Head Injury and Neuroanesthesia

Comparison of the C-MAC^®, Airtraq^®, and Macintosh laryngoscopes in patients undergoing tracheal intubation with cervical spine immobilization

McElwain J, Laffey JG (Galway Univ Hosps, Ireland) Br J Anaesth 107:258-264, 2011^§

Abstract

Background

We aimed at comparing the performance of the C-MAC^®, Airtraq^®, and Macintosh laryngoscopes when performing tracheal intubation in patients undergoing neck immobilization using manual inline axial cervical spine stabilization.

Methods

Ninety consenting patients presenting for surgery requiring tracheal intubation were randomly assigned to undergo intubation using a C-MAC^® (n=30), Airtraq^® (n=29), or Macintosh (n=31) laryngoscope. All patients were intubated by one anaesthetist experienced in the use of each laryngoscope.

Results

The Airtraq^® laryngoscope performed best in these patients, reducing the Intubation Difficulty Scale score, improving the Cormack and Lehane glottic view, and reducing the need for optimization manoeuvres, compared with both the Macintosh and the C-MAC^®. The C-MAC^® and Macintosh laryngoscopes performed similarly. There were no differences in success rates or haemodynamic profiles post-intubation between any of the devices tested.

Only gold members can continue reading. Log In or Register to continue

Share this:

• Click to share on Twitter (Opens in new window)
• Click to share on Facebook (Opens in new window)

Related

Related posts:

of change in daily step count over five years with insulin sensitivity and adiposity: population based cohort study of Cancer: The Next Generation Beverages and Risk of Metabolic Syndrome and Type 2 Diabetes: A meta-analysis time and haemodynamic response after thiopental vs. propofol in the elderly: a randomized trial monitoring of neuromuscular block over the orbicularis oris muscle in anesthetized patients receiving vecuronium Is Better Than General Anesthesia During Endovascular Acute Stroke Interventions