The Parker Flex-Tip™ tracheal tube makes endotracheal intubation with the Bullard laryngoscope easier and faster

Suzuki, Akihiro; Tampo, Akihito; Abe, Nobuko; Otomo, Shigeaki; Minami, Sayuri; Henderson, John; Iwasaki, Hiroshi

doi:10.1017/s0265021507001184

Cited by 15 publications

(18 citation statements)

References 8 publications

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“…Previous studies have described easier and faster intubation with the Bullard laryngoscope and the Parker Flex-Tip tube [15], and greater intubation success, shorter intubation times, and reduced incidence of repositioning of the tube when the Parker Flex-Tip was used to facilitate oral fiberoptic intubation. [16,17].…”

Section: Discussionmentioning

confidence: 97%

A prospective, randomised, cross‐over trial comparing the EndoFlex^® and standard tracheal tubes in patients with predicted easy intubation

Teoh¹,

Sia²,

Fun³

2009

Anaesthesia

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SummaryWe aimed to determine if using the EndoFlex Ò tracheal tube on the first intubation attempt provided improved placement times and intubation success compared with a standard-type tracheal tube in 50 patients undergoing gynaecological surgery in a prospective, randomised, cross-over trial. We found that using the EndoFlex resulted in shorter intubation times (mean (SD) 14.8 (9.7) vs 30.1 (30.5) s), easier intubation (VAS, median (range) 10 (0-70) vs 20 (0-100)), and an increased rate of successful insertion at the first attempt; all p < 0.001. Flexing the distal tip of the EndoFlex was used in 18 patients. There were reductions in the use of external laryngeal pressure, advancement of laryngoscope blade and increased lifting force when intubating with the EndoFlex. Furthermore, patients with a grade 2 (19 ⁄ 50) or 3 (6 ⁄ 50) laryngoscopic view had shorter intubation times, easier intubation and reduced insertion attempts with the EndoFlex. The EndoFlex is a satisfactory alternative to a standard-type tracheal tube, even with an anterior larynx.

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Section: Discussionmentioning

confidence: 97%

A prospective, randomised, cross‐over trial comparing the EndoFlex^® and standard tracheal tubes in patients with predicted easy intubation

Teoh¹,

Sia²,

Fun³

2009

Anaesthesia

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“…TT tip touching was counted on the AWS monitor and the site that the TT tip touched was recorded on a clock face diagram, as in a previous study [8,9]. Additional points of interest were the time required for tracheal intubation and the rate of successful tracheal intubation.…”

Section: Introductionmentioning

confidence: 99%

“…However, the conventional TT tip often impinges on the glottis or other laryngeal structures when the TT is advanced from the AWS into the trachea [5].The Parker-tipped TT (Parker Flex-Tip tube; Parker Medical, Highlands Ranch, CO, USA) has a tapered fountain-pen-shaped tip [6][7][8]. In tracheal intubation with fi berscopes or Bullard laryngoscopes, the Parkertipped TT has been shown to have easier passage, without colliding with the glottis or other laryngeal structures, when compared to a conventional TT in patients with diffi cult airway [7,8].…”

mentioning

confidence: 99%

“…In tracheal intubation with fi berscopes or Bullard laryngoscopes, the Parkertipped TT has been shown to have easier passage, without colliding with the glottis or other laryngeal structures, when compared to a conventional TT in patients with diffi cult airway [7,8]. However, no study to date has shown the utility of the Parker-tipped TT in AWS-assisted intubation.…”

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confidence: 99%

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Comparison of Parker-tipped and Murphy-tipped tracheal tubes in Airway Scope-assisted intubation in a manikin

et al. 2009

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“…The Parker Flex-Tip TM tracheal tube (Parker Medical, Highlands Ranch, CO, USA) has a special tip, that is designed to glide past obstructions and pass easily through the glottis (Fig. 1) [7][8][9]. However the Parker Flex-tip tracheal tube has never been studied in terms of nasal mucosal trauma.…”

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confidence: 99%

The Parker Flex‐Tip™ tube for nasotracheal intubation: the influence on nasal mucosal trauma

et al. 2009

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SummaryWe tested our hypothesis that use of the Parker Flex‐Tip™ tracheal tube could reduce the incidence of nasal mucosal trauma during nasotracheal intubation when compared with a conventional tip tracheal tube. One hundred and two patients, who were scheduled for elective oral surgery in which nasotracheal intubation was indicated to optimise the surgical approach, were recruited into this study. Either a Flex‐Tip tracheal tube or a conventional tip tracheal tube was chosen randomly for each nasotracheal intubation. The incidence of epistaxis using the Flex‐Tip tracheal tube (6 (11.8%)) was significantly lower than that with the conventional tip tracheal tube (18 (35.3%); p = 0.009). Nasal pain due to intubation, rated on a 100‐mm visual analogue scale, was less intense with the Flex‐Tip tracheal tube (median, (10th–90th percentile) 19 (12–28) mm compared with the conventional tip tracheal tube (30 (22–35) mm; p < 0.001). The Flex‐Tip tracheal tube thus appeared to reduce the incidence of nasal mucosal trauma during nasotracheal intubation and the incidence of post‐intubation nasal pain, compared with the conventional tip tracheal tube.

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The Parker Flex-Tip™ tracheal tube makes endotracheal intubation with the Bullard laryngoscope easier and faster

Abstract: During intubation with the Bullard laryngoscope, use of the Parker Flex-Tip tube is associated with more rapid success and a lower incidence of re-direction of the Bullard laryngoscope during endotracheal intubation when compared to a standard endotracheal tube.

Cited by 15 publications

References 8 publications

A prospective, randomised, cross‐over trial comparing the EndoFlex^® and standard tracheal tubes in patients with predicted easy intubation

A prospective, randomised, cross‐over trial comparing the EndoFlex^® and standard tracheal tubes in patients with predicted easy intubation

Comparison of Parker-tipped and Murphy-tipped tracheal tubes in Airway Scope-assisted intubation in a manikin

The Parker Flex‐Tip™ tube for nasotracheal intubation: the influence on nasal mucosal trauma

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The Parker Flex-Tip™ tracheal tube makes endotracheal intubation with the Bullard laryngoscope easier and faster

Abstract: During intubation with the Bullard laryngoscope, use of the Parker Flex-Tip tube is associated with more rapid success and a lower incidence of re-direction of the Bullard laryngoscope during endotracheal intubation when compared to a standard endotracheal tube.

Cited by 15 publications

References 8 publications

A prospective, randomised, cross‐over trial comparing the EndoFlex® and standard tracheal tubes in patients with predicted easy intubation

A prospective, randomised, cross‐over trial comparing the EndoFlex® and standard tracheal tubes in patients with predicted easy intubation

Comparison of Parker-tipped and Murphy-tipped tracheal tubes in Airway Scope-assisted intubation in a manikin

The Parker Flex‐Tip™ tube for nasotracheal intubation: the influence on nasal mucosal trauma

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Product

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A prospective, randomised, cross‐over trial comparing the EndoFlex^® and standard tracheal tubes in patients with predicted easy intubation

A prospective, randomised, cross‐over trial comparing the EndoFlex^® and standard tracheal tubes in patients with predicted easy intubation