A COMPARISON OF McC OY LARYNGOSCOPE AND MCGRATH VIDEO LARYNGOSCOPES FOR TRACHEAL INTUBATION IN PATIENTS WITH IMMOBILIZED CERVICAL SPINE

Bhamidipati, Annapurna Sarma; Subbalakshmi, T D P; Tatavarti, Srinivasa Rao

doi:10.18410/jebmh/2015/660

Cited by 3 publications

(2 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This laryngoscope produced a favorable intubation profile, and optimal laryngeal view in several studies [16,17]. On the other hand, other trials revealed a lower efficacy when compared with indirect laryngoscopes, or video scopes [15,[18][19][20][21].…”

Section: Discussionmentioning

confidence: 99%

GlideScope versus McCoy laryngoscope: Intubation profile for cervically unstable patients in critical care setting

Ghanem

Ahmed

2017

Egyptian Journal of Anaesthesia

View full text Add to dashboard Cite

Background: Endotracheal intubation for cervically unstable patients remains a challenging procedure. We compared the utility of a relatively new promising airway tool ''GlideScope" (GL) with the routinely used McCoy laryngoscope in our critical care unit. Methods: Forty intubated patients with suspected or proved cervical spine injury who were scheduled for replacing a conventional endotracheal tube (ETT) by ETT with subglottic suction facility were enrolled in this randomized controlled trial. Patients were randomly intubated using either GL ''G group" or McCoy laryngoscope ''M group". The first attempt was performed by anesthetic residents inexperienced in using both scopes. In case of failure, a second attempt was done by a consultant anesthetist using these tools masterly. If these two attempts failed to intubate the trachea, a third one was attempted using a fiberoscope by the same consultant anesthetist. We compared the intubation profiles of both scopes. Results: There was a higher success rate of primary intubation attempts among the G group population (85% versus 55% in the M group ''P value 0.03"). Moreover, all secondary intubation attempts succeeded in intubating the trachea. The mean time for primary intubation attempts was statistically longer in the M group (27.6 ± 2.7 S versus 19.8 ± 5.2 S in the G group ''P value < 0.001"). However, there was no statistical difference as regards the mean time of intubation among the study population during the secondary intubation attempts. The Cormack and Lehane score and the percentage of required optimization maneuvers were significantly higher in the M group for both attempts. Conclusion: In critical care setting, GL is an excellent primary intubating tool for patients with potential cervical spine instability even if being performed by inexperienced users.

show abstract

Section: Discussionmentioning

confidence: 99%

GlideScope versus McCoy laryngoscope: Intubation profile for cervically unstable patients in critical care setting

Ghanem

Ahmed

2017

Egyptian Journal of Anaesthesia

View full text Add to dashboard Cite

show abstract

“…[11] Bhamidipati et al compared McCoy laryngoscope with McGrath video laryngoscope for tracheal intubation in patients with immobilised cervical spine and concluded that McGrath video laryngoscope is superior to McCoy laryngoscope in terms of providing better intubating conditions with significant prolongation of effective laryngoscopy time (13.34±1.88 sec vs 10.45±0.96 sec, p = 0.000). [12] Jain et al in their study to compare the effectiveness of McCoy laryngoscope and CMAC video laryngoscope in simulated cervical spine injuries observed that IDS score was significantly less in the CMAC group compared to the McCoy group (median [interquartile range (IQR)], 1 [0-1] vs 4 [3][4][5][6], p < 0.05). CMAC video laryngoscope required significantly less time for glottis visualization with median IQR, 5 (5-7) vs 14 (18-15), p = 0.000 in McCoy laryngoscope, 29 (96.7%) patients in the CMAC group had Modified CL Grade I compared with 16 (53.3%) patients in McCoy group.…”

Section: Section: Anaesthesiamentioning

confidence: 99%

Truview PCDTM Video Laryngoscope versus McCOY Laryngoscope for Tracheal Intubation: A Comparative Study

