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2011, Number 3

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Acta Med 2011; 9 (3)

Success in tracheal intubation using the Airtraq or the Macintosh laryngoscope in patients subjected to general surgery under general balanced anesthesia

Durán MF, Martínez RV, Athié GJM
Full text How to cite this article

Language: Spanish
References: 9
Page: 119-123
PDF size: 68.54 Kb.


Key words:

Laryngoscope Airtraq, Macintosh, tracheal intubation, general anesthesia.

ABSTRACT

Background: The laryngoscope Airtraq has sheet of pronounced curvature and prisms that improve the vision of the glottis. Studies in Mexican population are missing that they evaluate his utility in handling of the air route. Our objective was to compare his utility against the laryngoscope Macintosh. Methods: They included of aleatory manner 48 patients programmed for surgery of abdomen and neck. Group 1 with Airtraq (n 24) and group 2 with Macintosh (n 24), previous approval of the Committee of ethics and informed consent. Success, time of intubation were registered, climb Cormack and Lehane and he commits burglary of difficult intubation. Results: The demographic data did not evidence significant differences. The success to the intubation went from 100 %. The time of intubation in seconds was for Airtraq of 23.96 ± 4.1 and for Macintosh 20.50 ± 15.41 (p = 0.40) Cormack’s and Lehane’s Scale was younger for the Airtraq that he stops the Macintosh (p = 0.02). The scale of intubation was easy in 5 (20.8%)/7 (29.2%), lightly difficult 14 (58.3%)/16 (66.7%) and moderated or very difficult in 5 (20.8%)/1 (4.2%) for groups 1 and 2 respectively (p = 0.20). Conclusions: The two devices caught up with the 100% the objective of intubation. With laryngoscope Airtraq got an excellent vision from the normal air route himself.


REFERENCES

  1. Mesa MC, Villalonga MA, Sánchez A. Manual clínico de la vía aérea. 2ª Edición. México: JGH Editores; 2000: 1, 5-8, 289.

  2. Macintosh R. A new laryngoscope. Lancet 1943; 1: 205.

  3. Maharaj C, O’Croinin D, Curley G, Harte B, Laffey J. A comparison of tracheal intubation using the Airtraq or the Macintosh laryngoscope in routine airway management: a randomized, controlled clinical trial. Anaesth 2006; 61: 1093-1099.

  4. Maharaj C, Buckley E, Harte B, Laffey J. In patients with cervical spine immobilization: A comparison of Macintosh and Airtraq Laryngoscopes. Anesth 2007; 107 (1): 53-59.

  5. Adnet F, Borron S, Racine S, Clemessy J, Fournier JL, Plaisance P, Lapandry C. The intubation difficulty scale (IDS): proposal and evaluation of a new score characterizing the complexity of endotracheal intubation. Anesth 1997; 87 (6): 1290-1297.

  6. Saklad M. Grading of patients for surgical procedures. Anesth 1941; 2: 281-284.

  7. Cormack R, Lehane J, Adams A, Carl F. Laryngoscopy grades and percentage opening. Anaesth 2000; 55(2): 184.

  8. Cormack R, Lehane J. Difficult traqueal intubation in obstetrics. Anaesth 1984; 39: 1105-1111.

  9. Fung B, Chan M. Incidence of oral tissue trauma after the administration of general anesthesia. Acta Anaesthesiol Sinica 2001; 39: 163-167.




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Acta Med. 2011;9