laryngoscopes. A greater number of optimization manoeuvres were required to facilitate tracheal intubation with the LMA CTrach compared with the AWS laryngoscope. The AWS group had a significantly better Cormack and Lehane glottic view obtained at laryngoscopy compared with both other devices.; The AWS laryngoscope has several advantages over the Macintosh laryngoscope, or LMA CTrach, in patients undergoing cervical spine immobilization.
Item Type:
Article
Language:
en
MeSH:
Adolescent; Adult; Aged; Aged, 80 and over; Cervical Vertebrae; Equipment Design; Female; Humans; Immobilization; Intubation, Intratracheal; Laryngoscopes; Male; Middle Aged; Single-Blind Method; Young Adult
ISSN:
1471-6771

Full metadata record

DC FieldValue Language
dc.contributor.authorMalik, M Aen
dc.contributor.authorSubramaniam, Ren
dc.contributor.authorChurasia, Sen
dc.contributor.authorMaharaj, C Hen
dc.contributor.authorHarte, B Hen
dc.contributor.authorLaffey, J Gen
dc.date.accessioned2011-04-07T10:58:56Z-
dc.date.available2011-04-07T10:58:56Z-
dc.date.issued2009-05-
dc.identifier.citationTracheal intubation in patients with cervical spine immobilization: a comparison of the Airwayscope, LMA CTrach, and the Macintosh laryngoscopes. 2009, 102 (5):654-61 Br J Anaesthen
dc.identifier.issn1471-6771-
dc.identifier.pmid19336535-
dc.identifier.doi10.1093/bja/aep056-
dc.identifier.urihttp://hdl.handle.net/10147/127659-
dc.description.abstractThe purpose of this study was to evaluate the effectiveness of the Pentax AWS, and the LMA CTrach, in comparison with the Macintosh laryngoscope, when performing tracheal intubation in patients with neck immobilization using manual in-line axial cervical spine stabilization.-
dc.description.abstractNinety patients undergoing anaesthesia who required tracheal intubation were randomly assigned to undergo intubation using a Macintosh (n=30), LMA CTrach (n=30), or AWS (n=30) laryngoscope. All patients were intubated by one of the three anaesthetists familiar with the use of each laryngoscope.-
dc.description.abstractThe intubation difficulty scores were significantly higher with the Macintosh laryngoscope and were significantly lower with the AWS compared with the LMA CTrach. All 30 patients were successfully intubated with the Macintosh and the AWS device, compared with 27 patients with the LMA CTrach. The duration of both the first and the successful tracheal intubation attempts was significantly longer with the LMA CTrach compared with the AWS and Macintosh laryngoscopes. A greater number of optimization manoeuvres were required to facilitate tracheal intubation with the LMA CTrach compared with the AWS laryngoscope. The AWS group had a significantly better Cormack and Lehane glottic view obtained at laryngoscopy compared with both other devices.-
dc.description.abstractThe AWS laryngoscope has several advantages over the Macintosh laryngoscope, or LMA CTrach, in patients undergoing cervical spine immobilization.-
dc.language.isoenen
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshCervical Vertebrae-
dc.subject.meshEquipment Design-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshImmobilization-
dc.subject.meshIntubation, Intratracheal-
dc.subject.meshLaryngoscopes-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshSingle-Blind Method-
dc.subject.meshYoung Adult-
dc.titleTracheal intubation in patients with cervical spine immobilization: a comparison of the Airwayscope, LMA CTrach, and the Macintosh laryngoscopes.en
dc.typeArticleen
dc.contributor.departmentDepartment of Anaesthesia, Galway University Hospitals, Galway, Ireland.en
dc.identifier.journalBritish journal of anaesthesiaen
dc.description.provinceConnacht-

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