A Comparative Study of Orotracheal Intubation Guided by Airtraq and McCoy Laryngoscope in Patients with Rigid Cervical Collar In-situ Simulating Cervical Immobilization for Traumatic Cervical Spine Injury

被引:2
作者
Diwan, Akhil [1 ]
Purohit, Shobha [1 ]
机构
[1] SMS Hosp, Dept Anesthesia, Bangar Complex,First Floor, Jaipur 302004, Rajasthan, India
关键词
Airtraq laryngoscope; McCoy laryngoscope; duration of intubation; hemodynamic response; TRACHEAL INTUBATION; MACINTOSH LARYNGOSCOPE; AIRWAY MANAGEMENT; NECK COLLAR; GUIDELINES; MOTION; RISK;
D O I
10.1055/s-0039-1698281
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background Immobilization of cervical spine is of utmost importance in patients with cervical injury, making intubation a difficult task due to the application of cervical collar. This study was done to assess which laryngoscope (Airtraq or McCoy) is better for intubation and prevents the deleterious effects of hypoxia by comparing the intubation time. Methods A prospective interventional randomized study was undertaken in 60 adult patients of American Society of Anesthesiologists (ASA) grade I and II, aged between 20 and 50 years, scheduled for various surgical procedures requiring tracheal intubation for anesthesia. Patients were randomly allocated to undergo intubation with either the Airtraq (Group A; n = 30) laryngoscope or McCoy (Group B; n = 30). Patients were intubated following the standard anesthetic protocol, and the differences in duration of intubation, changes in the hemodynamic parameters in response to intubation, modified intubation difficulty score, and airway complications between the Airtraq and the McCoy laryngoscope were compared. Results Overall intubation success rates were 100% with both devices and a similar number of intubation attempts were required. Though the mean time required for successful intubation was less with the Airtraq (25.2 +/- 5.11 seconds) than the McCoy laryngoscope (27.3 +/- 4.47 seconds); it was statistically insignificant (p = 0.14). Intubation difficulty score and ease of insertion were significantly less in Airtraq laryngoscope when compared with McCoy laryngoscope. Increase in the heart rate and mean arterial pressure was significantly more just after intubation with McCoy in comparison with Airtraq laryngoscope. However, the frequencies of airway complications were similar. Conclusion Intubation time despite being lesser with the Airtraq than the McCoy laryngoscope was statistically insignificant, and overall success rates between the two devices were similar.
引用
收藏
页码:161 / 167
页数:7
相关论文
共 35 条
  • [1] Comparison of the Airtraq and McCoy laryngoscopes using a rigid neck collar in patients with simulated difficult laryngoscopy
    Ali, Qazi Ehsan
    Das, Bikramjit
    Amir, Syed Hussain
    Siddiqui, Obaid Ahmed
    Jamil, Shaista
    [J]. JOURNAL OF CLINICAL ANESTHESIA, 2014, 26 (03) : 199 - 203
  • [2] Tracheal intubation in patients with rigid collar immobilisation of the cervical spine: a comparison of Airtraq® and LMA CTrach™ devices
    Arslan, Z. I.
    Yildiz, T.
    Baykara, Z. N.
    Solak, M.
    Toker, K.
    [J]. ANAESTHESIA, 2009, 64 (12) : 1332 - 1336
  • [3] CAPLAN RA, 1993, ANESTHESIOLOGY, V78, P597
  • [4] Guidelines for emergency tracheal intubation immediately after traumatic injury
    Dunham, CM
    Barraco, RD
    Clark, DE
    Daley, BJ
    Davis, FE
    Gibbs, MA
    Knuth, T
    Letarte, PB
    Luchette, FA
    Omert, L
    Weireter, LJ
    Wiles, CE
    [J]. JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2003, 55 (01): : 162 - 179
  • [5] Comparison of tracheal intubation using the Airtraq((R)) and Mc Coy laryngoscope in the presence of rigid cervical collar simulating cervical immobilisation for traumatic cervical spine injury
    Durga, Padmaja
    Kaur, Jasleen
    Ahmed, Syed Younus
    Kaniti, Geeta
    Ramachandran, Gopinath
    [J]. INDIAN JOURNAL OF ANAESTHESIA, 2012, 56 (06) : 529 - 534
  • [6] FARLING PA, 1994, ANAESTHESIA, V49, P358, DOI 10.1111/j.1365-2044.1994.tb14214.x
  • [7] ACUTE HYPERTENSION DURING INDUCTION OF ANAESTHESIA AND ENDOTRACHEAL INTUBATION IN NORMOTENSIVE MAN
    FORBES, AM
    DALLY, FG
    [J]. BRITISH JOURNAL OF ANAESTHESIA, 1970, 42 (07) : 618 - +
  • [8] Fiber-optic intubation in 327 neurosurgical patients with lesions of the cervical spine
    Fuchs, G
    Schwarz, G
    Baumgartner, A
    Kaltenböck, F
    Voit-Augustin, H
    Planinz, W
    [J]. JOURNAL OF NEUROSURGICAL ANESTHESIOLOGY, 1999, 11 (01) : 11 - 16
  • [9] In vivo ultrasound real-time motion of the cervical spine during intubation under manual in-line stabilization:: a comparison of intubation methods
    Gercek, E.
    Wahlen, B. M.
    Rommens, P. M.
    [J]. EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2008, 25 (01) : 29 - 36
  • [10] Distribution and patterns of blunt traumatic cervical spine injury
    Goldberg, W
    Mueller, C
    Panacek, E
    Tigges, S
    Hoffman, JR
    Mower, WR
    [J]. ANNALS OF EMERGENCY MEDICINE, 2001, 38 (01) : 17 - 21