Comparison of the Pentax AirwayScope and McGrath MAC videolaryngoscope for endotracheal intubation in patients with a normal airway
Various videolaryngoscopes (VLs) have been developed to provide a better laryngeal view and facilitate difficult intubations. The goal of this study was to compare 2 VLs, the Pentax AWS and the McGrath VL, with respect to intubation time and ease of intubation.One hundred forty patients aged 19 to 6...
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| Veröffentlicht in: | Medicine (Baltimore) 2017-11, Vol.96 (46), p.e8713-e8713 |
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| creator | Lee, Jiyoung Kwak, Hyun Jeong Lee, Ji Yeon Chang, Min Young Lee, Sook Young Kim, Jong Yeop |
| description | Various videolaryngoscopes (VLs) have been developed to provide a better laryngeal view and facilitate difficult intubations. The goal of this study was to compare 2 VLs, the Pentax AWS and the McGrath VL, with respect to intubation time and ease of intubation.One hundred forty patients aged 19 to 65 years (American Society of Anesthesiologists classification I or II), who required tracheal intubation for elective surgery, were randomly assigned to 1 of the 2 groups: the Pentax AWS (n = 70) or the McGrath VL (n = 70). The primary outcome was time to intubation (TTI) measured by a blind observer. The intubation difficulty scale (IDS), percentage of glottic opening (POGO) scale, glottic grade, use of optimal external laryngeal manipulation (OELM), and ease of intubation were also recorded.The Pentax AWS provided a better laryngeal view than the McGrath VL with respect to the Cormack-Lehane (CL) glottic grade (1/2a/2b) (63/7/0 vs 43/24/3, P |
| doi_str_mv | 10.1097/MD.0000000000008713 |
| format | Article |
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The goal of this study was to compare 2 VLs, the Pentax AWS and the McGrath VL, with respect to intubation time and ease of intubation.One hundred forty patients aged 19 to 65 years (American Society of Anesthesiologists classification I or II), who required tracheal intubation for elective surgery, were randomly assigned to 1 of the 2 groups: the Pentax AWS (n = 70) or the McGrath VL (n = 70). The primary outcome was time to intubation (TTI) measured by a blind observer. The intubation difficulty scale (IDS), percentage of glottic opening (POGO) scale, glottic grade, use of optimal external laryngeal manipulation (OELM), and ease of intubation were also recorded.The Pentax AWS provided a better laryngeal view than the McGrath VL with respect to the Cormack-Lehane (CL) glottic grade (1/2a/2b) (63/7/0 vs 43/24/3, P < .001) and the POGO scale (median [interquartile range, IQR]) (100 [100-100] vs 100 [80-100], P < .001). The IDS was significantly lower in the Pentax AWS group compared with the McGrath VL group (median [IQR]) (0 [0-0] vs 0 [0-1], P < .001). However, the TTI was similar in both the Pentax AWS and McGrath VL groups (median [IQR]) (30 [27-34] vs 32 [27-35] seconds, P = .440). OELM and ease of intubation were also similar between the 2 groups.The Pentax AWS offered a superior laryngeal view compared with the McGrath VL. There was no significant difference in either the intubation time or ease of intubation using these 2 devices in patients with normal airways.