TY  - JOUR
TI  - Evaluation of rescue techniques following failed laryngoscopy: A multicenter prospective observational study
AB  - OBJECTIVE: The Fourth National Audit Project revealed that severe airway complications occur in the frequency of 1/22,000.  Various rescue techniques were recommended in difficult airway guidelines. This study aims to evaluate the rescue techniques fol- lowing failed direct laryngoscopy and analyze the success rates and potential complications during difficult airway management. METHODS: This was a multicenter and prospective observational study carried out in four referral centers. Four academic  university hospitals using fiberoptic bronchoscopy and videolaryngoscopy in their daily practice were included in the study.  Patients  undergoing  general  anesthesia  with  anticipated  or  unanticipated  difficult  intubation  were  enrolled.  The  preferred  rescue technique and the attempts for both direct and indirect laryngoscopies were recorded. RESULTS: At the mean age of 46.58±21.19 years, 92 patients were analyzed. The most common rescue technique was  videolaryngoscopy following failed direct  laryngoscopy. Glidescope was the most  preferred videolaryngoscope. Anesthesia  residents  performed  most  of  the  first  tracheal  intubation  attempts,  whereas  anesthesia  specialists  performed  the  second  attempts at all centers. The experience of the first performer as a resident was significantly higher in the anticipated difficult  airway group (4.0±5.5 years) (p=0.045). The number of attempts with the first rescue technique was 2.0±2.0 and 1.0±1.0  in the unanticipated difficult airway and anticipated difficult airway groups, respectively (p=0.004). CONCLUSION: Videolaryngoscopy was a more commonly preferred technique for both anticipated and unanticipated difficult intu- bations. Glidescope was the most used rescue device in difficult intubations after failed direct laryngoscopy, with a high success rate.
AU  - alparslan, volkan
AU  - Saracoglu, Kemal
AU  - Deligöz, Özlem
AU  - Ekinci, Osman
AU  - Aykac, Zuhal
AU  - Kuş, Alparslan
AU  - turan, Ayse Zeynep
AU  - Saracoglu, Ayten
AU  - Yılmaz, Mehmet
DO  - 10.14744/nci.2021.76402
PY  - 2023
JO  - İstanbul Kuzey Klinikleri
VL  - 10
IS  - 2
SN  - 2148-4902
SP  - 212
EP  - 221
DB  - TRDizin
UR  - http://search/yayin/detay/1178923
ER  -