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The effects of backward, upward, rightward pressure maneuver for intubation using the Optiscope(TM): a retrospective study
BACKGROUND: The Optiscope(TM) and the backward, upward, rightward pressure (BURP) maneuver are widely used in clinical practice because the BURP maneuver facilitates intubation by improving visualization of the larynx. However, the effect of the BURP maneuver is unclear when using the Optiscope(TM)....
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Anesthesiologists
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8828619/ https://www.ncbi.nlm.nih.gov/pubmed/35139622 http://dx.doi.org/10.17085/apm.21026 |
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author | Oh, Sei-hoon Heo, Sang-kwon Cheon, Seung-Uk Ryu, Seung-Ah |
author_facet | Oh, Sei-hoon Heo, Sang-kwon Cheon, Seung-Uk Ryu, Seung-Ah |
author_sort | Oh, Sei-hoon |
collection | PubMed |
description | BACKGROUND: The Optiscope(TM) and the backward, upward, rightward pressure (BURP) maneuver are widely used in clinical practice because the BURP maneuver facilitates intubation by improving visualization of the larynx. However, the effect of the BURP maneuver is unclear when using the Optiscope(TM). Therefore, we retrospectively investigated the effect of the BURP maneuver on intubation using the Optiscope(TM). METHODS: Sixty-eight patients intubated with the Optiscope(TM) were enrolled. We used the BURP maneuver in Group A (n = 33) and the conventional maneuver (which does not use the BURP maneuver) in Group B (n = 35). BURP application status was a binary variable representing whether the BURP maneuver was used during the intubation. A multiple linear regression analysis was performed to assess the effects of the BURP application status on intubation time controlling for body mass index, preoperative dental injury status, obstructive sleep apnea history, thyromental distance, sternomental distance, interincisor distance, history of neck rotation restriction, and Mallampati classification. RESULTS: There was no difference in the intubation time between the two groups. According to the regression model (R(2) = 0.308, P = 0.007), the BURP maneuver (Group A) decreased the intubation time by 6.089 seconds (95% confidence interval 1.303–10.875, P = 0.014) compared to Group B. CONCLUSION: The BURP maneuver reduced intubation time when using the Optiscope(TM). |
format | Online Article Text |
id | pubmed-8828619 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Korean Society of Anesthesiologists |
record_format | MEDLINE/PubMed |
spelling | pubmed-88286192022-02-18 The effects of backward, upward, rightward pressure maneuver for intubation using the Optiscope(TM): a retrospective study Oh, Sei-hoon Heo, Sang-kwon Cheon, Seung-Uk Ryu, Seung-Ah Anesth Pain Med (Seoul) Airway Management BACKGROUND: The Optiscope(TM) and the backward, upward, rightward pressure (BURP) maneuver are widely used in clinical practice because the BURP maneuver facilitates intubation by improving visualization of the larynx. However, the effect of the BURP maneuver is unclear when using the Optiscope(TM). Therefore, we retrospectively investigated the effect of the BURP maneuver on intubation using the Optiscope(TM). METHODS: Sixty-eight patients intubated with the Optiscope(TM) were enrolled. We used the BURP maneuver in Group A (n = 33) and the conventional maneuver (which does not use the BURP maneuver) in Group B (n = 35). BURP application status was a binary variable representing whether the BURP maneuver was used during the intubation. A multiple linear regression analysis was performed to assess the effects of the BURP application status on intubation time controlling for body mass index, preoperative dental injury status, obstructive sleep apnea history, thyromental distance, sternomental distance, interincisor distance, history of neck rotation restriction, and Mallampati classification. RESULTS: There was no difference in the intubation time between the two groups. According to the regression model (R(2) = 0.308, P = 0.007), the BURP maneuver (Group A) decreased the intubation time by 6.089 seconds (95% confidence interval 1.303–10.875, P = 0.014) compared to Group B. CONCLUSION: The BURP maneuver reduced intubation time when using the Optiscope(TM). Korean Society of Anesthesiologists 2021-10-30 2021-10-22 /pmc/articles/PMC8828619/ /pubmed/35139622 http://dx.doi.org/10.17085/apm.21026 Text en Copyright © the Korean Society of Anesthesiologists, 2021 https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Airway Management Oh, Sei-hoon Heo, Sang-kwon Cheon, Seung-Uk Ryu, Seung-Ah The effects of backward, upward, rightward pressure maneuver for intubation using the Optiscope(TM): a retrospective study |
title | The effects of backward, upward, rightward pressure maneuver for intubation using the Optiscope(TM): a retrospective study |
title_full | The effects of backward, upward, rightward pressure maneuver for intubation using the Optiscope(TM): a retrospective study |
title_fullStr | The effects of backward, upward, rightward pressure maneuver for intubation using the Optiscope(TM): a retrospective study |
title_full_unstemmed | The effects of backward, upward, rightward pressure maneuver for intubation using the Optiscope(TM): a retrospective study |
title_short | The effects of backward, upward, rightward pressure maneuver for intubation using the Optiscope(TM): a retrospective study |
title_sort | effects of backward, upward, rightward pressure maneuver for intubation using the optiscope(tm): a retrospective study |
topic | Airway Management |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8828619/ https://www.ncbi.nlm.nih.gov/pubmed/35139622 http://dx.doi.org/10.17085/apm.21026 |
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