Effectiveness of Tube Bending along Macintosh Blade Curve Compared to Random Curve during Video Laryngoscope Intubation by Nurse Anesthetists: a Quasi Experimental Research
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Abstract
The use of video laryngoscopes has gained popularity in medical practice, particularly after the COVID-19 pandemic, due to their effectiveness in minimizing the spread of infectious agents. This quasi-experimental study aimed to compare the success rates of endotracheal intubation using a video laryngoscope in patients undergoing general anesthesia for surgery. The study focused on comparing the technique of aligning the curvature of the endotracheal tube with the Macintosh blade versus the standard curvature technique. Data was collected from 11 nurse anesthetists, dividing the samples into control and experimental groups of 165 patients each. Intubation time, the number of successful attempts, perceived ease or difficulty, and complications were recorded. Data analysis was performed using IBM SPSS Statistics 22 with descriptive statistics and comparative tests to determine group differences. The results indicated that the Macintosh blade curvature technique achieved a higher success rate in endotracheal intubation compared to the standard technique. This study recommends adopting this technique in clinical practice to enhance efficiency and reduce potential complications during intubation in anesthetized patients.
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References
Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395:497-506.
Michailidou M, O’Keeffe T, Mosier JM, Friese RS, Joseph B, Rhee P. A comparison of video laryngoscopy to direct laryngoscopy for the emergency intubation of trauma patients. World J Surg. 2015;39:782-8.
Lim Y, Yeo SW. A comparison of the Glidescope with the Macintosh laryngoscope for tracheal intubation in patients with simulated difficult airway. Anesth Intensive Care. 2005;33:243-7.
Sun DA, Warriner CB, Parsons DG, Klein R, Umedaly HS, Moult M. The Glidescope video laryngoscope: randomized clinical trial in 200 patients. Br J Anaesth. 2005;94:381-4.
Griesdale DE, Liu D, McKinney J, Choi PT. Glidescope video-laryngoscopy versus direct laryngoscopy for endotracheal intubation: a systematic review and meta-analysis. Can J Anesth. 2012;59:41-52.
Aziz MF, Dillman D, Fu R, Brambrink AM. Comparative effectiveness of the C-MAC video laryngoscope versus direct laryngoscopy in the setting of the predicted difficult airway. Anesthesiology. 2012;116:629-36.
Enomoto Y, Asai T, Arai T, Kamishima K, Okuda Y. Pentax-AWS, a new videolaryngoscope, is more effective than the Macintosh laryngoscope for tracheal intubation in patients with restricted neck movements: a randomized comparative study. Br J Anaesth. 2008;100:544-8.
Jungbauer A, Schumann M, Brunkhorst V, Börgers A, Groeben H. Expected difficult tracheal intubation: a prospective comparison of direct laryngoscopy and video laryngoscopy in 200 patients. Br J Anaesth. 2009;102:546-50.
Koh JC, Lee JS, Lee YW, Chang CH. Comparison of the laryngeal view during intubation using Airtraq and Macintosh laryngoscopes in patients with cervical spine immobilization and mouth opening limitation. Korean J Anesthesiol. 2010;59:314-8.
Lim Y, Yeo SW. A comparison of the GlideScope with the Macintosh laryngoscope for tracheal intubation in patients with simulated difficult airway. Anaesth Intensive Care. 2005;33:243-7.
Malik MA, Maharaj CH, Harte BH, Laffey JG. Comparison of Macintosh, Truview EVO2, Glidescope, and Airwayscope laryngoscope use in patients with cervical spine immobilization. Br J Anaesth. 2008;101:723-30.
Malik MA, Subramaniam R, Maharaj CH, Harte BH, Laffey JG. Randomized controlled trial of the Pentax AWS, GlideScope, and Macintosh laryngoscopes in predicted difficult intubation. Br J Anaesth. 2009;103:761-8.
Robitaille A, Williams SR, Tremblay MH, Guilbert F, Thériault M, Drolet P. Cervical spine motion during tracheal intubation with manual inline stabilization: Direct laryngoscopy versus GlideScope video laryngoscopy. Anesth Analg. 2008;106:935-41.
Serocki G, Bein B, Scholz J, Dörges V. Management of the predicted difficult airway: a comparison of conventional blade laryngoscopy with video-assisted blade laryngoscopy and the GlideScope. Eur J Anaesthesiol. 2010;27:24-30.
Niforopoulou P, Pantazopoulos I, Demestiha T, Koudouna E, Xanthos T. Video-laryngoscopes in the adult airway management: a topical review of the literature. Acta Anaesthesiol Scand. 2010;54:1050-61.
Wong E, Ng YY. The difficult airway in the emergency department. Int J Emerg Med. 2008;1:107-11.
Bacon ER, Phelan MP, Doyle DJ. Tips and troubleshooting for use of the GlideScope video laryngoscope for emergency endotracheal intubation. Am J Emerg Med. 2015;33:1273-7.
Jungbauer A, Schumann M, Brunkhorst V, Börger A, Groeben H. Expected difficult tracheal intubation: a prospective comparison of direct laryngoscope and video laryngoscope in 200 patients. Br J Anaesth. 2009;10:546-50.
ชินินธร พันไพศาล, รยากร มูลละ, นิดา แพทยารักษ์, อัญชนา แก้วคำ, นิภาวรรณ์ จุมปาลี, จตุพงษ์ พันธ์วิไล. การเปรียบเทียบการใส่ท่อหายใจโดยใช้ Glidescope® video laryngoscope กับ Macintosh direct laryngoscope ในผู้ป่วยที่ได้รับการจับยึดศีรษะและกระดูกสันหลังส่วนคอให้อยู่ในแนวตรง. วิสัญญีสาร. 2560;43:97-103.
Kaki AM, AlMarakbi WA, Fawzi HM, Boker AM. Use of Airtraq, C-MAC, and Glidescope laryngoscope is better than Macintosh in novice medical students’ hands: a manikin study. Saudi J Anaesth. 2011;5:376-81.
Adesida A, Desalu I, Adeyemo WL, Kushimo O. Manual in-line stabilization of the cervical spine increases the rate of difficult oro-tracheal intubation in adults-a randomized controlled trial. Ann Afr Surg. 2014;11:10-4.
Peirovifar A, Mahmoodpoor A, Golzari SE, Soleimanpour H, Aslampour Y, Fattahi V. Efficacy of video-guided laryngoscope in airway management skills of medical students. J Anaesthesiol Clin Pharmacol. 2014;30:488-92.
Ayoub CM, Kanazi GE, Al Alami A, Rameh C, El-Khatib MF. Tracheal intubation following training with the GlideScope® compared to direct laryngoscopy. Anaesthesia. 2010;65:674-8.
Myungju S, SunJoon B, Ki-Young L, Ein O, HyunJoo K. Comparing McGRATH, MAC, C-MAC, and Macintosh laryngoscopes operated by medical students: a randomized, crossover, manikin study. Biomed Res Int. 2016:1-8.
Practice guidelines for the management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on management of the difficult airway. Anesthesiology. 2003;98:1269-75
