Comparison between the Airtraq, X-Lite, and direct laryngoscopes for thyroid surgery: a randomized clinical trial

Bensghir, Mustapha; Chouikh, C.; Bouhabba, Najib; Fjjouji, Salaheddine; Kasouati, Jalal; Azendour, H.; Kamili, N. Drissi

doi:10.1007/s12630-012-9870-x

Cited by 10 publications

(4 citation statements)

References 42 publications

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“…Smaller, potentially underpowered trials have demonstrated that the use of a Macintosh blade style videolaryngoscope is superior to direct laryngoscopy when used by an experienced senior anaesthetist [31, 34]. Patient characteristics and anaesthesia management were comparable to other studies investigating first‐pass tracheal intubation success rate with direct laryngoscopy and videolaryngoscopy in adult thyroid surgery patients [5, 29, 31, 32].…”

Section: Discussionmentioning

confidence: 85%

“…First‐pass tracheal intubation success rate was observed to be significantly lower in the direct laryngoscopy group compared with the C‐MAC group (66% vs. 96% respectively). Other studies have shown lower and higher first‐pass tracheal intubation success rates for direct laryngoscopy, ranging from 22% to 93% [5, 29, 31–33]. Smaller, potentially underpowered trials have demonstrated that the use of a Macintosh blade style videolaryngoscope is superior to direct laryngoscopy when used by an experienced senior anaesthetist [31, 34].…”

Section: Discussionmentioning

confidence: 99%

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Impact of direct laryngoscopy vs. videolaryngoscopy on signal quality of recurrent laryngeal nerve monitoring in thyroid surgery: a randomised parallel group trial

et al. 2022

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Summary In thyroid surgery, intra‐operative neuromonitoring signals of the recurrent laryngeal nerve can be detected by surface electrodes on a tracheal tube positioned at the vocal fold level. The incidence of difficult tracheal intubation in patients undergoing thyroidectomy for nodular goitre ranges from 5.3% to 20.5%. The aim of this study was to compare videolaryngoscopy with conventional direct laryngoscopy as methods for proper placement of the surface electrode to prevent insufficient intra‐operative nerve signal quality. In this prospective randomised trial, adult patients requiring tracheal intubation during thyroid surgery were randomly allocated to two groups of C‐MAC® (Macintosh style blade) videolaryngoscope or direct laryngoscopy using the Macintosh laryngoscope. Primary outcome was the incidence of insufficient signal electromyogram amplitude level (< 500 μV) after successful tracheal intubation. A total of 260 (130 per group) participants were analysed. An insufficient signal was more frequent with direct laryngoscopy (35/130, 27%), compared with C‐MAC (12/130, 9%, p < 0.001). First‐pass tracheal intubation success rate was lower with direct laryngoscopy (86/130 (66%)) compared with the C‐MAC (125/130 (96%)) (p < 0.0001). Cormack and Lehane grade ≥ 3 was observed more frequently with direct laryngoscopy (16/130 (12%)), compared with the C‐MAC (0/130, (0%)) (p < 0.0001). The results suggest that videolaryngoscopy has an impact on the quality of the initial intra‐operative neuromonitoring signal in patients undergoing thyroid surgery, and this technique can provide optimised surface electrode positioning.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Impact of direct laryngoscopy vs. videolaryngoscopy on signal quality of recurrent laryngeal nerve monitoring in thyroid surgery: a randomised parallel group trial

et al. 2022

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“…Bensghir et al conducted a prospective study of 105 patients presenting for thyroid surgery and compared direct laryngoscopy to the Airtraq and X-Lite devices while excluding patients with difficult intubation risk factors. Regardless of the presentation of difficult to intubate incidence among patients with goiters, patients with goiters were shown to have a lower IDS scores when a videolaryngoscope was used compared to direct laryngoscopy as well as lower Cormack-Lehane scores [8]. In the general population, the Glidescope has shown to improve glottic view and decrease intubation attempts as well as time to securing the airway [10], [11], [12].…”

Section: Discussionmentioning

confidence: 98%

“…This should prompt the Anesthesiologist to consider the duration of intubation as the patient’s airway may be further obstructed after induction medications are administered. The time to intubate patients undergoing thyroid surgery has been shown to be less with a video laryngoscope than with a direct laryngoscope and also decreased scores on the Intubation Difficulty Scale (IDS) [8].…”

Section: Discussionmentioning

confidence: 99%

Case report of the use of videolaryngoscopy in thyroid goiter masses: An airway challenge

Watt

Kalpan

Kolli

2016

International Journal of Surgery Case Reports

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Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation

Lewis

Butler

Parker

et al. 2016

Cochrane Database of Systematic Reviews

248

250

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Videolaryngoscopes may reduce the number of failed intubations, particularly among patients presenting with a difficult airway. They improve the glottic view and may reduce laryngeal/airway trauma. Currently, no evidence indicates that use of a VLS reduces the number of intubation attempts or the incidence of hypoxia or respiratory complications, and no evidence indicates that use of a VLS affects time required for intubation.

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Comparison between the Airtraq, X-Lite, and direct laryngoscopes for thyroid surgery: a randomized clinical trial

Cited by 10 publications

References 42 publications

Impact of direct laryngoscopy vs. videolaryngoscopy on signal quality of recurrent laryngeal nerve monitoring in thyroid surgery: a randomised parallel group trial

Impact of direct laryngoscopy vs. videolaryngoscopy on signal quality of recurrent laryngeal nerve monitoring in thyroid surgery: a randomised parallel group trial

Case report of the use of videolaryngoscopy in thyroid goiter masses: An airway challenge

Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation

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