Stylet- or forceps-guided tube exchanger to facilitate GlideScope (R) intubation in simulated difficult intubations - a randomised controlled trial
- Title
- Stylet- or forceps-guided tube exchanger to facilitate GlideScope (R) intubation in simulated difficult intubations - a randomised controlled trial
- Author
- 심재항
- Keywords
- Adolescent; Adult; Aged; Equipment Design; Intubation; instrumentation; methods; Laryngoscopes; Middle Aged; Surgical Instruments; Video Recording; Young Adult
- Issue Date
- 2013-02
- Publisher
- WILEY
- Citation
- Anaesthesia , 68, 6, 585 - 590
- Abstract
- The GlideScope® videolaryngoscope is widely used in the management of the difficult airway. However, passing the tracheal tube through the vocal cords can be awkward, and the use of a stylet to guide insertion is recommended. This randomised controlled trial evaluated a forceps-guided tube exchanger as an alternative to the stylet to aid intubation with the GlideScope in patients undergoing anaesthesia, with a simulated difficult airway created by the application of a semi-rigid cervical collar. Data were analysed from 178 patients randomly assigned to undergo intubation using either the stylet (n = 88) or a forceps-guided tube exchanger (n = 90). All intubations were completed successfully, with first attempt rates of 93.2% using the stylet and 94.4% using the exchanger (p = 0.597). The mean (SD) intubation time was 67.8 (28.7) s in the stylet group and 66.1 (15.5) s in the forceps-guided tube exchanger group (p = 0.11). The frequency of sore throat 1 h after extubation was 34.1% in the stylet group and 2.2% in the tube exchanger group (p < 0.001); 24 h after extubation the corresponding figures were 40.0% and 11.1% (p < 0.001). Using a forceps-guided tube exchanger may offer an advantage over a stylet in guiding tracheal intubation when the GlideScope is used.
- URI
- http://onlinelibrary.wiley.com/doi/10.1111/anae.12219/abstract;jsessionid=61AAB2972A4822B2C30050EF5DB5140E.f02t04http://hdl.handle.net/20.500.11754/44845
- ISSN
- 0003-2409
- DOI
- 10.1111/anae.12219
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
- Files in This Item:
There are no files associated with this item.
- Export
- RIS (EndNote)
- XLS (Excel)
- XML