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

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    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.
    Issue Date
    2009-05
    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
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    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
    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
    ISSN
    1471-6771
    ae974a485f413a2113503eed53cd6c53
    10.1093/bja/aep056
    Scopus Count
    Collections
    Galway University Hospitals

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