Comparison of C-MAC vs. McGrath video laryngoscopes on glottic exposure and endotracheal intubation success with stylet usage in obese patients

Erkoc S., Guclu Ç., BÜYÜK S., Bermede O., DURUK ERKENT F., YILMAZ A. Z.

EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES, cilt.26, sa.16, ss.5763-5773, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 26 Sayı: 16
  • Basım Tarihi: 2022
  • Doi Numarası: 10.26355/eurrev_202208_29513
  • Dergi Adı: EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE, Directory of Open Access Journals
  • Sayfa Sayıları: ss.5763-5773
  • Anahtar Kelimeler: Airway management, Obese patients, Video laryngoscopes, goscopes, C-MAC, McGrath-MAC, REQUIRING TRACHEAL INTUBATION, MORBID-OBESITY, ADULT PATIENTS, MACINTOSH, VIDEOLARYNGOSCOPY, METAANALYSIS, MANAGEMENT, SCALE, BLADE
  • Ankara Üniversitesi Adresli: Evet

Özet

- OBJECTIVE: Cases of obesity are rising in parallel with the number of obese patients scheduled for anesthesia in which difficult airway is encountered. Video laryngoscopes (VL) have emerged as a popular device for the management of patients with difficult airway. The present study compares the success rate of intubation in obese patients using stylet in the ramped position using either a McGrath or C-MAC VLs. PATIENTS AND METHODS: Class II/III obese patients who were intubated with either McGrath (Group M, n=50) or C-MAC (Group C, n=50) laryngoscopes were assessed for the presence of difficult airway using the Difficult Airway Assessment tool, the Airway Difficulty Score and the Total Airway Score. The intubation attempts were made after the best glottic view, direct and indirect Cormack-Lehane (CL) score, and intubation time were recorded. In the event of failure, a further intubation attempt was made using a styled, and the intubation time was again recorded. If the intubation failed again, a third attempt was made using a C-MAC D-Blade. The after the intubation.