Face-to-face tracheal intubation in adult patients: a comparison of the Airtraq™, Glidescope™ and Fastrach™ devices

Purpose Airway management in emergency settings can be difficult due to limited access to the patient. The use of video laryngoscopes along with the Fastrach™ device improves tracheal intubation; however, the use of such devices in a face-to-face intubation model has not been evaluated in adult pati...

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Bibliographic Details
Published in:Journal of anesthesia 2015-12, Vol.29 (6), p.893-898
Main Authors: Arslan, Zehra Ipek, Alparslan, Volkan, Ozdal, Pınar, Toker, Kamil, Solak, Mine
Format: Article
Language:English
Subjects:
Adult
Airway Management - instrumentation
Airway Management - methods
Androstanols - administration & dosage
Anesthesiology
Cervicoplasty
Critical Care Medicine
Emergency Medicine
Female
Health aspects
Humans
Intensive
Intubation, Intratracheal - instrumentation
Intubation, Intratracheal - methods
Laryngoscopes
Laryngoscopy
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Pain Medicine
Prospective Studies
Time Factors
Trachea
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Summary:Purpose Airway management in emergency settings can be difficult due to limited access to the patient. The use of video laryngoscopes along with the Fastrach™ device improves tracheal intubation; however, the use of such devices in a face-to-face intubation model has not been evaluated in adult patients. Methods After obtaining official approval from the Local Research Ethics Committee and written informed consent from the patients, 120 patients were enrolled in this prospective randomized study. The patients were ASA I and ASA II according to the American Society of Anesthesiologists Physical Status Classification System. Rocuronium was administered for neuromuscular blockade following standard anesthesia monitoring and induction. The patients were divided into three groups (40 patients per group) and their tracheas were intubated via a face-to-face approach with the Airtraq™, Glidescope™ or Fastrach™ devices. Results The intubation success rates of the Airtraq™, Glidescope™ and Fastrach™ devices were similar (100, 98 and 90 %; p  = 0.07). The insertion time for the Airtraq™ [8.5 (6–11) s] was the shortest followed by the Glidescope™ [11 (7–19) s] and the Fastrach™ [16.5 (14.3–21.8) s; p  
ISSN:0913-8668
1438-8359
DOI:10.1007/s00540-015-2052-6