Hemodynamic response to tracheal intubation and postoperative pharyngeal morbidity using GlideScope<sup>®</sup>, Lightwand and Macintosh laryngoscopes during remifentanil infusion

Jeon, Yeong Gwan; Park, Ji-Hyoung; Kim, Myeong Hoon; Choi, Woo Jin; Choi, Jae-Hyeog

doi:10.17085/apm.2017.12.4.342

Cited by 1 publication

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References 22 publications

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“…Despite topical anesthetic with low dose sedation was used before intubation, stimulation of the trachea by inserting the tube was not completely inhibited. Takahas M et al reported direct stimulation of the trachea appears to be a major cause of the hemodynamic changes associated with tracheal intubation [32], the mechanosensory-induced cough reflex during intubation should also be considered [33], which `might partly explain the incidences of severe cardiovascular reactions, coughing, was similar as compared with ML in present study.…”

Section: Discussionsupporting

confidence: 57%

Comparison of the Shikani Optical Stylet and Macintosh Laryngoscope for Orotracheal Intubation with Topical Anesthesia in Critically Ill Patients

Li¹

2018

CMR

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Background: Emergency airway management outside operating room (OR) is associated with a higher incidence of difficult intubations. The Shikani optical stylet (SOS) has been shown to improve first-attempt success rates compared with the classic Macintosh laryngoscope (ML) in patients with difficult airway inside the operating room (OR). Objective: In this randomized controlled clinical trial, the effectiveness of using a SOS as the primary intubation device was assessed during urgent endotracheal intubations (UEI) in conscious, critically ill patients outside the OR. Method: Sixty conscious critically ill patients from May 2018 to March 2018 were randomly assigned to undergoing intubation guided by the SOS (group S, n = 30) or the Macintosh laryngoscope (group M, n = 30) in ChanCheng Center Hospital,. After application of airway topical anesthesia and intravenous sedatives, endotracheal intubations were performed. The primary measured outcome was first-attempt intubation success rate. Secondary outcomes included ultimate success, the number of attempts, the duration of intubation, and the adverse effects or complications of intubation. Result: The rate of successful intubation at the first-attempt was superior with the SOS as compared with the ML (93.3% vs 63.3%, P = 0.005), the average number of attempts required for successful tracheal intubation (1.0 ± 0.3 vs 1.5 ± 0.8, P = 0.004), the duration of intubation (18.8 ± 11.9 vs 26.8 ± 15.6, P = 0.028), and the incidences of hemorrhage in the oropharyngeal mucosa (0 vs 28.6%, P = 0.006) were all improved significantly with use of the SOS compared with the ML. Conclusion: This study suggested SOS could be used as the effective device when UEIs are performed by experienced operators in conscious, critically ill patients outside the operating room.

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Section: Discussionsupporting

confidence: 57%

Comparison of the Shikani Optical Stylet and Macintosh Laryngoscope for Orotracheal Intubation with Topical Anesthesia in Critically Ill Patients

Li¹

2018

CMR

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Hemodynamic response to tracheal intubation and postoperative pharyngeal morbidity using GlideScope^®, Lightwand and Macintosh laryngoscopes during remifentanil infusion

Cited by 1 publication

References 22 publications

Comparison of the Shikani Optical Stylet and Macintosh Laryngoscope for Orotracheal Intubation with Topical Anesthesia in Critically Ill Patients

Comparison of the Shikani Optical Stylet and Macintosh Laryngoscope for Orotracheal Intubation with Topical Anesthesia in Critically Ill Patients

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Hemodynamic response to tracheal intubation and postoperative pharyngeal morbidity using GlideScope®, Lightwand and Macintosh laryngoscopes during remifentanil infusion

Cited by 1 publication

References 22 publications

Comparison of the Shikani Optical Stylet and Macintosh Laryngoscope for Orotracheal Intubation with Topical Anesthesia in Critically Ill Patients

Comparison of the Shikani Optical Stylet and Macintosh Laryngoscope for Orotracheal Intubation with Topical Anesthesia in Critically Ill Patients

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Hemodynamic response to tracheal intubation and postoperative pharyngeal morbidity using GlideScope^®, Lightwand and Macintosh laryngoscopes during remifentanil infusion