Randomized controlled trial of the Pentax AWS, Glidescope, and Macintosh laryngoscopes in predicted difficult intubation.

Hdl Handle:
http://hdl.handle.net/10147/127671
Title:
Randomized controlled trial of the Pentax AWS, Glidescope, and Macintosh laryngoscopes in predicted difficult intubation.
Authors:
Malik, M A; Subramaniam, R; Maharaj, C H; Harte, B H; Laffey, J G
Affiliation:
Department of Anaesthesia and Intensive Care Medicine, Galway University Hospitals, Galway, Ireland.
Citation:
Randomized controlled trial of the Pentax AWS, Glidescope, and Macintosh laryngoscopes in predicted difficult intubation. 2009, 103 (5):761-8 Br J Anaesth
Journal:
British journal of anaesthesia
Issue Date:
Nov-2009
URI:
http://hdl.handle.net/10147/127671
DOI:
10.1093/bja/aep266
PubMed ID:
19783539
Abstract:
The purpose of this study was to determine the potential for the Pentax AWS and the Glidescope to reduce the difficulty of tracheal intubation in patients at increased risk for difficult tracheal intubation, in a randomized, controlled clinical trial.; Seventy-five consenting patients presenting for surgery requiring tracheal intubation, and who were deemed to possess characteristics indicating an increased risk for difficult tracheal intubation, were randomly assigned to undergo intubation using a Macintosh, AWS, or Glidescope laryngoscope (n=25 patients per group). All patients were intubated by one of three anaesthetists experienced in the use of each laryngoscope.; Both the Glidescope and the AWS significantly reduced the intubation difficulty score compared with the Macintosh. The rate of successful tracheal intubation was lower with the Macintosh (84%) compared with the Glidescope (96%) or the AWS (100%). There were no differences in the duration of tracheal intubation attempts between the devices. Both the Glidescope and the AWS significantly reduced the need for additional manoeuvres and improved the Cormack and Lehane view obtained at laryngoscopy, compared with the Macintosh. Tracheal intubation with the AWS but not the Glidescope reduced the degree of haemodynamic stimulation compared with the Macintosh laryngoscope.; The AWS and the Glidescope laryngoscopes reduced the difficulty of tracheal intubation to a similar extent compared with the Macintosh laryngoscope, in patients at increased risk for difficult tracheal intubation.
Item Type:
Article
Language:
en
MeSH:
Adult; Aged; Aged, 80 and over; Blood Pressure; Disposable Equipment; Equipment Design; Female; Fiber Optic Technology; Heart Rate; Humans; Intubation, Intratracheal; Laryngoscopes; Laryngoscopy; 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.authorMaharaj, C Hen
dc.contributor.authorHarte, B Hen
dc.contributor.authorLaffey, J Gen
dc.date.accessioned2011-04-07T10:31:00Z-
dc.date.available2011-04-07T10:31:00Z-
dc.date.issued2009-11-
dc.identifier.citationRandomized controlled trial of the Pentax AWS, Glidescope, and Macintosh laryngoscopes in predicted difficult intubation. 2009, 103 (5):761-8 Br J Anaesthen
dc.identifier.issn1471-6771-
dc.identifier.pmid19783539-
dc.identifier.doi10.1093/bja/aep266-
dc.identifier.urihttp://hdl.handle.net/10147/127671-
dc.description.abstractThe purpose of this study was to determine the potential for the Pentax AWS and the Glidescope to reduce the difficulty of tracheal intubation in patients at increased risk for difficult tracheal intubation, in a randomized, controlled clinical trial.-
dc.description.abstractSeventy-five consenting patients presenting for surgery requiring tracheal intubation, and who were deemed to possess characteristics indicating an increased risk for difficult tracheal intubation, were randomly assigned to undergo intubation using a Macintosh, AWS, or Glidescope laryngoscope (n=25 patients per group). All patients were intubated by one of three anaesthetists experienced in the use of each laryngoscope.-
dc.description.abstractBoth the Glidescope and the AWS significantly reduced the intubation difficulty score compared with the Macintosh. The rate of successful tracheal intubation was lower with the Macintosh (84%) compared with the Glidescope (96%) or the AWS (100%). There were no differences in the duration of tracheal intubation attempts between the devices. Both the Glidescope and the AWS significantly reduced the need for additional manoeuvres and improved the Cormack and Lehane view obtained at laryngoscopy, compared with the Macintosh. Tracheal intubation with the AWS but not the Glidescope reduced the degree of haemodynamic stimulation compared with the Macintosh laryngoscope.-
dc.description.abstractThe AWS and the Glidescope laryngoscopes reduced the difficulty of tracheal intubation to a similar extent compared with the Macintosh laryngoscope, in patients at increased risk for difficult tracheal intubation.-
dc.language.isoenen
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshBlood Pressure-
dc.subject.meshDisposable Equipment-
dc.subject.meshEquipment Design-
dc.subject.meshFemale-
dc.subject.meshFiber Optic Technology-
dc.subject.meshHeart Rate-
dc.subject.meshHumans-
dc.subject.meshIntubation, Intratracheal-
dc.subject.meshLaryngoscopes-
dc.subject.meshLaryngoscopy-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshSingle-Blind Method-
dc.subject.meshYoung Adult-
dc.titleRandomized controlled trial of the Pentax AWS, Glidescope, and Macintosh laryngoscopes in predicted difficult intubation.en
dc.typeArticleen
dc.contributor.departmentDepartment of Anaesthesia and Intensive Care Medicine, Galway University Hospitals, Galway, Ireland.en
dc.identifier.journalBritish journal of anaesthesiaen
dc.description.provinceConnacht-
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