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Oral Fiberoptic Intubation with Wire Reinforced Endotracheal Tube Vs. Parker Flex-Tip Tube: A Randomized Clinical Trial.
MedLine Citation:
PMID:  24193173     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Study objective: To compare the Parker Flex-Tip (group P) tube to a wire reinforced tracheal tube in two orientations, i.e., with posteriorly and anteriorly positioned tip bevels (WRP and WRA groups, respectively), for oral fiberoptic intubation. Design: Randomized clinical trial Setting: University-affiliated hospital Patients: Ninety adult ASA physical status I-II patients who were scheduled to undergo either ophthalmic or urologic surgery. Intervention: Patients were randomly assigned to the P, WRA, or WRP group. Measurements: Our primary outcome was the difficulty in advancing the tube over the fiberscope, which was quantified in grades (0, 1, or 2). Secondary outcomes were the time to visualize the carina after inserting the scope into the mouth and the time from this point to tracheal intubation. Results: Endotracheal tube (ETT) advancement was easier and faster in the WRP and P groups than in the WRA. (Successful endotracheal intubation on the first attempt 67%, 60% and 20%, respectively; p=0.03) (ETT advancement time 6.9 ± 3.5 s, and 8 ± 3.1 s, 11.7 ± 4.6, respectively; P < 0.001). Conclusions: Advancement of the ETT over a fiberoptic bronchoscope was easier with the Parker Flex-Tip tube and with a posteriorly positioned wire-reinforced tube than with an anteriorly positioned wire-reinforced tube.
Authors:
A Jafari; B Gharaei; M Kamranmanesh; H Aghamohammadi; M Rezvan Nobahar; M Poorzamany; M Shahrabi; A Solhpour
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-10-31
Journal Detail:
Title:  Minerva anestesiologica     Volume:  -     ISSN:  1827-1596     ISO Abbreviation:  Minerva Anestesiol     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-11-6     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375272     Medline TA:  Minerva Anestesiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Anesthesiology, Pain and Critical Care Medicine, Anesthesiology Research Center, Labbafinejad Hospital Shahid Beheshti University of Medical Sciences, Tehran, Iran - babakgharaei@gmail.com.
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