-
Randomized Controlled Trial Comparative Study
Comparison of the Airtraq and McCoy laryngoscopes using a rigid neck collar in patients with simulated difficult laryngoscopy.
- Qazi Ehsan Ali, Bikramjit Das, Syed Hussain Amir, Obaid Ahmed Siddiqui, and Shaista Jamil.
- Department of Anesthesiology, Jawaharlal Nehru Medical College, A.M.U., Aligarh.,U.P., India. Electronic address: qaziehsanali@gmail.com.
- J Clin Anesth. 2014 May 1;26(3):199-203.
Study ObjectiveTo determine the efficacy of the Airtraq versus the McCoy laryngoscope as intubation devices with the neck stabilized by a rigid cervical collar.DesignProspective, randomized, double-blinded study.SettingJawaharlal Nehru Medical College.Patients60 ASA physical status 1, 2, and 3 patients, aged 18-70 years, scheduled for various surgical procedures requiring tracheal intubation for surgical anesthesia.InterventionsPatients were randomly allocated to undergo intubation with the McCoy (n = 30) or Airtraq (n = 30) laryngoscope.Measurements And Main ResultsDifferences in intubation times between the Airtraq and the McCoy laryngoscope, modified Cormack-Lehane score, percentage of glottic opening (POGO) score, and airway trauma were compared. Overall intubation success rates were 100% with both devices and a similar number of intubation attempts were required. However, the mean (SD) time required for successful intubation was shorter with the Airtraq (28.73 ± 6.39 sec) than the McCoy laryngoscope (39.11 ± 14.01 sec; P < 0.0001). The frequencies of intubation complications were similar. Esophageal intubation occurred in 4 cases but only with the McCoy laryngoscope.ConclusionIntubation time was shorter with the Airtraq than the McCoy laryngoscope, even though the overall success rates between the two devices were similar.Copyright © 2014 Elsevier Inc. All rights reserved.
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