Balloon versus conventional laryngoscopy: a comparison of laryngoscopic findings and intubation difficulty.

Abstract:

:We compared laryngeal aperture (LA) exposure and endotracheal intubation difficulty scale (IDS) scores between balloon-assisted and conventional laryngoscopy. Thirty-two anesthetized and paralyzed elective surgery patients underwent laryngoscopy with a standard number 4 and a modified number 4 curved blade carrying a 6F Fogarty catheter. The balloon laryngoscopy technique included modified blade tip insertion into the vallecula, Fogarty catheter balloon inflation with 2 mL of air, and blade elevation until LA exposure maximization. On maximal LA exposure with both blades, the LA views were videotaped with a camcorder aligned to blade light source and the exposed LA areas measured electronically. The IDS scores were determined on passing the tip of an endotracheal tube through the vocal cords. The patient head position, the angle of laryngoscope handle elevation, and the time available for airway instrumentation were standardized. The data from 27 patients were analyzed. The exposed LA areas were significantly larger with balloon laryngoscopy than conventional (median, interquartile range: 0.94, 0.65-1.80 cm(2) vs. 0.52, 0.39-1.46 cm(2) respectively) (P = 0.027), and the IDS scores lesser (median, interquartile range: 0, 0-1 vs. 1, 0-2 respectively) (P = 0.012). We concluded that balloon laryngoscopy facilitates elective airway management.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Mentzelopoulos SD,Romana CN,Corolanoglou DS,Tzoufi MJ,Karamichali EA

doi

10.1097/00000539-200012000-00040

subject

Has Abstract

pub_date

2000-12-01 00:00:00

pages

1513-9

issue

6

eissn

0003-2999

issn

1526-7598

journal_volume

91

pub_type

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