Comparison of Airtraq™ video-laryngoscope and Macintosh laryngoscope for tracheal intubation in adults—a randomised study

Background Airway management by intubation is considered a major responsibility and vital skill for anaesthesiologists. Direct laryngoscopy and endotracheal intubation under vision continues to be the gold standard for airway management. Though conventional laryngoscopy is done with Macintosh blade,...

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Bibliographic Details
Published in:Ain-Shams journal of anesthesiology 2023-05, Vol.15 (1), p.30-8, Article 30
Main Authors: Meena, Seema, Chaudhary, Sujata, Salhotra, Rashmi, Bharti, Swati, Khurana, Bismanjeet Kaur
Format: Article
Language:English
Subjects:
Airtraq™ video-laryngoscope
Airway management
Critical Care Medicine
Hemodynamics
Intensive
Intubation
Laryngoscopy
Macintosh laryngoscope
Medicine
Medicine & Public Health
Original Article
Surgery
Tracheal intubation
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Summary:Background Airway management by intubation is considered a major responsibility and vital skill for anaesthesiologists. Direct laryngoscopy and endotracheal intubation under vision continues to be the gold standard for airway management. Though conventional laryngoscopy is done with Macintosh blade, it has its own drawbacks. The Airtraq™ is a tube/guide channelled video-laryngoscope and can be used in patients with normal as well as difficult airway. On literature review, studies comparing intubation time with Airtraq™ and Macintosh laryngoscopes have shown heterogeneous results. Therefore, the present study was designed to compare the Airtraq™ video-laryngoscope and Macintosh laryngoscope for tracheal intubation in adults. Results The median time to intubation was significantly longer in group A [45 (27–77) s] than in group M [24 (21–26) s] ( p    0.05). Three cases in group A required a second attempt for successful intubation, whereas in group M, all cases were intubated in the first attempt ( p >  0.05). Hemodynamic parameters and complications were comparable among the groups ( p >  0.05). Conclusions Airtraq™ video-laryngoscope took longer time for intubation than Macintosh laryngoscope. However, both the devices were similar in terms of glottic view, ease of intubation, number of intubation attempts, incidence of failed intubation, hemodynamic changes, and complications. The overall performance of Airtraq™ video-laryngoscope was similar to Macintosh laryngoscope in patients having normal airways.
ISSN:2090-925X
1687-7934
2090-925X
DOI:10.1186/s42077-023-00328-4