The McGrath series 5 video laryngoscope versus the Macintosh laryngoscope: a randomized trial in obstetric patients

Anesthesiologists have encountered various difficulties in securing the airway. Therefore, we compare the intubation times and hemodynamic changes between the McGrath Series 5 video laryngoscope and the Macintosh laryngoscope. Materials and methods: A total of 80 obstetric patients were divided into 2 groups, orotracheally intubated with either the McGrath video laryngoscope or the Macintosh laryngoscope. The intubation times, Cormack-Lehane grade, percentage of glottic opening, mean arterial blood pressure, and heart rates were compared among the groups. Results: Intubation time in the McGrath video laryngoscope group was significantly longer than in the Macintosh laryngoscope group (P < 0.01). The percentage of glottic opening was found to be higher in the McGrath video laryngoscope group (P = 0.002). Conclusion: The McGrath Series 5 video laryngoscope provides excellent views during orotracheal intubation in obstetric anesthesia with normal airways.

The McGrath series 5 video laryngoscope versus the Macintosh laryngoscope: a randomized trial in obstetric patients

Anesthesiologists have encountered various difficulties in securing the airway. Therefore, we compare the intubation times and hemodynamic changes between the McGrath Series 5 video laryngoscope and the Macintosh laryngoscope. Materials and methods: A total of 80 obstetric patients were divided into 2 groups, orotracheally intubated with either the McGrath video laryngoscope or the Macintosh laryngoscope. The intubation times, Cormack-Lehane grade, percentage of glottic opening, mean arterial blood pressure, and heart rates were compared among the groups. Results: Intubation time in the McGrath video laryngoscope group was significantly longer than in the Macintosh laryngoscope group (P < 0.01). The percentage of glottic opening was found to be higher in the McGrath video laryngoscope group (P = 0.002). Conclusion: The McGrath Series 5 video laryngoscope provides excellent views during orotracheal intubation in obstetric anesthesia with normal airways.

