Predicting difficult orotracheal intubation in pharyngo-laryngeal disease: preliminary results of a composite index

Ayuso, M.A.; Sala, Xavier Pintó; Luis, M; Carbó, Joan Marc

doi:10.1007/bf03020193

Cited by 44 publications

(47 citation statements)

References 11 publications

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“…This explains the high incidence of difficult intubation. Similar results have been published by Ayuso et al, in patients with pharyngo-laryngeal disease, who underwent intubation for mostly tumour-related surgery [24].…”

Section: Discussionsupporting

confidence: 89%

Fibreoptic vs videolaryngoscopic (C-MAC^®D-BLADE) nasal awake intubation under local anaesthesia

et al. 2015

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SummaryNumerous indirect laryngoscopes have been introduced into clinical practice and their use for tracheal intubation under local anaesthesia has been described. However, a study comparing indirect laryngoscopic vs fibreoptic intubation under local anaesthesia and sedation appears lacking. Therefore, we evaluated both techniques in 100 patients with an anticipated difficult nasal intubation time for intubation the primary outcome. We also assessed success rate, glottic view, Ramsey score, and patients' and anaesthetists' satisfaction. The median (IQR [range]) time for intubation was significantly shorter with the videolaryngoscope with 38 (24-65 [11-420]) s vs 94 (48-323 [19-1020]) s (p < 0.0001). There was no difference in the success rate of intubation (96% for both techniques; p > 0.9999) and satisfaction of the anaesthetists and patients. We conclude that in anticipated difficult nasal intubation a videolaryngoscope represents an acceptable alternative to fibreoptic intubation.

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Section: Discussionsupporting

confidence: 89%

Fibreoptic vs videolaryngoscopic (C-MAC^®D-BLADE) nasal awake intubation under local anaesthesia

et al. 2015

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“…Im allgemeinen Patientengut liegt die Prävalenz eines unerwartet schwierigen Atemwegs bei etwa 2,5%, erhöht sich jedoch in bestimmten Patientengruppen, beispielsweise in der HNO oder der Mund-und Kieferchirurgie, auf bis zu 20% [1,3]. Ziel der vorliegenden Untersuchung war es, die direkte Laryngoskopie mit der indirekten, videoassistierten Laryngoskopie mithilfe des C-MAC-Videolaryngoskops im Rahmen der Routineintubation von Patienten in der HNO hinsichtlich Laryngoskopiequalität und Intubationserfolg zu vergleichen.…”

Section: Routineintubation Von Patienten In Der Hno-heilkundeunclassified

Direkte Laryngoskopie oder C-MAC-Videolaryngoskopie?

Meininger

Strouhal²,

Weber³

et al. 2010

Anaesthesist

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Compared to direct laryngoscopy with a Macintosh laryngoscope blade in unselected patients undergoing ENT surgery and thus patients more susceptible to an unexpected difficult airway than a general patient population, the mobile C-MAC video laryngoscope significantly enhanced laryngeal view. Using RAE tracheal tubes seems to compensate the unfavorable deviation of optical and anatomical axes when indirect laryngoscopy is performed with the C-MAC system.

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“…[3] This study has been undertaken with a purpose to evaluate different grades of modified CormackLehane scoring system, the predictors and difficult laryngoscopy, and the association of these predictors with difficult intubation. The regular preoperative airway predictors, the modified Mallampati test and thyromental distance (TMD).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Modified Cormack-Lehane Scoring System in Indian Population

Deepak¹,

N²

2016

AIMDR

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Background: The usefulness of modified Cormack-Lehane scoring system (MCLS) used for laryngoscopy was introduced and used extensively Western population. This study was undertaken for evaluation of modified Cormack-Lehane scoring system in Indian population. Methods: 198 patients of more than 18 years of age requiring tracheal intubation were evaluated with preoperative airway predictors, the modified Mallampati test and thyromental distance (TMD). Result: The larynx was difficult to visualize (Cormack and Lehane grades IIIB and IV) in 18 / 198 (9.09 %) patients. No failed tracheal intubations occurred in any of the 18 cases. Conclusion: The Mallampati classification was associated with good predictive value for 3B and 4 of modified Cormack-Lehane scoring system. The MCLS better delineates the difficulty experienced during laryngoscopy than the original Cormack-Lehane grading.

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Predicting difficult orotracheal intubation in pharyngo-laryngeal disease: preliminary results of a composite index

Cited by 44 publications

References 11 publications

Fibreoptic vs videolaryngoscopic (C-MAC^®D-BLADE) nasal awake intubation under local anaesthesia

Fibreoptic vs videolaryngoscopic (C-MAC^®D-BLADE) nasal awake intubation under local anaesthesia

Direkte Laryngoskopie oder C-MAC-Videolaryngoskopie?

Evaluation of Modified Cormack-Lehane Scoring System in Indian Population

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Predicting difficult orotracheal intubation in pharyngo-laryngeal disease: preliminary results of a composite index

Cited by 44 publications

References 11 publications

Fibreoptic vs videolaryngoscopic (C-MAC®D-BLADE) nasal awake intubation under local anaesthesia

Fibreoptic vs videolaryngoscopic (C-MAC®D-BLADE) nasal awake intubation under local anaesthesia

Direkte Laryngoskopie oder C-MAC-Videolaryngoskopie?

Evaluation of Modified Cormack-Lehane Scoring System in Indian Population

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Product

Resources

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Fibreoptic vs videolaryngoscopic (C-MAC^®D-BLADE) nasal awake intubation under local anaesthesia

Fibreoptic vs videolaryngoscopic (C-MAC^®D-BLADE) nasal awake intubation under local anaesthesia