Saxena¹,

Singh²,

Tiwari³

2016

AIMDR

View full text Add to dashboard Cite

Background: McCoy laryngoscope and video laryngoscopes are being increasingly used and have a definitive advantage over conventional laryngoscopes in management of potentially difficult airways. The aim of our study was to compare relative effectiveness of McCoy laryngoscope and True view PCD TM video laryngoscope in patients undergoing oral tracheal intubation. Methods: Fifty patients of American Society of Anaesthesiologists (ASA) grade I and II, aged 20-50 years, posted for elective surgery under general anaesthesia were randomly allocated into Group T (Truview group, n=25) and Group M (McCoy group, n=25). The two groups were compared for demographic data, intubation difficulty score (IDS), Cormack-Lehane (CL) grade, POGO score, time to intubation, number of intubation attempts and haemodynamic parameters. Results: The demographic data and ASA status was comparable in both the groups. Group T had a significantly less IDS score as compared to Group M (p < 0.001). Seventeen patients in Group T and 8 patients in Group M had IDS = 0. The CL grade and POGO scores were better in Group T than in Group M. Intubation was successful in the first attempt in 94% patients in Group T and 88% patients in Group M. There was a transient increase in HR and NIBP after intubation in both the groups which returned back to the baseline within 5 minutes. No incidence of hypoxia and airway trauma was noted in the two groups.Conclusion: Truview PCD TM video laryngoscope resulted in better glottic visualization with lower IDS than McCoy laryngoscope in patients undergoing oral tracheal intubation.

show abstract

The use of McGrath MAC Video Laryngoscope Versus McCoy Laryngoscope in Adults with Anticipated Difficult Airway Undergoing Elective Surgery

Adamu

Yakubu

Muhammad

2023

Journal of West African College of Surgeons

View full text Add to dashboard Cite

Background: Difficult airway management remains one of the most challenging clinical situations encountered by anaesthetists. Aim: The study compared the effectiveness of the McGrath MAC video laryngoscope to the McCoy® laryngoscope in patients with difficult airway. Materials and Methods: Following the institution’s ethical approval, the randomised controlled trial was conducted involving 74 adults with American Society of anaesthesiologists’ physical status (ASA) grading of I-III scheduled for elective surgery. The Patients were randomised into either group MVL (McGrath MAC) or group MCC (McCoy) and intubated after preoxygenation with 100% oxygen and administration of IV propofol and suxamethonium. The Intubation Difficulty Score (IDS), success rate of intubation, time to intubation, number of optimising manoeuvres and complications was assessed. Statistical analysis was performed using the statistical Package for Social Sciences (SPSS) version 24.0 computer software (IBM SPSS Statistics, IBM Corp. NY, United States). Numerical and categorical data were compared using the student’s t-test and Chi square (χ2) test respectively. A value of P < 0.05 was considered statistically significant. Results: Lower IDS scores were noted in the McGrath group; 54.1% vs. 5.4% of patients had IDS score of 0 in the McGrath and McCoy groups respectively, (P < 0.001). Overall success rate was higher in the McGrath group (100% vs. 89.1%), P = 0.040. Conclusion: Lower IDS scores and improved intubation success rate was achieved with the McGrath compared with the McCoy laryngoscope in patients with predicted difficult airway. The McGrath has proved to be useful in managing patients with difficult airway.

show abstract

A COMPARISON OF McC OY LARYNGOSCOPE AND MCGRATH VIDEO LARYNGOSCOPES FOR TRACHEAL INTUBATION IN PATIENTS WITH IMMOBILIZED CERVICAL SPINE

Cited by 3 publications

References 10 publications

GlideScope versus McCoy laryngoscope: Intubation profile for cervically unstable patients in critical care setting

GlideScope versus McCoy laryngoscope: Intubation profile for cervically unstable patients in critical care setting

Truview PCDTM Video Laryngoscope versus McCOY Laryngoscope for Tracheal Intubation: A Comparative Study

The use of McGrath MAC Video Laryngoscope Versus McCoy Laryngoscope in Adults with Anticipated Difficult Airway Undergoing Elective Surgery

Contact Info

Product

Resources

About