___

  • American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway. An updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2013; 118: 251–270.
  • American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway. An updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2003; 98: 1269–1277.
  • Noppens RR, Möbus S, Heid F, Schmidtmann I, Werner C, Piepho T. Evaluation of the McGrath Series 5 videolaryngoscope after failed direct laryngoscopy. Anaesthesia 2010; 65: 716–720.
  • Taylor AM, Peck M, Launcelott S, Hung OR, Law JA, MacQuarrie K, McKenn D, George RB, Ngan J. The McGrath® Series 5 videolaryngoscope vs the Macintosh laryngoscope: a randomised, controlled trial in patients with a simulated difficult airway. Anaesthesia 2013; 68: 142–147.
  • Shippey B, Ray D, McKeown D. Use of the McGrath videolaryngoscope in the management of difficult and failed tracheal intubation. Br J Anaesth 2008; 100: 116–119.
  • Piepho T, Weinert K, Heid FM, Werner C, Noppens RR. Comparison of the McGrath® Series 5 and GlideScope® Ranger with the Macintosh laryngoscope by paramedics. Scand J Trauma Resusc Emerg Med 2011; 19: 4.
  • Shippey B, Ray D, McKeown D. Case series: The McGrath® videolaryngoscope-an initial clinical evaluation. Can J Anesth 2007; 54: 307–313.
  • Douglas MJ, Preston RL. The obstetric airway: things are seldom as they seem. Can J Anaesth 2011; 58: 494–498. 11. Erden İA, Pamuk AG, Uzun Ş, Geyik S, Çekirge S, Aypar Ü. Cervical spine movement during intubation using the Airtraq® and direct laryngoscopy. Turk J Med Sci 2010; 40: 299–304.
  • Walker L, Brampton W, Halai M, Hoy C, Lee E, Scott I, McLernon DJ. Randomized controlled trial of intubation with the McGrath Series 5 videolaryngoscope by inexperienced anaesthetists. Br J Anaesth 2009; 103: 440–445.
  • Savoldelli GL, Schiffer E, Abegg C, Baeriswyl V, Clergue F, Waeber JL. Comparison of the Glidescope, the McGrath, the Airtraq and the Macintosh laryngoscopes in simulated difficult airways. Anaesthesia 2008; 63: 1358–1364.
  • Jeon WJ, Kim KH, Yeom JH, Bang MR, Hong JB, Cho SY. A comparison of the Glidescope® to the McGrath® videolaryngoscope in paitents. Korean J Anesthesiol 2011; 61: 19–23.
  • Wetsch WA, Carlitscheck M, Spelten O, Teschendorf P, Hellmich M, Genzwürker HV, Hinkelbein J. Success rates and endotracheal tube insertion times of experienced emergency physicians using five video laryngoscopes: a randomized trial in a simulated trapped car accident victim. Eur J Anaesthesiol 2011; 28: 849–858.
  • Rosenstock CV, Thogersen B, Afshari A, Christensen AL, Eriksen C, Gatke MR. Awake fiberoptic or awake video laryngoscopic tracheal intubation in patients with anticipated difficult airway management: a randomized clinical trial. Anesthesiology 2012; 116: 1210–1216.
  • van Zundert A, Maassen R, Lee R, Willems R, Timmerman M, Siemonsma M, Buise M, Wiepking M. A Macintosh laryngoscope blade for videolaryngoscopy reduces stylet use in patients with normal airways. Anesth Analg 2009; 109: 825–831.
  • Pampal HK, Alkan M, Demirel CB, Emmez G, Bedirli N. An alternative method of oral to nasal endotracheal intubation in patients undergoing maxillofacial surgery. Turk J Med Sci 2013; 43: 493–495.
  • Ochroch EA, Hollander JE, Kush S, Shofer FS, Levitan RM. Assessment of laryngeal view: percentage of glottic opening score vs Cormack and Lehane grading. Can J Anaesth 1999; 46: 987–990.
  • Kodali BS, Chandrasekhar S, Bulich LN, Topulos GP, Datta S. Airway changes during labor and delivery. Anesthesiology 2008; 108: 357–362.
  • Jouppila R, Jouppila P, Holman A. Laryngeal oedema as an obstetric anaesthesia complication: case reports. Acta Anaesthesiol Scand 1980; 24: 97–98.
  • Munnur U, de Boisblanc B, Suresh MS. Airway problems in pregnancy. Crit Care Med 2005; 33: 259–268.
  • Kuczkowski KM, Fouhy SA, Greenberg M, Benumorf JL. Trauma in pregnancy: anaesthetic management of the pregnant trauma victim with unstable cervical spine. Anaesthesia 2003; 58: 822.
  • Pilkington S, Carli F, Dakin MJ, Romney M, De Witt KA, Dore CJ, Cormack RS. Increase in Mallampati score during pregnancy. Br J Anaesth 1995; 74: 638–642.
  • Davies JM, Weeks S, Crone LA, Pavlin E. Difficult intubation in the parturient. Can J Anaesth 1989; 36: 668–674.
  • Hawkins JL, Koonin LM, Palmer SK, Gibbs CP. Anesthesia-related deaths during obstetric delivery in the United States, 1979-1990. Anesthesiology 1997; 86: 277–284.
  • Ross BK. ASA closed claims in obstetrics: lessons learned. Anesthesiol Clin North America 2003; 21: 183–197.
  • Dupanovic M, Isaacson SA, Borovcanin Z, Jain S, Korten S, Karan S, Messing SP. Clinical comparison of two stylet angles for orotracheal intubation with the GlideScope video laryngoscope. J Clin Anesth 2010; 22: 352–359.
  • Purugganan RV, Jackson TA, Heir JS, Wang H, Cata JP. Video laryngoscopy versus direct laryngoscopy for double-lumen endotracheal tube intubation: a retrospective analysis. J Cardiothorac Vasc Anesth 2012; 26: 845–848.
  • Atlee JL, Dhamee MS, Olund TL, George V. The use of esmolol, nicardipine, or their combination to blunt hemodynamic changes after laryngoscopy and tracheal intubation. Anesth Analg 2000; 90: 280–285.
  • Takahashi S, Mizutani T, Miyabe M, Toyooka H. Hemodynamic responses to tracheal intubation with laryngoscope versus lightwand intubating device (Trachlight) in adults with normal airway. Anesth Analg 2002; 95: 480–484.
  • Kovac AL. Controlling the hemodynamic response to laryngoscopy and endotracheal intubation. J Clin Anesth 1996; 8: 63–79.
  • Hall AP, Thompson JP, Leslie NA, Fox AJ, Kumar N, Rowbotham DJ. Comparison of different doses of remifentanil on the cardiovascular response to laryngoscopy and tracheal intubation. Br J Anaesth 2000; 84: 100–102.
  • Akhlagh SH, Vaziri MT, Masoumi T, Anbardan SJ. Hemodynamic response to tracheal intubation via direct laryngoscopy and intubating laryngeal mask airway (ILMA) in patients undergoing coronary artery bypass graft (CABG). Middle East J Anesthesiol 2011; 21: 99–103.
  • Kayhan Z, Aldemir D, Mutlu H, Oğüş E. Which is responsible for the haemodynamic response due to laryngoscopy and endotracheal intubation? Catecholamines, vasopressin or angiotensin? Eur J Anaesthesiol 2005; 22: 780–785.
  • O’Hare R, McAtamney D, Mirakhur RK, Hughes D, Carabine U. Bolus dose remifentanil for control of haemodynamic response to tracheal intubation during rapid sequence induction of anaesthesia. Br J Anaesth 1999; 82: 283–285.
  • Xue FS, Zhang GH, Li XY, Sun HT, Li P, Li CW, Liu KP. Comparison of hemodynamic responses to orotracheal intubation with the GlideScope videolaryngoscope and the Macintosh direct laryngoscope. J Clin Anesth 2007; 19: 245–250.
  • Jones PM, Armstrong KP, Armstrong PM, Cherry RA, Harle CC, Hoogstra J, Turkstra TP. A comparison of glidescope videolaryngoscopy to direct laryngoscopy for nasotracheal intubation. Anesth Analg 2008; 107: 144–148.
  • 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. J Neurosurg Anesthesiol 2009; 21: 292– 296.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