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000008713</identifier><identifier>PMID: 29145308</identifier><language>eng</language><publisher>United States: Wolters Kluwer Health</publisher><subject>Adult ; Aged ; Equipment Design ; Female ; Humans ; Intubation, Intratracheal - instrumentation ; Laryngoscopes ; Laryngoscopy ; Male ; Middle Aged ; Observational Study ; Prospective Studies ; Single-Blind Method ; Young Adult</subject><ispartof>Medicine (Baltimore), 2017-11, Vol.96 (46), p.e8713-e8713</ispartof><rights>Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-aef7bb33e4464cb22038cbbb92427afd0d56c52f2df2aba6dfd65507a34aa4c53</citedby><cites>FETCH-LOGICAL-c405t-aef7bb33e4464cb22038cbbb92427afd0d56c52f2df2aba6dfd65507a34aa4c53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5704853/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5704853/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29145308$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Jiyoung</creatorcontrib><creatorcontrib>Kwak, Hyun Jeong</creatorcontrib><creatorcontrib>Lee, Ji Yeon</creatorcontrib><creatorcontrib>Chang, Min Young</creatorcontrib><creatorcontrib>Lee, Sook Young</creatorcontrib><creatorcontrib>Kim, Jong Yeop</creatorcontrib><title>Comparison of the Pentax AirwayScope and McGrath MAC videolaryngoscope for endotracheal intubation in patients with a normal airway</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>Various videolaryngoscopes (VLs) have been developed to provide a better laryngeal view and facilitate difficult intubations. The goal of this study was to compare 2 VLs, the Pentax AWS and the McGrath VL, with respect to intubation time and ease of intubation.One hundred forty patients aged 19 to 65 years (American Society of Anesthesiologists classification I or II), who required tracheal intubation for elective surgery, were randomly assigned to 1 of the 2 groups: the Pentax AWS (n = 70) or the McGrath VL (n = 70). The primary outcome was time to intubation (TTI) measured by a blind observer. The intubation difficulty scale (IDS), percentage of glottic opening (POGO) scale, glottic grade, use of optimal external laryngeal manipulation (OELM), and ease of intubation were also recorded.The Pentax AWS provided a better laryngeal view than the McGrath VL with respect to the Cormack-Lehane (CL) glottic grade (1/2a/2b) (63/7/0 vs 43/24/3, P < .001) and the POGO scale (median [interquartile range, IQR]) (100 [100-100] vs 100 [80-100], P < .001). The IDS was significantly lower in the Pentax AWS group compared with the McGrath VL group (median [IQR]) (0 [0-0] vs 0 [0-1], P < .001). However, the TTI was similar in both the Pentax AWS and McGrath VL groups (median [IQR]) (30 [27-34] vs 32 [27-35] seconds, P = .440). OELM and ease of intubation were also similar between the 2 groups.The Pentax AWS offered a superior laryngeal view compared with the McGrath VL. There was no significant difference in either the intubation time or ease of intubation using these 2 devices in patients with normal airways.</description><subject>Adult</subject><subject>Aged</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Humans</subject><subject>Intubation, Intratracheal - instrumentation</subject><subject>Laryngoscopes</subject><subject>Laryngoscopy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Observational Study</subject><subject>Prospective Studies</subject><subject>Single-Blind Method</subject><subject>Young Adult</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1vFDEMhiMEokvLL0BCOXKZksnHZOaCtNrSgtQVSNBz5Hx1g2aSIZlt6bl_nNCWquCLLfn1Y1svQm9actySQb7fnhyTJ9HLlj1Dq1awrhFDx5-jFSFUNHKQ_AC9KuUHIS2TlL9EB3RouWCkX6HbTZpmyKGkiJPHy87hry4u8AuvQ76Gm28mzQ5DtHhrzjIsO7xdb_BVsC6NkG_iZSp3Cp8ydtGmJYPZORhxiMtewxIqN0Q816piC74OFQE4pjxVEdztOEIvPIzFvX7Ih-ji9OP3zafm_MvZ5836vDGciKUB56XWjDnOO240pYT1Rms9UE4leEus6IygnlpPQUNnve2EIBIYB-BGsEP04Z477_XkrKkHZRjVnMNUX1EJgvq3E8NOXaYrJSThvWAV8O4BkNPPvSuLmkIxbhwhurQvqh26jjLGZV-l7F5qciolO_-4piXqj31qe6L-t69OvX164ePMX7_Yb09hmc0</recordid><startdate>20171101</startdate><enddate>20171101</enddate><creator>Lee, Jiyoung</creator><creator>Kwak, Hyun Jeong</creator><creator>Lee, Ji Yeon</creator><creator>Chang, Min Young</creator><creator>Lee, Sook Young</creator><creator>Kim, Jong Yeop</creator><general>Wolters Kluwer Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20171101</creationdate><title>Comparison of the Pentax AirwayScope and McGrath MAC