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    Comparison of Macintosh, Truview EVO2, Glidescope, and Airwayscope laryngoscope use in patients with cervical spine immobilization.

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    Authors
    Malik, M A
    Maharaj, C H
    Harte, B H
    Laffey, J G
    Affiliation
    Department of Anaesthesia, Clinical Sciences Institute, Galway University Hospitals, Galway, Ireland.
    Issue Date
    2008-11
    MeSH
    Adolescent
    Adult
    Aged
    Aged, 80 and over
    Blood Pressure
    Cervical Vertebrae
    Equipment Design
    Female
    Humans
    Immobilization
    Intubation, Intratracheal
    Laryngoscopes
    Laryngoscopy
    Male
    Middle Aged
    Time Factors
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    Citation
    Comparison of Macintosh, Truview EVO2, Glidescope, and Airwayscope laryngoscope use in patients with cervical spine immobilization. 2008, 101 (5):723-30 Br J Anaesth
    Journal
    British journal of anaesthesia
    URI
    http://hdl.handle.net/10147/127911
    DOI
    10.1093/bja/aen231
    PubMed ID
    18784069
    Abstract
    The purpose of this study was to evaluate the effectiveness of the Pentax AWS, Glidescope, and the Truview EVO2, in comparison with the Macintosh laryngoscope, when performing tracheal intubation in patients with neck immobilization using manual in-line axial cervical spine stabilization.
    One hundred and twenty consenting patients presenting for surgery requiring tracheal intubation were randomly assigned to undergo intubation using a Macintosh (n=30), Glidescope (n=30), Truview EVO2 (n=30), or AWS (n=30) laryngoscope. All patients were intubated by one of the three anaesthetists experienced in the use of each laryngoscope.
    The Glidescope, AWS, and Truview EVO2 each reduced the intubation difficulty score (IDS), improved the Cormack and Lehane glottic view, and reduced the need for optimization manoeuvres, compared with the Macintosh. The mean IDS was significantly lower with the Glidescope and AWS compared with the Truview EVO2 device, and the IDS was lowest with the AWS. The duration of tracheal intubation attempts was significantly shorter with the Macintosh compared with the other devices. There were no differences in success rates between the devices tested. The AWS produced the least haemodynamic stimulation.
    The Glidescope and AWS laryngoscopes required more time but reduced intubation difficulty and improved glottic view over the Macintosh laryngoscope more than the Truview EVO2 laryngoscope when used in patients undergoing cervical spine immobilization.
    Item Type
    Article
    Language
    en
    ISSN
    1471-6771
    ae974a485f413a2113503eed53cd6c53
    10.1093/bja/aen231
    Scopus Count
    Collections
    Galway University Hospitals

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