Chronic moderate alcohol consumption induces iNOS expression in the penis: An immunohistochemical study

Süheyla GONCA, Yusufhan YAZIR, Semil Selcan GÖÇMEZ, Ekim Nur DALÇIK, Tijen UTKAN, Hakkı DALÇIK

Resistin predicts ischemia in myocardial perfusion scintigraphy

Mustafa YILDIRIM, Melih Engin ERKAN, Muhammet AŞIK, Taner UÇGUN, Ayşe YILMAZ, Huri Tilla İLÇE, Yusuf ASLANTAŞ, Ramazan MEMİŞOĞULLARI, Serkan BULUR, Ahmet Semih DOĞAN

Distribution of the hypoglossal nerve at the base of the tongue and its clinical importance in radiofrequency ablation therapy

Nesrin ÇANDIR, Sedat DEVELİ, Cenk KILIÇ, Bülent SATAR, Fatih YAZAR

Gleason score at the margin can predict biochemical recurrence after radical prostatectomy, in addition to preoperative PSA and surgical margin status

Sıdıka Şeyma ÖZKANLI, İtır Ebru ZEMHERİ, Asıf YILDIRIM, Hatice Deniz GÜR, Mevlana Derya BALBAY, Serkan ŞENOL, Ahmet Oğuz ÖZKANLI, Erdal ALKAN, Tülay ZENGİNKİNET, Abdullah AYDIN, Turhan ÇAŞKURLU

Comparison of cutaneous mastocytosis with onset in children and adults*

Ayşe Serap KARADAĞ, Serap BİLGİLİ GÜNEŞ, Zennure TAKCI, Mustafa KÖSEM, Ömer ÇALKA

Prevalence of blAbstractP and blaVIM gene carriage in metallo-b-lactamase-producing burn isolates of Pseudomonas aeruginosa in Tehran

Fatemeh SALIMI, Fereshteh EFTEKHAR

Protective effects of montelukast and Hypericum perforatum against intestinal ischemia-reperfusion injury in hamsters

Tarık OCAK, Arif DURAN, Gülzade ÖZYALVAÇLI, Zeynep OCAK

Refeeding hypophosphatemia: a potentially fatal danger in the intensive care unit*

Kürşat GÜNDOĞAN, Murat SUNGUR, Süleyman BALDANE, Ramazan COŞKUN, Muhammet GÜVEN

Immunohistochemical investigation of galectin-3 in the skin of mice applied with Origanum hypericifolium essential oil and irradiated with ultraviolet B

Pınar İLİ, Nazan KESKİN

What is the effect of radioiodine therapy on Helicobacter pylori infection?

Celil Alper USLUOĞULLARI, Eda DEMİR ÖNAL, Elif ÖZDEMİR, Sedat CANER, Osman ERSOY, Reyhan ERSOY, Bekir ÇAKIR