Document Detail

A comparison of two techniques for inserting the Airtraq laryngoscope in morbidly obese patients.
MedLine Citation:
PMID:  17635424     Owner:  NLM     Status:  MEDLINE    
We postulated that video-controlled tracheal intubation with the Airtraq laryngoscope using the reverse manoeuvre instead of the standard technique of insertion could facilitate the airway management of morbidly obese patients. For the reverse manoeuvre the laryngoscope is inserted 180 degrees opposite to that recommended, and once in place rotated into the conventional pharyngeal position. Eighty (40 lean and 40 morbidly obese) ASA I-III adult patients were randomly allocated to four equal groups to compare the standard technique to the reverse manoeuvre for inserting the Airtraq laryngoscope. Video-controlled and clinical tracheal intubation characteristics were recorded. The reverse manoeuvre did not influence tracheal intubation characteristics in the group of lean patients. In the group of morbidly obese patients, the standard technique of insertion was not satisfactory in 20% of cases and the reverse manoeuvre facilitated, speeded and secured tracheal intubation.
G Dhonneur; S K Ndoko; R Amathieu; A Attias; L E L Housseini; C Polliand; L Tual
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Anaesthesia     Volume:  62     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-07-19     Completed Date:  2007-09-10     Revised Date:  2008-08-25    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  774-7     Citation Subset:  AIM; IM    
Anaesthesia Department, Jean Verdier Public University Hospital of Paris (APHP), 93143, Bondy- Paris 13 School of Medicine, 93000, Bobigny, France.
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MeSH Terms
Body Mass Index
Disposable Equipment
Intubation, Intratracheal / adverse effects,  methods*
Middle Aged
Mucous Membrane / injuries
Obesity, Morbid / therapy*
Oropharynx / injuries
Prospective Studies
Video Recording
Comment In:
Anaesthesia. 2008 Aug;63(8):889-90   [PMID:  18699910 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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