Fibreoptic vs videolaryngoscopic (C-MAC(®) D-BLADE) nasal awake intubation under local anaesthesia

Anaesthesia
A KramerH Groeben

Abstract

Numerous indirect laryngoscopes have been introduced into clinical practice and their use for tracheal intubation under local anaesthesia has been described. However, a study comparing indirect laryngoscopic vs fibreoptic intubation under local anaesthesia and sedation appears lacking. Therefore, we evaluated both techniques in 100 patients with an anticipated difficult nasal intubation time for intubation the primary outcome. We also assessed success rate, glottic view, Ramsey score, and patients' and anaesthetists' satisfaction. The median (IQR [range]) time for intubation was significantly shorter with the videolaryngoscope with 38 (24-65 [11-420]) s vs 94 (48-323 [19-1020]) s (p < 0.0001). There was no difference in the success rate of intubation (96% for both techniques; p > 0.9999) and satisfaction of the anaesthetists and patients. We conclude that in anticipated difficult nasal intubation a videolaryngoscope represents an acceptable alternative to fibreoptic intubation.

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Citations

Feb 20, 2016·Anesthesia and Analgesia·Vladimir Nekhendzy
Jan 19, 2016·Revista española de anestesiología y reanimación·M Á Gómez-Ríos
Nov 19, 2015·Anaesthesia·J R Mckenna, D R Ball
Nov 19, 2015·Anaesthesia·A KramerH Groeben
Jun 3, 2016·British Journal of Anaesthesia·A Norris, T Heidegger
Apr 26, 2016·Anesthesiology·Thomas T JosephJaime B Hyman
Jan 23, 2017·The Journal of Emergency Medicine·Tatsuya NoriiDarren Braude
May 24, 2018·Anaesthesia·W M Wilson, A F Smith
Feb 27, 2016·F1000Research·Michael Aziz
Jul 17, 2018·Singapore Medical Journal·Jolin WongPatrick Wong
May 31, 2019·The Journal of International Medical Research·Sung Min Lee, Hyunyoung Lim
Jul 30, 2019·Current Opinion in Anaesthesiology·Albert Moore, Thomas Schricker
Jul 19, 2019·The Western Journal of Emergency Medicine·Brit Jeffrey LongMichael Gottlieb
Mar 17, 2017·F1000Research·Joelle Karlik, Michael Aziz
Dec 10, 2020·BMC Anesthesiology·Daniel C SchroederHolger Herff

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