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Nasotracheal intubation with three indirect laryngoscopes assisted by standard or modified Magill forceps.
MedLine Citation:
PMID:  23480441     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We assessed the effect of modifying standard Magill forceps on the laryngeal introduction of an Eschmann stylet during nasotracheal intubations with three indirect laryngoscopes (Airtraq™, C-MAC(®) or GlideScope(®) ) in patients with predicted difficult intubation. We allocated 50 participants to each laryngoscope. The stylet was advanced by one forceps followed by the other (standard or modified), with each sequence allocated to 25/50 for each laryngoscope. There were no differences in rates of failed tracheal intubation with the allocated laryngoscopes: 6/50, 5/50 and 5/50, respectively. An Eschmann stylet was advanced into the trachea less often with the standard forceps (65% vs 93%, p < 0.0001). Mean (SD) time for stylet advancement was longer with the standard forceps, 38 (30) vs 19 (19) s, p < 0.0001. In conclusion, the modified Magill forceps facilitated nasotracheal intubation, independent of the type of indirect laryngoscope.
Authors:
S Staar; I Biesler; D Müller; R Pförtner; C Mohr; H Groeben
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-3-11
Journal Detail:
Title:  Anaesthesia     Volume:  -     ISSN:  1365-2044     ISO Abbreviation:  Anaesthesia     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-3-13     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 © 2013 The Association of Anaesthetists of Great Britain and Ireland.
Affiliation:
Department of Anaesthesia, Critical Care Medicine and Pain Therapy, Kliniken Essen-Mitte, Essen, Germany.
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