videolaryngoscope for endotracheal intubation in patients with a normal airway</title><author>Lee, Jiyoung ; Kwak, Hyun Jeong ; Lee, Ji Yeon ; Chang, Min Young ; Lee, Sook Young ; Kim, Jong Yeop</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-aef7bb33e4464cb22038cbbb92427afd0d56c52f2df2aba6dfd65507a34aa4c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Equipment Design</topic><topic>Female</topic><topic>Humans</topic><topic>Intubation, Intratracheal - instrumentation</topic><topic>Laryngoscopes</topic><topic>Laryngoscopy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Observational Study</topic><topic>Prospective Studies</topic><topic>Single-Blind Method</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Jiyoung</creatorcontrib><creatorcontrib>Kwak, Hyun Jeong</creatorcontrib><creatorcontrib>Lee, Ji Yeon</creatorcontrib><creatorcontrib>Chang, Min Young</creatorcontrib><creatorcontrib>Lee, Sook Young</creatorcontrib><creatorcontrib>Kim, Jong Yeop</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Jiyoung</au><au>Kwak, Hyun Jeong</au><au>Lee, Ji Yeon</au><au>Chang, Min Young</au><au>Lee, Sook Young</au><au>Kim, Jong Yeop</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of the Pentax AirwayScope and McGrath MAC videolaryngoscope for endotracheal intubation in patients with a normal airway</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2017-11-01</date><risdate>2017</risdate><volume>96</volume><issue>46</issue><spage>e8713</spage><epage>e8713</epage><pages>e8713-e8713</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>Various videolaryngoscopes (VLs) have been developed to provide a better laryngeal view and facilitate difficult intubations. The goal of this study was to compare 2 VLs, the Pentax AWS and the McGrath VL, with respect to intubation time and ease of intubation.One hundred forty patients aged 19 to 65 years (American Society of Anesthesiologists classification I or II), who required tracheal intubation for elective surgery, were randomly assigned to 1 of the 2 groups: the Pentax AWS (n = 70) or the McGrath VL (n = 70). The primary outcome was time to intubation (TTI) measured by a blind observer. The intubation difficulty scale (IDS), percentage of glottic opening (POGO) scale, glottic grade, use of optimal external laryngeal manipulation (OELM), and ease of intubation were also recorded.The Pentax AWS provided a better laryngeal view than the McGrath VL with respect to the Cormack-Lehane (CL) glottic grade (1/2a/2b) (63/7/0 vs 43/24/3, P < .001) and the POGO scale (median [interquartile range, IQR]) (100 [100-100] vs 100 [80-100], P < .001). The IDS was significantly lower in the Pentax AWS group compared with the McGrath VL group (median [IQR]) (0 [0-0] vs 0 [0-1], P < .001). However, the TTI was similar in both the Pentax AWS and McGrath VL groups (median [IQR]) (30 [27-34] vs 32 [27-35] seconds, P = .440). OELM and ease of intubation were also similar between the 2 groups.The Pentax AWS offered a superior laryngeal view compared with the McGrath VL. There was no significant difference in either the intubation time or ease of intubation using these 2 devices in patients with normal airways.</abstract><cop>United States</cop><pub>Wolters Kluwer Health</pub><pmid>29145308</pmid><doi>10.1097/MD.0000000000008713</doi><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Wolters Kluwer Open Health; IngentaConnect Free/Open Access Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult Aged Equipment Design Female Humans Intubation, Intratracheal - instrumentation Laryngoscopes Laryngoscopy Male Middle Aged Observational Study Prospective Studies Single-Blind Method Young Adult |
| title | Comparison of the Pentax AirwayScope and McGrath MAC videolaryngoscope for endotracheal intubation in patients with a normal airway |
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