Comparison of direct laryngoscope and McGrath videolaryngoscope in terms of glottic view and hemodynamics in bariatric surgery

Yıl: 2020 Cilt: 50 Sayı: 1 Sayfa Aralığı: 213 - 218 Metin Dili: İngilizce DOI: 10.3906/sag-1905-77 İndeks Tarihi: 28-04-2020

Comparison of direct laryngoscope and McGrath videolaryngoscope in terms of glottic view and hemodynamics in bariatric surgery

Öz:
Background/aim: In the recent years, videolaryngoscopes (VL) have emerged as alternative devices to direct laryngoscopes (DL) indifficult intubation situations. Therefore, we aimed to compare the Macintosh DL and McGrath VL in terms of the glottic image quality,intubation success, intubation time, hemodynamic response after intubation, and complications in bariatric surgery patients.Material and methods: After obtaining approval by the ethics committee and receiving informed consent, we recorded the demographicand physical data of patients undergoing bariatric surgery. Patients were divided into 2 groups: Group M was intubated with theMacintosh DL, and Group V was intubated with the McGrath VL. After intubation, we noted the Cormack–Lehane score, the durationof intubation, the number of intubation interventions, and the hemodynamic data of patients.Results: A total of 62 patients (ASA II, body mass index of >35 kg/m2) were included in the study. All patients except 1 patient wereintubated on the first attempt. Although there was a decrease in heart rate and blood pressure with induction, similar hemodynamic datawere obtained between groups during the operation. In group V, we obtained a better glottic image (P = 0.011), but intubation successwas similar between the study groups. We also measured the intubation time in group M as 45.9 ± 19.1 s and group V as 57.1 ± 15.8 s(P = 0.015).Discussion: Although we measured longer intubation times with the McGrath VL compared with the Macintosh DL, we obtained abetter glottic image without causing hemodynamic changes. However, these findings did not make any difference in terms of intubationsuccess.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Catenacci VA, Hill JO, Wyatt HR. The obesity epidemic. Clinics in Chest Medicine 2009; 30 (3): 415-444. doi: 10.1016/j. ccm.2009.05.001
  • 2. Ezri T, Gewurtz G, Sessler DI, Medalion B, Szmuk P et al. Prediction of difficult laryngoscopy in obese patients by ultrasound quantification of anterior neck soft tissue. Anaesthesia 2003; 58 (11): 1111-1114.
  • 3. Ng I, Hill AL, Williams DL, Lee K, Segal R. Randomized controlled trial comparing the McGrath videolaryngoscope with the C-MAC videolaryngoscope in intubating adult patients with potential difficult airways. British Journal of Anaesthesia 2012; 109 (3): 439-443. doi: 10.1093/bja/aes145
  • 4. Murphy C, Wong DT. Airway management and oxygenation in obese patients. Canadian Journal of Anaesthesia = Journal Canadien D’anesthesie 2013; 60 (9): 929-945. doi: 10.1007/ s12630-013-9991-x
  • 5. Neligan PJ, Porter S, Max B, Malhotra G, Greenblatt EP et al. Obstructive sleep apnea is not a risk factor for difficult intubation in morbidly obese patients. Anesthesia and Analgesia 2009; 109 (4): 1182-1186. doi: 10.1213/ane.0b013e3181b12a0c
  • 6. Marrel J, Blanc C, Frascarolo P, Magnusson L. Videolaryngoscopy improves intubation condition in morbidly obese patients. European Journal of Anaesthesiology 2007; 24 (12): 1045-1049. doi: 10.1017/S0265021507000889
  • 7. Su YC, Chen CC, Lee YK, Lee JY, Lin KJ. Comparison of video laryngoscopes with direct laryngoscopy for tracheal intubation: a meta-analysis of randomised trials. European Journal of Anaesthesiology 2011; 28 (11): 788-795. doi: 10.1097/ EJA.0b013e32834a34f3
  • 8. Merli G. Videolaryngoscopy: is it only a change of view? Minerva Anestesiologica 2010; 76 (8): 569-571.
