Failed or Difficult Intubation
Conditions
Brief summary
C-MAC videolaryngoscope (Karl Storz, Tuttlingen, GERMANY) with its Macintosh like blade is used with standard direct laryngoscopy technique. KingsVisionTM videolaryngoscopes (KingSystems, IN, USA) have also Macintosh like single use blades that are channeled, wider and shorter than conventional Macintosh blades.We aim to compare these two laryngoscopes and Macintosh laryngoscope during routine intubation in adult patients.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* 200 American Society of Anesthesiology I-III patients between 18-80 years old undergoing elective abdominal surgery and planned to be intubated orotracheally will be included in the study.
Exclusion criteria
* Patients with upper respiratory problems and predicted difficult airways will be excluded from the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cormack-Lehane Score | 5 minutes | Patients will be preoxygenated with 100% oxygen for 3 minutes before the anesthesia induction. After induction when the train of four ratio reaches %0, patients will be intubated by one of three anesthesiologists with at least 10 years of experience. The anesthesiologist first will use the Macintosh laryngoscope then KingsVisionTM videolaryngoscope and lastly C-MAC videolaryngoscope to intubate the patients. The Cormack-Lehane scores observed during each laryngoscopy will be recorded |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| time | 5 minutes | Patients will be preoxygenated with 100% oxygen for 3 minutes before the anesthesia induction. After induction when the train of four ratio reaches %0, patients will be intubated by one of three anesthesiologists with at least 10 years of experience. The anesthesiologist first will use the Macintosh laryngoscope then KingsVisionTM videolaryngoscope and lastly C-MAC videolaryngoscope to intubate the patients. The time from the start of laryngoscopy to the visualization of the vocal cords and the time from the visualization of the vocals from the successful intubation observed during each laryngoscopy will be recorded. |
Countries
Turkey (Türkiye)