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    Evaluation of the Airtraq and Macintosh laryngoscopes in patients at increased risk for difficult tracheal intubation.

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    Authors
    Maharaj, C H
    Costello, J F
    Harte, B H
    Laffey, J G
    Affiliation
    Department of Anaesthesia and Intensive Care Medicine, Galway University Hospitals, Galway, Ireland.
    Issue Date
    2008-02
    MeSH
    Adult
    Aged
    Anesthesia, General
    Blood Pressure
    Female
    Heart Rate
    Humans
    Intubation, Intratracheal
    Laryngoscopes
    Male
    Middle Aged
    Oxygen
    Time Factors
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    Citation
    Evaluation of the Airtraq and Macintosh laryngoscopes in patients at increased risk for difficult tracheal intubation. 2008, 63 (2):182-8 Anaesthesia
    Journal
    Anaesthesia
    URI
    http://hdl.handle.net/10147/127913
    DOI
    10.1111/j.1365-2044.2007.05316.x
    PubMed ID
    18211450
    Abstract
    The Airtraq, a novel single use indirect laryngoscope, has demonstrated promise in the normal and simulated difficult airway. We compared the ease of intubation using the Airtraq with the Macintosh laryngoscope, in patients at increased risk for difficult tracheal intubation, in a randomised, controlled clinical trial. Forty consenting patients presenting for surgery requiring tracheal intubation, who were deemed to possess at least three characteristics indicating an increased risk for difficulty in tracheal intubation, were randomly assigned to undergo tracheal intubation using a Macintosh (n = 20) or Airtraq (n = 20) laryngoscope. All patients were intubated by one of three anaesthetists experienced in the use of both laryngoscopes. Four patients were not successfully intubated with the Macintosh laryngoscope, but were intubated successfully with the Airtraq. The Airtraq reduced the duration of intubation attempts (mean (SD); 13.4 (6.3) vs 47.7 (8.5) s), the need for additional manoeuvres, and the intubation difficulty score (0.4 (0.8) vs 7.7 (3.0)). Tracheal intubation with the Airtraq also reduced the degree of haemodynamic stimulation and minor trauma compared to the Macintosh laryngoscope.
    Item Type
    Article
    Language
    en
    ISSN
    1365-2044
    ae974a485f413a2113503eed53cd6c53
    10.1111/j.1365-2044.2007.05316.x
    Scopus Count
    Collections
    Galway University Hospitals

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