6533b7d4fe1ef96bd12631ce
RESEARCH PRODUCT
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subject
medicine.medical_specialtyanimal structuresMultidisciplinaryGlottisBlade (geometry)business.industrymedicine.medical_treatmentTracheal intubationVideo laryngoscopefood and beverages030208 emergency & critical care medicineEndotracheal intubationSurgery03 medical and health sciences0302 clinical medicinemedicine.anatomical_structurestomatognathic system030202 anesthesiologymedicineIntubationTrial registrationbusinessEndotracheal tubedescription
Purpose It is generally accepted that using a video laryngoscope is associated with an improved visualization of the glottis. However, correctly placing the endotracheal tube might be challenging. Channeled video laryngoscopic blades have an endotracheal tube already pre-loaded, allowing to advance the tube once the glottis is visualized. We hypothesized that use of a channel blade with pre-loaded endotracheal tube results in a faster intubation, compared to a curved Macintosh blade video laryngoscope. Methods After ethical approval and informed consent, patients were randomized to receive endotracheal Intubation with either the King Vision® video laryngoscope with curved blade (control) or channeled blade (channeled). Success rate, evaluation of the glottis view (percentage of glottic opening (POGO), Cormack&Lehane (C&L)) and intubating time were evaluated. Results Over a two-month period, a total of 46 patients (control n = 23; channeled n = 23) were examined. The first attempt success rates were comparable between groups (control 100% (23/23) vs. channeled 96% (22/23); p = 0.31). Overall intubation time was significantly shorter with control (median 40 sec; IQR [24–58]), compared to channeled (59 sec [40–74]; p = 0.03). There were no differences in glottis visualization between groups. Conclusion Compared with the King Vision channeled blade, time for tracheal intubation was shorter with the control group using a non-channeled blade. First attempt success and visualization of the glottis were comparable. These data do not support the hypothesis that a channeled blade is superior to a curved video laryngoscopic blade without tube guidance. Trial registration ClinicalTrials.gov NCT02344030
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2017-08-31 | PLOS ONE |