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Evaluation of the Airtraq video laryngoscope as a rescue device after difficult direct laryngoscopy. / Evaluación del videolaringoscopio Airtraq como dispositivo de rescate tras laringoscopia directa difícil.
Iglesias González, J L; Gómez-Ríos, M A; Poveda Marina, J L; Calvo-Vecino, J M.
Afiliación
  • Iglesias González JL; Departamento de Anestesiología y Medicina Perioperatoria, Complejo Asistencial Universitario de Salamanca, Salamanca, España.
  • Gómez-Ríos MA; Departamento de Anestesiología y Medicina Perioperatoria, Complejo Hospitalario Universitario de A Coruña, A Coruña, España; Grupo Español de Vía Aérea Difícil (GEVAD); Grupo de Investigación Anestesiología y Tratamiento del Dolor, Instituto de Investigación Biomédica de A Coruña (INIBIC), A Coruña,
  • Poveda Marina JL; Departamento de Bioestadística, Complejo Asistencial Universitario de Salamanca, Salamanca, España.
  • Calvo-Vecino JM; Departamento de Anestesiología y Medicina Perioperatoria, Complejo Asistencial Universitario de Salamanca, Salamanca, España.
Rev Esp Anestesiol Reanim (Engl Ed) ; 65(10): 552-557, 2018 Dec.
Article en En, Es | MEDLINE | ID: mdl-30177221
BACKGROUND AND OBJECTIVES: Unexpected difficult tracheal intubation and failure to intubate are among the leading causes of anesthesia-related morbidity and mortality. This study was undertaken to evaluate the effectiveness of the Airtraq video laryngoscope for tracheal intubation after difficult direct laryngoscopy. METHODS: 75 patients undergoing elective surgery under general anesthesia and whose direct laryngoscopy by a senior anesthesiologist exhibited Cormack-Lehane grade 2b, 3 or 4 were enrolled. RESULTS: The Glottic view was improved in all patients when using the Airtraq video laryngoscope, compared with Macintosh laryngoscope. The view was improved by 2 degrees in 17.3% of the cases, by three in 60% and by four grades in 22.7% (P<0.0001). The success rate for intubation was 100% with the Airtraq. Fifty-six patients (74.7%) required a single attempt, sixteen (21.3%) two attempts and three (4%) a third attempt. Intubation difficulty scale indicated that tracheal intubation was performed easily in most cases There were no critical events. CONCLUSIONS: Tracheal intubation using the Airtraq was effective, simple and safe in patients with difficult laryngoscopy. These results confirm that the Airtraq is a reliable video laryngoscope as a rescue device in cases of difficult laryngeal view with direct laryngoscopy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laringoscopios / Manejo de la Vía Aérea / Intubación Intratraqueal / Laringoscopía Tipo de estudio: Observational_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En / Es Revista: Rev Esp Anestesiol Reanim (Engl Ed) Año: 2018 Tipo del documento: Article Pais de publicación: España
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laringoscopios / Manejo de la Vía Aérea / Intubación Intratraqueal / Laringoscopía Tipo de estudio: Observational_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En / Es Revista: Rev Esp Anestesiol Reanim (Engl Ed) Año: 2018 Tipo del documento: Article Pais de publicación: España