Document Detail


Comparison of the C-MAC®, Airtraq®, and Macintosh laryngoscopes in patients undergoing tracheal intubation with cervical spine immobilization.
MedLine Citation:
PMID:  21586444     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: We aimed at comparing the performance of the C-MAC®, Airtraq®, and Macintosh laryngoscopes when performing tracheal intubation in patients undergoing neck immobilization using manual inline axial cervical spine stabilization.
METHODS: Ninety consenting patients presenting for surgery requiring tracheal intubation were randomly assigned to undergo intubation using a C-MAC® (n=30), Airtraq® (n=29), or Macintosh (n=31) laryngoscope. All patients were intubated by one anaesthetist experienced in the use of each laryngoscope.
RESULTS: The Airtraq® laryngoscope performed best in these patients, reducing the Intubation Difficulty Scale score, improving the Cormack and Lehane glottic view, and reducing the need for optimization manoeuvres, compared with both the Macintosh and the C-MAC®. The C-MAC® and Macintosh laryngoscopes performed similarly. There were no differences in success rates or haemodynamic profiles post-intubation between any of the devices tested.
CONCLUSIONS: The Airtraq® laryngoscope performed better than the C-MAC® and Macintosh laryngoscopes in patients undergoing cervical immobilization.
Authors:
J McElwain; J G Laffey
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2011-05-17
Journal Detail:
Title:  British journal of anaesthesia     Volume:  107     ISSN:  1471-6771     ISO Abbreviation:  Br J Anaesth     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-07-15     Completed Date:  2011-09-07     Revised Date:  2011-10-17    
Medline Journal Info:
Nlm Unique ID:  0372541     Medline TA:  Br J Anaesth     Country:  England    
Other Details:
Languages:  eng     Pagination:  258-64     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia, Clinical Sciences Institute, Galway University Hospitals, Galway, Ireland. john.laffey@nuigalway.ie
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blood Pressure / physiology
Cervical Vertebrae*
Equipment Design
Female
Heart Rate / physiology
Humans
Immobilization / methods*
Intubation, Intratracheal / instrumentation*,  methods
Laryngoscopes*
Male
Middle Aged
Single-Blind Method
Comments/Corrections
Comment In:
Br J Anaesth. 2011 Oct;107(4):640-1; author reply 641-2   [PMID:  21903650 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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