  • 9. Pazur I, Maldini B, Hostic V, Ozegic O, Obraz M. Comparison of Cormack Lehane grading system and intubation difficulty score in patients intubated by D-Blade video and direct Macintosh laryngoscope: A randomized controlled study. Acta Clinica Croatica 2016; 55 (4): 560-564. doi: 10.20471/acc.2016.55.04.05
  • 10. Hoshijima H, Mihara T, Maruyama K, Denawa Y, Takahashi M et al. McGrath videolaryngoscope versus Macintosh laryngoscope for tracheal intubation: A systematic review and meta-analysis with trial sequential analysis. Journal of Clinical Anesthesia 2018; 46: 25-32. doi: 10.1016/j.jclinane.2017.12.030
  • 11. Arici S, Karaman S, Dogru S, Karaman T, Tapar H et al. The McGrath Series 5 video laryngoscope versus the Macintosh laryngoscope: a randomized trial in obstetric patients. Turkish Journal of Medical Sciences 2014; 44 (3): 387-392.
  • 12. Cormack RS, Lehane J. Difficult tracheal intubation in obstetrics. Anaesthesia 1984; 39 (11): 1105-1111.
  • 13. Aceto P, Perilli V, Modesti C, Ciocchetti P, Vitale F et al. Airway management in obese patients. Surgery for Obesity and Related Diseases: Official Journal of the American Society for Bariatric Surgery 2013; 9 (5): 809-815. doi: 10.1016/j.soard.2013.04.013
  • 14. Yumul R, Elvir-Lazo OL, White PF, Sloninsky A, Kaplan M et al. Comparison of three video laryngoscopy devices to direct laryngoscopy for intubating obese patients: a randomized controlled trial. Journal of Clinical Anesthesia 2016; 31: 71-77. doi: 10.1016/j.jclinane.2015.12.042
  • 15. Hoshijima H, Denawa Y, Tominaga A, Nakamura C, Shiga T et al. Videolaryngoscope versus Macintosh laryngoscope for tracheal intubation in adults with obesity: A systematic review and meta-analysis. Journal of Clinical Anesthesia 2018; 44: 69- 75. doi: 10.1016/j.jclinane.2017.11.008
  • 16. Combes X, Dhonneur G. Difficult tracheal intubation. British Journal of Anaesthesia 2010; 104 (2): 260; author reply 261. doi: 10.1093/bja/aep384
  • 17. Maassen R, Lee R, Hermans B, Marcus M, van Zundert A. A comparison of three videolaryngoscopes: the Macintosh laryngoscope blade reduces, but does not replace, routine stylet use for intubation in morbidly obese patients. Anesthesia and Analgesia 2009; 109 (5): 1560-1565. doi: 10.1213/ ANE.0b013e3181b7303a
  • 18. Sharma DJ, Weightman WM, Travis A. Comparison of the Pentax Airway Scope and McGrath Videolaryngoscope with the Macintosh laryngoscope in tracheal intubation by anaesthetists unfamiliar with videolaryngoscopes: a manikin study. Anaesthesia and Intensive Care 2010; 38 (1): 39-42. doi: 10.1177/0310057X1003800108
  • 19. Altun D, Ali A, Camci E, Ozonur A, Seyhan TO. Haemodynamic response to four different laryngoscopes. Turkish Journal of Anaesthesiology and Reanimation 2018; 46 (6): 434-440. doi: 10.5152/TJAR.2018.59265
  • 20. Xue FS, Zhang GH, Li XY, Sun HT, Li P et al. Comparison of hemodynamic responses to orotracheal intubation with the GlideScope videolaryngoscope and the Macintosh direct laryngoscope. Journal of Clinical Anesthesia 2007; 19 (4): 245- 250. doi: 10.1016/j.jclinane.2006.11.004
  • 21. Nishikawa K, Matsuoka H, Saito S. Tracheal intubation with the PENTAX-AWS (airway scope) reduces changes of hemodynamic responses and bispectral index scores compared with the Macintosh laryngoscope. Journal of Neurosurgical Anesthesiology 2009; 21 (4): 292-296. doi: 10.1097/ ANA.0b013e3181a9c6dc
  • 22. Williams D, Ball DR. Palatal perforation associated with McGrath videolaryngoscope. Anaesthesia 2009; 64 (10): 1144- 1145. doi: 10.1111/j.1365-2044.2009.06091.x
