| Indirect videolaryngoscopy with C-MAC D-Blade and GlideScope: A randomized, controlled comparison in patients with suspected difficult airways. | |
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MedLine Citation:
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PMID: 23032922 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND: Recently, indirect videolaryngoscopes have become increasingly important devices in difficult airway management. The aim of the present study was to investigate laryngoscopic view and intubation success using the new C-MAC® D-Blade in comparison to the established GlideScope® videolaryngoscope and conventional direct laryngoscopy in a randomized controlled trial. METHODS: Ninety-six adult patients with expected difficult airways undergoing elective ear, nose and throat surgery (ENT) requiring general anaesthesia were investigated. Repeated laryngoscopy was performed using a conventional direct Macintosh laryngoscope (DL), C-MAC D-Blade (DB) and GlideScope (GS) in a randomized sequence before patients were intubated with the last device used. RESULTS: Both videolaryngoscopes showed significantly better C/L (Cormack-Lehane) classes than DL. Insufficient laryngoscopic view, defined as C/L A III, was experienced in 18 patients (19.2 %) with DL, in two patients with GS (2.1 %) and in none with DB (0%). Time to best achievable laryngoscopic view did not differ between devices. Intubation time was significantly longer with both videolaryngoscopes (Median [Range] DB: 18 [8-33] s, and GS: 19 [9-34] s) than with DL (11 [5-26] s). However, intubation success was 100 % for both DB and GS, whereas four patients could not be intubated using conventional direct laryngoscopy. CONCLUSION: Compared to direct Macintosh laryngoscopy, both C-MAC® D-Blade and GlideScope® comparably resulted in an improved view of the glottic opening with successful tracheal intubation in all patients. |
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Authors:
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G Serocki; T Neumann; E Scharf; V Dörges; E Cavus |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-10-02 |
Journal Detail:
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Title: Minerva anestesiologica Volume: - ISSN: 1827-1596 ISO Abbreviation: Minerva Anestesiol Publication Date: 2012 Oct |
Date Detail:
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Created Date: 2012-10-3 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0375272 Medline TA: Minerva Anestesiol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Anaesthesiology and Intensive Care Medicine, University-Hospital Schleswig-Holstein UKSH, - serocki@anaesthesie.uni-kiel.de. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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