Abstract:
:We compared the McGrath® Series 5 videolaryngoscope with the Macintosh laryngoscope in a simulated difficult airway, using manual in-line stabilisation in 88 anaesthestised patients of ASA physical status 1-2. The primary outcome was laryngoscopic view. Secondary outcomes included rates of successful tracheal intubation and complications. A Cormack and Lehane grade-1 or -2 view was found in all patients when using the McGrath compared with 45 (51%, p < 0.0001) using the Macintosh laryngoscopes. The mean (SD) percentage of glottic opening was 82 (23)% using the McGrath compared with 13 (23)% using the Macintosh (p < 0.0001). In 66 out of 88 patients (75%), the McGrath improved the glottic view by one to three grades compared with the Macintosh (p < 0.001). Intubation of the trachea was successful in all patients using the McGrath, while the Macintosh was successful in 26 (59%, p < 0.001). There was no significant difference in the complication rates between the devices.
journal_name
Anaesthesiajournal_title
Anaesthesiaauthors
Taylor AM,Peck M,Launcelott S,Hung OR,Law JA,MacQuarrie K,McKeen D,George RB,Ngan Jdoi
10.1111/anae.12075subject
Has Abstractpub_date
2013-02-01 00:00:00pages
142-7issue
2eissn
0003-2409issn
1365-2044journal_volume
68pub_type
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