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Comparison of Tracheal Intubation Using the Storz’s C-Mac D-blade(TM) Video-Laryngoscope Aided by Truflex(TM) Articulating Stylet and the Portex(TM) Intubating Stylet

BACKGROUND: Tracheal intubation using Storz’s C-Mac D-blade(TM) videolaryngoscope is associated with difficult negotiation of the tracheal tube into the glottis due to steep angulation of its blade. OBJECTIVES: In this study, we hypothesized that Truflex(TM) articulating stylet with its ability to d...

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Autores principales: Al-Qasmi, Aida, Al-Alawi, Waffa, Malik, Azharuddin Mohammed, Manzoor Khan, Rashid, Kaul, Naresh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4688814/
https://www.ncbi.nlm.nih.gov/pubmed/26705531
http://dx.doi.org/10.5812/aapm.32299
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author Al-Qasmi, Aida
Al-Alawi, Waffa
Malik, Azharuddin Mohammed
Manzoor Khan, Rashid
Kaul, Naresh
author_facet Al-Qasmi, Aida
Al-Alawi, Waffa
Malik, Azharuddin Mohammed
Manzoor Khan, Rashid
Kaul, Naresh
author_sort Al-Qasmi, Aida
collection PubMed
description BACKGROUND: Tracheal intubation using Storz’s C-Mac D-blade(TM) videolaryngoscope is associated with difficult negotiation of the tracheal tube into the glottis due to steep angulation of its blade. OBJECTIVES: In this study, we hypothesized that Truflex(TM) articulating stylet with its ability to dynamically tailor the ETT shape to patients’ oropharyngeal anatomy would be better suited to the D-blade angulation and ease tracheal intubation compared to Portex(TM) intubation stylet. PATIENTS AND METHODS: Following approval by the Ethical Issues Committee and informed consent, 218 ASA I and II patients of either sex were enrolled in this interventional, single-blind, randomized controlled trial. Tracheal intubation was performed following a uniform general anesthetic technique using the Storz’s C-Mac D-blade(TM) videolaryngoscope aided by either Truflex(TM) articulating stylet or the Portex(TM) intubation stylet by an experienced anesthesiologist. The outcome measures included success or failure to intubate in the first attempt, total intubation time, hemodynamic disturbances, trauma if any and user satisfaction. RESULTS: The number of patients in whom intubation was successful in the first attempt was significantly higher by using Truflex™ articulating stylet (99.1%) compared to Portex(TM) intubation stylet (90.0%; P-Value = 0.003). User satisfaction grade was significantly better while using Truflex(TM) articulating stylet (8.5 ± 0.88) compared to the Portex(TM) intubation stylet (8.23 ± 0.99; P-Value = 0.035). We did not observe any significant difference in total intubation time, hemodynamic disturbances or trauma. CONCLUSIONS: Storz’s C-Mac D-blade(TM) videolaryngoscope provides grade I Cormack and Lehane’s glottic view in 99.1% patients. First attempt successful tracheal intubation and user satisfaction significantly improved by Truflex(TM) articulating stylet compared to the Portex(TM) intubation stylet.
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spelling pubmed-46888142015-12-24 Comparison of Tracheal Intubation Using the Storz’s C-Mac D-blade(TM) Video-Laryngoscope Aided by Truflex(TM) Articulating Stylet and the Portex(TM) Intubating Stylet Al-Qasmi, Aida Al-Alawi, Waffa Malik, Azharuddin Mohammed Manzoor Khan, Rashid Kaul, Naresh Anesth Pain Med Research Article BACKGROUND: Tracheal intubation using Storz’s C-Mac D-blade(TM) videolaryngoscope is associated with difficult negotiation of the tracheal tube into the glottis due to steep angulation of its blade. OBJECTIVES: In this study, we hypothesized that Truflex(TM) articulating stylet with its ability to dynamically tailor the ETT shape to patients’ oropharyngeal anatomy would be better suited to the D-blade angulation and ease tracheal intubation compared to Portex(TM) intubation stylet. PATIENTS AND METHODS: Following approval by the Ethical Issues Committee and informed consent, 218 ASA I and II patients of either sex were enrolled in this interventional, single-blind, randomized controlled trial. Tracheal intubation was performed following a uniform general anesthetic technique using the Storz’s C-Mac D-blade(TM) videolaryngoscope aided by either Truflex(TM) articulating stylet or the Portex(TM) intubation stylet by an experienced anesthesiologist. The outcome measures included success or failure to intubate in the first attempt, total intubation time, hemodynamic disturbances, trauma if any and user satisfaction. RESULTS: The number of patients in whom intubation was successful in the first attempt was significantly higher by using Truflex™ articulating stylet (99.1%) compared to Portex(TM) intubation stylet (90.0%; P-Value = 0.003). User satisfaction grade was significantly better while using Truflex(TM) articulating stylet (8.5 ± 0.88) compared to the Portex(TM) intubation stylet (8.23 ± 0.99; P-Value = 0.035). We did not observe any significant difference in total intubation time, hemodynamic disturbances or trauma. CONCLUSIONS: Storz’s C-Mac D-blade(TM) videolaryngoscope provides grade I Cormack and Lehane’s glottic view in 99.1% patients. First attempt successful tracheal intubation and user satisfaction significantly improved by Truflex(TM) articulating stylet compared to the Portex(TM) intubation stylet. Kowsar 2015-12-05 /pmc/articles/PMC4688814/ /pubmed/26705531 http://dx.doi.org/10.5812/aapm.32299 Text en Copyright © 2015, Iranian Society of Regional Anesthesia and Pain Medicine (ISRAPM). http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
spellingShingle Research Article
Al-Qasmi, Aida
Al-Alawi, Waffa
Malik, Azharuddin Mohammed
Manzoor Khan, Rashid
Kaul, Naresh
Comparison of Tracheal Intubation Using the Storz’s C-Mac D-blade(TM) Video-Laryngoscope Aided by Truflex(TM) Articulating Stylet and the Portex(TM) Intubating Stylet
title Comparison of Tracheal Intubation Using the Storz’s C-Mac D-blade(TM) Video-Laryngoscope Aided by Truflex(TM) Articulating Stylet and the Portex(TM) Intubating Stylet
title_full Comparison of Tracheal Intubation Using the Storz’s C-Mac D-blade(TM) Video-Laryngoscope Aided by Truflex(TM) Articulating Stylet and the Portex(TM) Intubating Stylet
title_fullStr Comparison of Tracheal Intubation Using the Storz’s C-Mac D-blade(TM) Video-Laryngoscope Aided by Truflex(TM) Articulating Stylet and the Portex(TM) Intubating Stylet
title_full_unstemmed Comparison of Tracheal Intubation Using the Storz’s C-Mac D-blade(TM) Video-Laryngoscope Aided by Truflex(TM) Articulating Stylet and the Portex(TM) Intubating Stylet
title_short Comparison of Tracheal Intubation Using the Storz’s C-Mac D-blade(TM) Video-Laryngoscope Aided by Truflex(TM) Articulating Stylet and the Portex(TM) Intubating Stylet
title_sort comparison of tracheal intubation using the storz’s c-mac d-blade(tm) video-laryngoscope aided by truflex(tm) articulating stylet and the portex(tm) intubating stylet
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4688814/
https://www.ncbi.nlm.nih.gov/pubmed/26705531
http://dx.doi.org/10.5812/aapm.32299
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