A comparison between the GlideScope® classic and GlideScope® direct video laryngoscopes and direct laryngoscopy for nasotracheal intubation

Heuer, Jan Florian; Heitmann, Sören; Crozier, T. A.; Bleckmann, Annalen; Quintel, Michael; Russo, Sebastian G.

doi:10.1016/j.jclinane.2016.04.022

Cited by 15 publications

(10 citation statements)

References 14 publications

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“…The operating theatre can be an extremely dynamic environment, with multiple clinical issues competing for the anaesthesia provider's attention. Existing data suggest the presence of wide variability in perioperative ventilation practices that are not driven by patient comorbidities or procedural characteristics [4]. We conclude, based on our own data, that in a majority of patients, volume-controlled ventilation with low driving pressure and optimal, procedure-specific PEEP [3,4] Comparing bougie-guided and conventional nasotracheal intubations using videolaryngoscopy…”

Section: Mechanical Ventilation Mode and Postoperative Pulmonary Compmentioning

confidence: 83%

“…The design of the blade can affect the performance of videolaryngoscopy for nasotracheal intubation [2], in particular, acute distal angulation and the large size of the GlideScope blade, which can complicate use of the straight Magill forceps, in comparison with the Macintosh blade of the C-MAC videolaryngoscope; Boedeker curved forceps are recommended instead when an angulated-typed videolaryngoscope is used for nasotracheal intubation [3]. In addition, could the authors state which type of GlideScope videolaryngoscope was used in this study -Original, Cobalt, Ranger or Titanium -as different GlideScope videolaryngoscopes can have an effect [4]?…”

Section: Mechanical Ventilation Mode and Postoperative Pulmonary Compmentioning

confidence: 99%

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Mechanical ventilation mode and postoperative pulmonary complications – a reply

2018

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Section: Mechanical Ventilation Mode and Postoperative Pulmonary Compmentioning

confidence: 83%

Section: Mechanical Ventilation Mode and Postoperative Pulmonary Compmentioning

confidence: 99%

Mechanical ventilation mode and postoperative pulmonary complications – a reply

2018

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“…Patients with anatomic abnormalities of the nasal pathway have been shown to have an increased risk of developing epistaxis 9 . This study was performed based on the hypothesis that the Portex NPT, which has a soft structure, will reduce the risk of complications such as epistaxis after examining previous studies 10, 11. In this study, the Portex NPT and spiral tube (ST) were compared for their ability to provide a nasal airway passage in patients during maxillofacial surgery.…”

Section: Introductionmentioning

confidence: 99%

North Polar Tube Reduces the Risk of Epistaxis during Nasotracheal Intubation: A prospective, Randomized Clinical Trial

Özkan

Akbaş

Toy

et al. 2019

Current Therapeutic Research

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ObjectiveIn this study, a north polar tube (Portex® North Polar tube [Ivory PVC Portex tube; Smiths Medical International, Hythe, United Kingdom]) (NPT) and spiral tube (ST) were compared for their ability to provide a nasal airway in patients during maxillofacial surgery.MethodsPatients who were aged 18 to 65 years with American Society of Anaesthesiologists score 1 to 2 and Mallampati score 1 to 2 were included in the study. The anesthesia technique was standardized in all patients. Patients were divided into 2 groups randomly: the NPT (n = 35) and ST groups (n = 35). Anesthesia was administered with 1% to 2% sevoflurane and a mixture of 50% oxygen + 50% air in both groups. The mean arterial pressure and heart rate values of preinduction; preintubation; and the first, second, third, and fifth minutes of intubation were recorded. Epistaxis, intraoral bleeding, cuff burst, use of Magill pens, duration of intubation, intubation difficulty, laryngeal compression, head position change, and glottic grade were evaluated.ResultsThere were no significant differences between groups in terms of demographic data (gender, age, height, weight, body mass index, American Society of Anaesthesiologists score, and Mallampati score). Macintosh laryngoscopes were used during intubation in all patients. There was no significant difference between groups in terms of intubation difficulty, duration of intubation, use of Magill pens, and determination of the glottic grade (P > 0.05). Epistaxis was significantly lower in the NPT group than in the ST group (P = 0.012). Intraoral bleeding was significantly higher in the ST group than in the NPT group (P = 0.001). During intubation, laryngeal compression (Sellick maneuver) and head position changes were significantly lower in the NPT group than in the ST group (P = 0.003 and P < 0.001, respectively). There were no significant differences in mean arterial pressure and heart rate between the 2 groups.ConclusionsWe conclude that the NPT was associated with less epistaxis and manipulations such as laryngeal compression and head position changes when compared with the ST during nasotracheal intubation. The velvet-soft polyvinyl chloride material of the NPT appears to be responsible for this advantage.

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“…The design of the blade can affect the performance of videolaryngoscopy for nasotracheal intubation , in particular, acute distal angulation and the large size of the GlideScope blade, which can complicate use of the straight Magill forceps, in comparison with the Macintosh blade of the C‐MAC videolaryngoscope; Boedeker curved forceps are recommended instead when an angulated‐typed videolaryngoscope is used for nasotracheal intubation . In addition, could the authors state which type of GlideScope videolaryngoscope was used in this study – Original, Cobalt, Ranger or Titanium – as different GlideScope videolaryngoscopes can have an effect ?…”

mentioning

confidence: 99%