Glidescope versus Airtraq DL for double-lumen tracheal tube insertion in patients with a predicted or known difficult airway: A randomised study

European Journal of Anaesthesiology
Olivier BelzeFabien Espitalier

Abstract

Double-lumen tracheal tube (DLT) insertion can be managed with videolaryngoscopes such as the Glidescope or indirect laryngoscopes like the Airtraq DL. No study has compared both devices when a difficult intubation is predicted. Our hypothesis was that the Glidescope is superior to the Airtraq for double-lumen tube insertion in patients with a predicted or known difficult airway. Randomised study. Adults scheduled for thoracic elective surgery, requiring one-lung ventilation with a predicted difficult intubation score of at least 7 (Arné risk index). Between March 2014 and March 2015, adult patients, scheduled for elective thoracic surgery, requiring double-lumen tracheal tube placement, and with a predicted risk (evaluated preoperatively using the Arné score) or a history of difficult intubation, were allocated to a Glidescope or an Airtraq group. The primary outcome was the overall success rate of tracheal intubation after two attempts. Secondary outcomes were success rates on the first attempt, duration of intubation, need for laryngeal pressure, Cormack and Lehane grade and side-effects. Of 277 patients, 78 were predicted to have a difficult airway. Finally, 72 patients were enrolled. Neither the overall success rates of tr...Continue Reading

References

Aug 1, 1988·British Journal of Anaesthesia·M E WilsonP Lesser
Oct 27, 2006·Anesthesiology·Sachin KheterpalThomas A Ludwig
Jun 13, 2009·European Journal of Anaesthesiology·Georges L SavoldelliJean-Luc Waeber
Sep 22, 2010·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Mustapha BensghirNouredine Drissi Kamili
Mar 1, 2012·Journal of Cardiothoracic and Vascular Anesthesia·Ronaldo V PuruggananJuan P Cata
Apr 3, 2012·Annales Françaises D'anesthèsie Et De Rèanimation·L PutzA Mayné
Apr 11, 2015·Anaesthesia Critical Care & Pain Medicine·Brigitte ChastelAlexandre Ouattara
Nov 12, 2015·British Journal of Anaesthesia·C FrerkUNKNOWN Difficult Airway Society intubation guidelines working group

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Citations

Aug 14, 2018·Expert Review of Medical Devices·Lukasz Szarpak
Feb 28, 2018·European Journal of Anaesthesiology·Ya-Yang LiuGui-Zhen Yang
Feb 28, 2018·European Journal of Anaesthesiology·Olivier BelzeFabien Espitalier
Nov 14, 2019·The New England Journal of Medicine·Antoine EskanderJonathan C Irish
Oct 28, 2020·Perioperative Medicine·Federico PiccioniUNKNOWN AIPO, Associazione Italiana Pneumologi Ospedalieri; SIAARTI, Società Italiana di Anestesia Analgesia Rianimazione Terapia In

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