  • 23. Lascarrou JB, Boisrame-Helms J, Bailly A, Le Thuaut A, Kamel T et al. Video Laryngoscopy vs Direct Laryngoscopy on successful first-pass orotracheal intubation among ICU patients: A randomized clinical trial. Jama 2017; 317 (5): 483- 493. doi: 10.1001/jama.2016.20603
  • 24. Taylor AM, Peck M, Launcelott S, Hung OR, Law JA et al. The McGrath(R) Series 5 videolaryngoscope vs the Macintosh laryngoscope: a randomised, controlled trial in patients with a simulated difficult airway. Anaesthesia 2013; 68 (2): 142-147. doi: 10.1111/anae.12075
  • 25. Barak M, Philipchuck P, Abecassis P, Katz Y. A comparison of the Truview blade with the Macintosh blade in adult patients. Anaesthesia 2007; 62 (8): 827-831. doi: 10.1111/j.1365- 2044.2007.05143.x
APA Cakir M, ozyurt e (2020). Comparison of direct laryngoscope and McGrath videolaryngoscope in terms of glottic view and hemodynamics in bariatric surgery. , 213 - 218. 10.3906/sag-1905-77
Chicago Cakir Mehmet,ozyurt erhan Comparison of direct laryngoscope and McGrath videolaryngoscope in terms of glottic view and hemodynamics in bariatric surgery. (2020): 213 - 218. 10.3906/sag-1905-77
MLA Cakir Mehmet,ozyurt erhan Comparison of direct laryngoscope and McGrath videolaryngoscope in terms of glottic view and hemodynamics in bariatric surgery. , 2020, ss.213 - 218. 10.3906/sag-1905-77
AMA Cakir M,ozyurt e Comparison of direct laryngoscope and McGrath videolaryngoscope in terms of glottic view and hemodynamics in bariatric surgery. . 2020; 213 - 218. 10.3906/sag-1905-77
Vancouver Cakir M,ozyurt e Comparison of direct laryngoscope and McGrath videolaryngoscope in terms of glottic view and hemodynamics in bariatric surgery. . 2020; 213 - 218. 10.3906/sag-1905-77
IEEE Cakir M,ozyurt e "Comparison of direct laryngoscope and McGrath videolaryngoscope in terms of glottic view and hemodynamics in bariatric surgery." , ss.213 - 218, 2020. 10.3906/sag-1905-77
ISNAD Cakir, Mehmet - ozyurt, erhan. "Comparison of direct laryngoscope and McGrath videolaryngoscope in terms of glottic view and hemodynamics in bariatric surgery". (2020), 213-218. https://doi.org/10.3906/sag-1905-77
APA Cakir M, ozyurt e (2020). Comparison of direct laryngoscope and McGrath videolaryngoscope in terms of glottic view and hemodynamics in bariatric surgery. Turkish Journal of Medical Sciences, 50(1), 213 - 218. 10.3906/sag-1905-77
Chicago Cakir Mehmet,ozyurt erhan Comparison of direct laryngoscope and McGrath videolaryngoscope in terms of glottic view and hemodynamics in bariatric surgery. Turkish Journal of Medical Sciences 50, no.1 (2020): 213 - 218. 10.3906/sag-1905-77
MLA Cakir Mehmet,ozyurt erhan Comparison of direct laryngoscope and McGrath videolaryngoscope in terms of glottic view and hemodynamics in bariatric surgery. Turkish Journal of Medical Sciences, vol.50, no.1, 2020, ss.213 - 218. 10.3906/sag-1905-77
AMA Cakir M,ozyurt e Comparison of direct laryngoscope and McGrath videolaryngoscope in terms of glottic view and hemodynamics in bariatric surgery. Turkish Journal of Medical Sciences. 2020; 50(1): 213 - 218. 10.3906/sag-1905-77
Vancouver Cakir M,ozyurt e Comparison of direct laryngoscope and McGrath videolaryngoscope in terms of glottic view and hemodynamics in bariatric surgery. Turkish Journal of Medical Sciences. 2020; 50(1): 213 - 218. 10.3906/sag-1905-77
IEEE Cakir M,ozyurt e "Comparison of direct laryngoscope and McGrath videolaryngoscope in terms of glottic view and hemodynamics in bariatric surgery." Turkish Journal of Medical Sciences, 50, ss.213 - 218, 2020. 10.3906/sag-1905-77
ISNAD Cakir, Mehmet - ozyurt, erhan. "Comparison of direct laryngoscope and McGrath videolaryngoscope in terms of glottic view and hemodynamics in bariatric surgery". Turkish Journal of Medical Sciences 50/1 (2020), 213-218. https://doi.org/10.3906/sag-1905-77