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Comparison of Macintosh and Airtraq(TM) laryngoscopes in obese patients placed in the ramped position.
MedLine Citation:
PMID:  22670846     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
This study compared intubation conditions produced by the Macintosh and Airtraq(TM) laryngoscopes when used in obese patients in the ramped position. One hundred and thirty-two patients having bariatric surgery were placed in the ramped position and randomly assigned to have their tracheas intubated using either the Macintosh (n = 64) or an Airtraq (n = 68) laryngoscope. Mean (SD) intubation times were 37 (23) s and 14 (3) s for Macintosh and Airtraq, respectively (p < 0.0001). Compared with the Macintosh laryngoscope, the Airtraq laryngoscope provided an improved vocal cord view as assessed by the Cormack and Lehane score (number of patients with Cormack-Lehane scores of 1/2/3/4/37/20/4/3 for the Macintosh, and 65/3/0/0 for the Airtraq laryngoscopes, p < 0.0001). One patient in the Macintosh group had a failed intubation and intubation was achieved with the Airtraq. For obese patients in ramped position, Airtraq affords faster tracheal intubation than the Macintosh laryngoscope.
Authors:
D Ranieri; S M Filho; S Batista; P do Nascimento
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-6-1
Journal Detail:
Title:  Anaesthesia     Volume:  -     ISSN:  1365-2044     ISO Abbreviation:  -     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-6-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Anaesthesia © 2012 The Association of Anaesthetists of Great Britain and Ireland.
Affiliation:
 Anaesthesiologist  General Surgeon, Serviço de Cirurgia Bariátrica do Hospital do Coração de Balneário Camboriu, Camboriu, Brazil  Associate Professor, Department of Anaesthesiology, Botucatu Medical School - UNESP, Botucatu, Brazil.
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