• S Brück, H Trautner, A Wolff, J Hain, G Mols, P Pakos, N Roewer, and M Lange.
• Department of Anaesthesia and Critical Care, University Hospital of Würzburg, Würzburg, Germany; Department of Cardioanaesthesia, University Hospital of Ulm, Ulm, Germany.
• Anaesthesia. 2015 Feb 1; 70 (2): 160-5.

AbstractIn-line stabilisation of the neck can increase the difficulty of tracheal intubation with direct laryngoscopy. We randomly assigned 56 patients with cervical spine pathology scheduled for elective surgery to tracheal intubation using either the C-MAC(®) (n = 26) or GlideScope(®) (n = 30), when the head and neck were stabilised in-line. There was no significant difference in the median (IQR [range]) intubation times between the C-MAC (19 (14-35 [9-90]) s and the GlideScope (23, (15-32 [8-65]) s. The first-attempt failure rate for the C-MAC was 42% (95% CI 23-63%) compared with 7% (95% CI 1-22%) for the GlideScope, p = 0.002. The laryngeal view was excellent and comparable with both devices, with the C-MAC requiring significantly more attempts and optimising manoeuvers (11 vs 5, respectively, p = 0.04). There were no significant differences in postoperative complaints e.g. sore throat, hoarseness and dysphagia. Both devices provided an excellent glottic view in patients with cervical spine immobilisation, but tracheal intubation was more often successful on the first attempt with the GlideScope.© 2014 The Association of Anaesthetists of Great Britain and Ireland.

22 keywords...

hide…