Document Detail


Easy and difficult nasal intubation - a randomised comparison of Macintosh vs Airtraq(®) laryngoscopes*.
MedLine Citation:
PMID:  22251105     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A new Airtraq(®) laryngoscope has been developed for nasal intubation. We prospectively compared tracheal intubation efficiency of the Airtraq for nasotracheal intubation vs that of the Macintosh laryngoscope in 200 patients. Depending on pre-operative airway evaluation, the patients were allocated to expected easy (n = 100) or difficult (n = 100) intubation groups, on the basis of mouth opening ≤ 2.5 cm, modified Mallampati score of 4, history of difficult intubation, obvious tumour or swelling. Patients were randomly allocated to the Macintosh or nasotracheal Airtraq technique. All easy intubations were successfully performed with the respective technique. In the expected difficult intubation group, the success rate was higher (47/50 vs 33/50; p < 0.01), the glottis view was better (Cormack and Lehane 1/2/3/4 grades: 29/17/1/3 vs 5/11/18/16, p < 0.01), mean (SD) intubation time was shorter (45(46) s vs 77(47)s, p < 0.01) and the number of optimising manoeuvres was reduced with the nasotracheal Airtraq compared with the Macintosh, respectively. For difficult nasal intubations, the nasotracheal Airtraq is more effective than the Macintosh laryngoscope.
Authors:
G St Mont; I Biesler; R Pförtner; C Mohr; H Groeben
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  67     ISSN:  1365-2044     ISO Abbreviation:  Anaesthesia     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  132-8     Citation Subset:  AIM; IM    
Copyright Information:
Anaesthesia © 2011 The Association of Anaesthetists of Great Britain and Ireland.
Affiliation:
Staff Anaesthetist, Instructor  Professor of Anaesthesiology and Chairman, Department of Anaesthesiology, Critical Care Medicine and Pain Therapy, Kliniken Essen-Mitte, Essen, Germany  Surgeon  Professor of Oral and Cranio-, Maxillofacial Surgery and Chairman, Department of Oral and Cranio-, Maxillofacial Surgery, Kliniken Essen-Mitte, University Essen, Essen, Germany.
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