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A comparison of the Airtraq(®), McGrath(®), and Macintosh laryngoscopes for difficult paediatric intubation: A manikin study
BACKGROUND: The efficacy of devices for difficult intubation in paediatric patients, especially with a Cormack-Lehane grade 4 view, has yet to be established. We compared intubating parameters among three devices (the Airtraq(®), McGrath(®), and Macintosh laryngoscopes). METHODS: This study is a ran...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5302788/ https://www.ncbi.nlm.nih.gov/pubmed/28187213 http://dx.doi.org/10.1371/journal.pone.0171889 |
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author | Owada, Gen Mihara, Takahiro Inagawa, Gaku Asakura, Ayako Goto, Takahisa Ka, Koui |
author_facet | Owada, Gen Mihara, Takahiro Inagawa, Gaku Asakura, Ayako Goto, Takahisa Ka, Koui |
author_sort | Owada, Gen |
collection | PubMed |
description | BACKGROUND: The efficacy of devices for difficult intubation in paediatric patients, especially with a Cormack-Lehane grade 4 view, has yet to be established. We compared intubating parameters among three devices (the Airtraq(®), McGrath(®), and Macintosh laryngoscopes). METHODS: This study is a randomised cross-over trial. Participants were 20 anaesthetists. Each device was tested three times using a paediatric manikin with a Cormack-Lehane grade 4 view. The order to use each device was randomised by a computer-generated random sequence. The primary endpoint was the rate of successful intubation. Secondary endpoints included the time taken to intubate, percentage of glottic opening score, and severity of potential dental trauma. RESULTS: The successful intubation rates of the Airtraq(®), McGrath(®), and Macintosh laryngoscopes were 100%, 72%, and 45%, respectively. The risk ratio of the success rates of Airtraq(®) compared with McGrath(®) and Macintosh laryngoscopes were 1.40 (95% CI; 1.19–1.64, P < 0.001) and 2.22 (95% CI; 1.68–2.94, P < 0.001), respectively. The modified Cormack-Lehane grade and percentage of the glottic opening score were better for the Airtraq(®) than for the other devices. The dental trauma score was lower for the Airtraq(®) than for the other devices. There were no significant differences in the intubation time among the groups. CONCLUSIONS: The Airtraq(®) had higher success rate, had better visibility, and was associated with less dental trauma than the other devices in a difficult paediatric intubation model with a Cormack-Lehane grade 4 view. |
format | Online Article Text |
id | pubmed-5302788 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-53027882017-02-28 A comparison of the Airtraq(®), McGrath(®), and Macintosh laryngoscopes for difficult paediatric intubation: A manikin study Owada, Gen Mihara, Takahiro Inagawa, Gaku Asakura, Ayako Goto, Takahisa Ka, Koui PLoS One Research Article BACKGROUND: The efficacy of devices for difficult intubation in paediatric patients, especially with a Cormack-Lehane grade 4 view, has yet to be established. We compared intubating parameters among three devices (the Airtraq(®), McGrath(®), and Macintosh laryngoscopes). METHODS: This study is a randomised cross-over trial. Participants were 20 anaesthetists. Each device was tested three times using a paediatric manikin with a Cormack-Lehane grade 4 view. The order to use each device was randomised by a computer-generated random sequence. The primary endpoint was the rate of successful intubation. Secondary endpoints included the time taken to intubate, percentage of glottic opening score, and severity of potential dental trauma. RESULTS: The successful intubation rates of the Airtraq(®), McGrath(®), and Macintosh laryngoscopes were 100%, 72%, and 45%, respectively. The risk ratio of the success rates of Airtraq(®) compared with McGrath(®) and Macintosh laryngoscopes were 1.40 (95% CI; 1.19–1.64, P < 0.001) and 2.22 (95% CI; 1.68–2.94, P < 0.001), respectively. The modified Cormack-Lehane grade and percentage of the glottic opening score were better for the Airtraq(®) than for the other devices. The dental trauma score was lower for the Airtraq(®) than for the other devices. There were no significant differences in the intubation time among the groups. CONCLUSIONS: The Airtraq(®) had higher success rate, had better visibility, and was associated with less dental trauma than the other devices in a difficult paediatric intubation model with a Cormack-Lehane grade 4 view. Public Library of Science 2017-02-10 /pmc/articles/PMC5302788/ /pubmed/28187213 http://dx.doi.org/10.1371/journal.pone.0171889 Text en © 2017 Owada et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Owada, Gen Mihara, Takahiro Inagawa, Gaku Asakura, Ayako Goto, Takahisa Ka, Koui A comparison of the Airtraq(®), McGrath(®), and Macintosh laryngoscopes for difficult paediatric intubation: A manikin study |
title | A comparison of the Airtraq(®), McGrath(®), and Macintosh laryngoscopes for difficult paediatric intubation: A manikin study |
title_full | A comparison of the Airtraq(®), McGrath(®), and Macintosh laryngoscopes for difficult paediatric intubation: A manikin study |
title_fullStr | A comparison of the Airtraq(®), McGrath(®), and Macintosh laryngoscopes for difficult paediatric intubation: A manikin study |
title_full_unstemmed | A comparison of the Airtraq(®), McGrath(®), and Macintosh laryngoscopes for difficult paediatric intubation: A manikin study |
title_short | A comparison of the Airtraq(®), McGrath(®), and Macintosh laryngoscopes for difficult paediatric intubation: A manikin study |
title_sort | comparison of the airtraq(®), mcgrath(®), and macintosh laryngoscopes for difficult paediatric intubation: a manikin study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5302788/ https://www.ncbi.nlm.nih.gov/pubmed/28187213 http://dx.doi.org/10.1371/journal.pone.0171889 |
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