A prospective randomised controlled trial comparing tracheal intubation plus manual in-line stabilisation of the cervical spine using the Macintosh laryngoscope vs the McGrath(r) Series 5 videolaryngoscope

S Ilyas, Joel Ari Symons, William Pierre Bradley, Reny Segal, Hugh Taylor, Ka L Lee, Maryanne Balkin, Christopher Bain, I Ng

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Cervical spine immobilisation can make direct laryngoscopy difficult, which might lead to airway complications. This randomised control trial compared the time to successful intubation using either the Macintosh laryngoscope or the McGrath? Series 5 videolaryngoscope in 128 patients who had cervical immobilisation applied. Intubation difficulty score, Cormack Lehane laryngoscopic view, intubation failures, changes in cardiovascular variables and the incidence of any complications were recorded. The mean (SD) successful intubation time with the Macintosh laryngoscope was significantly shorter compared with the McGrath laryngoscope, 50.0 (32.6) s vs 82.7 (80.0) s, respectively (p = 0.0003), despite the McGrath laryngoscope s having a lower intubation difficulty score and a superior glottic view. There were fi ve McGrath laryngoscope intubation failures, three owing to dif ficulty in passing the tracheal tube and two to equipment malfunction. Equipment malfunction is a major concern as a reliable intubating device is vital when faced with an airway crisis.
Original languageEnglish
Pages (from-to)1345 - 1350
Number of pages6
JournalAnaesthesia
Volume69
Issue number12
DOIs
Publication statusPublished - 2014

Cite this

@article{42c70cf766cd4941be5aaedaa42e1542,
title = "A prospective randomised controlled trial comparing tracheal intubation plus manual in-line stabilisation of the cervical spine using the Macintosh laryngoscope vs the McGrath(r) Series 5 videolaryngoscope",
abstract = "Cervical spine immobilisation can make direct laryngoscopy difficult, which might lead to airway complications. This randomised control trial compared the time to successful intubation using either the Macintosh laryngoscope or the McGrath? Series 5 videolaryngoscope in 128 patients who had cervical immobilisation applied. Intubation difficulty score, Cormack Lehane laryngoscopic view, intubation failures, changes in cardiovascular variables and the incidence of any complications were recorded. The mean (SD) successful intubation time with the Macintosh laryngoscope was significantly shorter compared with the McGrath laryngoscope, 50.0 (32.6) s vs 82.7 (80.0) s, respectively (p = 0.0003), despite the McGrath laryngoscope s having a lower intubation difficulty score and a superior glottic view. There were fi ve McGrath laryngoscope intubation failures, three owing to dif ficulty in passing the tracheal tube and two to equipment malfunction. Equipment malfunction is a major concern as a reliable intubating device is vital when faced with an airway crisis.",
author = "S Ilyas and Symons, {Joel Ari} and Bradley, {William Pierre} and Reny Segal and Hugh Taylor and Lee, {Ka L} and Maryanne Balkin and Christopher Bain and I Ng",
year = "2014",
doi = "10.1111/anae.12804",
language = "English",
volume = "69",
pages = "1345 -- 1350",
journal = "Anaesthesia",
issn = "0003-2409",
publisher = "Wiley-Blackwell",
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}

A prospective randomised controlled trial comparing tracheal intubation plus manual in-line stabilisation of the cervical spine using the Macintosh laryngoscope vs the McGrath(r) Series 5 videolaryngoscope. / Ilyas, S; Symons, Joel Ari; Bradley, William Pierre; Segal, Reny; Taylor, Hugh; Lee, Ka L; Balkin, Maryanne; Bain, Christopher; Ng, I.

In: Anaesthesia, Vol. 69, No. 12, 2014, p. 1345 - 1350.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - A prospective randomised controlled trial comparing tracheal intubation plus manual in-line stabilisation of the cervical spine using the Macintosh laryngoscope vs the McGrath(r) Series 5 videolaryngoscope

AU - Ilyas, S

AU - Symons, Joel Ari

AU - Bradley, William Pierre

AU - Segal, Reny

AU - Taylor, Hugh

AU - Lee, Ka L

AU - Balkin, Maryanne

AU - Bain, Christopher

AU - Ng, I

PY - 2014

Y1 - 2014

N2 - Cervical spine immobilisation can make direct laryngoscopy difficult, which might lead to airway complications. This randomised control trial compared the time to successful intubation using either the Macintosh laryngoscope or the McGrath? Series 5 videolaryngoscope in 128 patients who had cervical immobilisation applied. Intubation difficulty score, Cormack Lehane laryngoscopic view, intubation failures, changes in cardiovascular variables and the incidence of any complications were recorded. The mean (SD) successful intubation time with the Macintosh laryngoscope was significantly shorter compared with the McGrath laryngoscope, 50.0 (32.6) s vs 82.7 (80.0) s, respectively (p = 0.0003), despite the McGrath laryngoscope s having a lower intubation difficulty score and a superior glottic view. There were fi ve McGrath laryngoscope intubation failures, three owing to dif ficulty in passing the tracheal tube and two to equipment malfunction. Equipment malfunction is a major concern as a reliable intubating device is vital when faced with an airway crisis.

AB - Cervical spine immobilisation can make direct laryngoscopy difficult, which might lead to airway complications. This randomised control trial compared the time to successful intubation using either the Macintosh laryngoscope or the McGrath? Series 5 videolaryngoscope in 128 patients who had cervical immobilisation applied. Intubation difficulty score, Cormack Lehane laryngoscopic view, intubation failures, changes in cardiovascular variables and the incidence of any complications were recorded. The mean (SD) successful intubation time with the Macintosh laryngoscope was significantly shorter compared with the McGrath laryngoscope, 50.0 (32.6) s vs 82.7 (80.0) s, respectively (p = 0.0003), despite the McGrath laryngoscope s having a lower intubation difficulty score and a superior glottic view. There were fi ve McGrath laryngoscope intubation failures, three owing to dif ficulty in passing the tracheal tube and two to equipment malfunction. Equipment malfunction is a major concern as a reliable intubating device is vital when faced with an airway crisis.

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