Using King Vision video laryngoscope with a channeled blade prolongs time for tracheal intubation in different training levels, compared to non-channeled blade
It is generally accepted that using a video laryngoscope is associated with an improved visualization of the glottis. However, correctly placing the endotracheal tube might be challenging. Channeled video laryngoscopic blades have an endotracheal tube already pre-loaded, allowing to advance the tube...
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| description | It is generally accepted that using a video laryngoscope is associated with an improved visualization of the glottis. However, correctly placing the endotracheal tube might be challenging. Channeled video laryngoscopic blades have an endotracheal tube already pre-loaded, allowing to advance the tube once the glottis is visualized. We hypothesized that use of a channel blade with pre-loaded endotracheal tube results in a faster intubation, compared to a curved Macintosh blade video laryngoscope.
After ethical approval and informed consent, patients were randomized to receive endotracheal Intubation with either the King Vision® video laryngoscope with curved blade (control) or channeled blade (channeled). Success rate, evaluation of the glottis view (percentage of glottic opening (POGO), Cormack&Lehane (C&L)) and intubating time were evaluated.
Over a two-month period, a total of 46 patients (control n = 23; channeled n = 23) were examined. The first attempt success rates were comparable between groups (control 100% (23/23) vs. channeled 96% (22/23); p = 0.31). Overall intubation time was significantly shorter with control (median 40 sec; IQR [24-58]), compared to channeled (59 sec [40-74]; p = 0.03). There were no differences in glottis visualization between groups.
Compared with the King Vision channeled blade, time for tracheal intubation was shorter with the control group using a non-channeled blade. First attempt success and visualization of the glottis were comparable. These data do not support the hypothesis that a channeled blade is superior to a curved video laryngoscopic blade without tube guidance.
ClinicalTrials.gov NCT02344030. |
| doi_str_mv | 10.1371/journal.pone.0183382 |
| format | Article |
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After ethical approval and informed consent, patients were randomized to receive endotracheal Intubation with either the King Vision® video laryngoscope with curved blade (control) or channeled blade (channeled). Success rate, evaluation of the glottis view (percentage of glottic opening (POGO), Cormack&Lehane (C&L)) and intubating time were evaluated.
Over a two-month period, a total of 46 patients (control n = 23; channeled n = 23) were examined. The first attempt success rates were comparable between groups (control 100% (23/23) vs. channeled 96% (22/23); p = 0.31). Overall intubation time was significantly shorter with control (median 40 sec; IQR [24-58]), compared to channeled (59 sec [40-74]; p = 0.03). There were no differences in glottis visualization between groups.
Compared with the King Vision channeled blade, time for tracheal intubation was shorter with the control group using a non-channeled blade. First attempt success and visualization of the glottis were comparable. These data do not support the hypothesis that a channeled blade is superior to a curved video laryngoscopic blade without tube guidance.
ClinicalTrials.gov NCT02344030.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0183382</identifier><identifier>PMID: 28859114</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Aged ; Analysis ; Anesthesia ; Anesthesiology ; Biology and Life Sciences ; Blades ; Comparative analysis ; Emergency medical care ; Ethics ; Female ; Glottis ; Glottis - physiopathology ; Glottis - surgery ; Humans ; Informed consent ; Intratracheal intubation ; Intubation ; Intubation, Intratracheal - instrumentation ; Intubation, Intratracheal - methods ; Laryngoscopes ; Laryngoscopy ; Macintosh personal computers ; Male ; Medical instruments ; Medicine and Health Sciences ; Middle Aged ; Organic light emitting diodes ; Patients ; People and Places ; Physiological aspects ; Social Sciences ; Success ; Video-Assisted Surgery - instrumentation ; Video-Assisted Surgery - methods ; Vision ; Visualization</subject><ispartof>PloS one, 2017-08, Vol.12 (8), p.e0183382-e0183382</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Kriege et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 Kriege et al 2017 Kriege et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-d0b7a08ae6ee53c4e2432415acbafb4a1c5c8deab271bc9d30fbbe9dce86b70d3</citedby><cites>FETCH-LOGICAL-c692t-d0b7a08ae6ee53c4e2432415acbafb4a1c5c8deab271bc9d30fbbe9dce86b70d3</cites><orcidid>0000-0003-0069-579X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5578637/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5578637/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28859114$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Van Zundert, André A. J.</contributor><creatorcontrib>Kriege, Marc</creatorcontrib><creatorcontrib>Alflen, Christian</creatorcontrib><creatorcontrib>Noppens, Ruediger R</creatorcontrib><title>Using King Vision video laryngoscope with a channeled blade prolongs time for tracheal intubation in different training levels, compared to non-channeled blade</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>It is generally accepted that using a video laryngoscope is associated with an improved visualization of the glottis. However, correctly placing the endotracheal tube might be challenging. Channeled video laryngoscopic blades have an endotracheal tube already pre-loaded, allowing to advance the tube once the glottis is visualized. We hypothesized that use of a channel blade with pre-loaded endotracheal tube results in a faster intubation, compared to a curved Macintosh blade video laryngoscope.
