TY  - JOUR
TI  - Is Awake Videolaryngoscopic Assessment of  the Airway a New Tool to Predict the Unpredictable?:  A Randomised Crossover Clinical Trial
AB  - Objective: Even with worldwide acceptance and  obedience to airway evaluation tests, there have not been enough tests  performed to predict a difficult intubation with 100% accuracy. The  Cochrane database published a review about the insufficiency of airway  examination tests. For decades, anesthesiologists have tried to identify  these issues. Material and Methods: After ethics committee approval  and written informed consent had been obtained, 20 patients were  enrolled to this prospective randomised study. All patients were  oxygenated before and during the procedure. Standard anesthesia  monitoring and 0.05 mg.kg-1 midazolam was administered  intravenously. The nasopharynx was prepared with a topical 10%  lidocaine spray then a continuous remifentanil infusion was given at a  rate of 0.07 μ.kg.min-1 at least for 3 minutes. Awake videolaryngoscopy  with Storz C-MAC, Storz D-Blade, McGrath MAC X-Blade and  Airtraq was performed in random order to the same patient. Results: Two women denied participation and we analysed 18 patients. One  patient did not allow the Airtraq to be inserted deeper and so we had  17 analyses for awake assessment for the Airtraq. Demographic and  airway variables of patients were similar. The duration to obtain the  optimal view was similar among the videolaryngoscopes. The  comfort rating of patient and the observer were lower in the C-MAC  (p<0.001). The Cormack-Lehane grades were worse in the C-MAC  when compared to the others (p=0.006). Gag reflex occurred more in  the Airtraq and the C-MAC videolaryngoscopes (p=0.007).  Conclusion: Airtraq, McGrath MAC X-Blade, Storz D-Blade was  superior to Storz C-MAC for awake videolaryngoscopic assessment of  the airway as a new tool to predict a difficult laryngoscopy.
AU  - Seyhan, Funda
AU  - arslan, zehra  ipek
AU  - Yeşildal, Huri
DO  - 10.5336/anesthe.2020-78587
PY  - 2021
JO  - Türkiye Klinikleri Anesteziyoloji Reanimasyon Dergisi
VL  - 19
IS  - 1
SN  - 1304-0499
SP  - 1
EP  - 7
DB  - TRDizin
UR  - http://search/yayin/detay/1169955
ER  -