After ethical approval and informed consent, patients were randomized to receive endotracheal Intubation with either the King Vision® video laryngoscope with curved blade (control) or channeled blade (channeled). Success rate, evaluation of the glottis view (percentage of glottic opening (POGO), Cormack&Lehane (C&L)) and intubating time were evaluated.
Over a two-month period, a total of 46 patients (control n = 23; channeled n = 23) were examined. The first attempt success rates were comparable between groups (control 100% (23/23) vs. channeled 96% (22/23); p = 0.31). Overall intubation time was significantly shorter with control (median 40 sec; IQR [24-58]), compared to channeled (59 sec [40-74]; p = 0.03). There were no differences in glottis visualization between groups.
Compared with the King Vision channeled blade, time for tracheal intubation was shorter with the control group using a non-channeled blade. First attempt success and visualization of the glottis were comparable. These data do not support the hypothesis that a channeled blade is superior to a curved video laryngoscopic blade without tube guidance.
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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kriege, Marc</au><au>Alflen, Christian</au><au>Noppens, Ruediger R</au><au>Van Zundert, André A. J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Using King Vision video laryngoscope with a channeled blade prolongs time for tracheal intubation in different training levels, compared to non-channeled blade</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-08-31</date><risdate>2017</risdate><volume>12</volume><issue>8</issue><spage>e0183382</spage><epage>e0183382</epage><pages>e0183382-e0183382</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>It is generally accepted that using a video laryngoscope is associated with an improved visualization of the glottis. However, correctly placing the endotracheal tube might be challenging. Channeled video laryngoscopic blades have an endotracheal tube already pre-loaded, allowing to advance the tube once the glottis is visualized. We hypothesized that use of a channel blade with pre-loaded endotracheal tube results in a faster intubation, compared to a curved Macintosh blade video laryngoscope.
After ethical approval and informed consent, patients were randomized to receive endotracheal Intubation with either the King Vision® video laryngoscope with curved blade (control) or channeled blade (channeled). Success rate, evaluation of the glottis view (percentage of glottic opening (POGO), Cormack&Lehane (C&L)) and intubating time were evaluated.
Over a two-month period, a total of 46 patients (control n = 23; channeled n = 23) were examined. The first attempt success rates were comparable between groups (control 100% (23/23) vs. channeled 96% (22/23); p = 0.31). Overall intubation time was significantly shorter with control (median 40 sec; IQR [24-58]), compared to channeled (59 sec [40-74]; p = 0.03). There were no differences in glottis visualization between groups.
Compared with the King Vision channeled blade, time for tracheal intubation was shorter with the control group using a non-channeled blade. First attempt success and visualization of the glottis were comparable. These data do not support the hypothesis that a channeled blade is superior to a curved video laryngoscopic blade without tube guidance.
ClinicalTrials.gov NCT02344030.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28859114</pmid><doi>10.1371/journal.pone.0183382</doi><tpages>e0183382</tpages><orcidid>https://orcid.org/0000-0003-0069-579X</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | PloS one, 2017-08, Vol.12 (8), p.e0183382-e0183382 |
| issn | 1932-6203 1932-6203 |
| language | eng |
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| source | Public Library of Science (PLoS) Journals Open Access; MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central; Free Full-Text Journals in Chemistry; EZB Electronic Journals Library |
| subjects | Adult Aged Analysis Anesthesia Anesthesiology Biology and Life Sciences Blades Comparative analysis Emergency medical care Ethics Female Glottis Glottis - physiopathology Glottis - surgery Humans Informed consent Intratracheal intubation Intubation Intubation, Intratracheal - instrumentation Intubation, Intratracheal - methods Laryngoscopes Laryngoscopy Macintosh personal computers Male Medical instruments Medicine and Health Sciences Middle Aged Organic light emitting diodes Patients People and Places Physiological aspects Social Sciences Success Video-Assisted Surgery - instrumentation Video-Assisted Surgery - methods Vision Visualization |
| title | Using King Vision video laryngoscope with a channeled blade prolongs time for tracheal intubation in different training levels, compared to non-channeled blade |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-03T18%3A58%3A57IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Using%20King%20Vision%20video%20laryngoscope%20with%20a%20channeled%20blade%20prolongs%20time%20for%20tracheal%20intubation%20in%20different%20training%20levels,%20compared%20to%20non-channeled%20blade&rft.jtitle=PloS%20one&rft.au=Kriege,%20Marc&rft.date=2017-08-31&rft.volume=12&rft.issue=8&rft.spage=e0183382&rft.epage=e0183382&rft.pages=e0183382-e0183382&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0183382&rft_dat=%3Cgale_plos_%3EA502599725%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1934225745&rft_id=info:pmid/28859114&rft_galeid=A502599725&rft_doaj_id=oai_doaj_org_article_402b79fdafab4d37b7adcbf2ab5f5610&rfr_iscdi=true |