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2017 ; 64
(12
): 1176-1181
Nephropedia Template TP
gab.com Text
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English Wikipedia
Étude randomisée comparant l?efficacité de l?intubation nasale avec un
vidéolaryngoscope et une pince Magill versus une pince vasculaire chez des
patients ayant des voies aériennes normales
#MMPMID28952139
Yeom JH
; Oh MK
; Shin WJ
; Ahn DW
; Jeon WJ
; Cho SY
Can J Anaesth
2017[Dec]; 64
(12
): 1176-1181
PMID28952139
show ga
PURPOSE: The GlideScope(®) video laryngoscope (GVL) is widely used for
nasotracheal intubation in dental and facial plastic surgery. The angle of the
Magill forceps is different from that of the GVL blade, which suggests that the
Magill forceps are not the ideal forceps for use with the GVL. The purpose of
this study was to compare the effectiveness of the Magill forceps vs vascular
forceps for nasotracheal intubation using the GVL. METHODS: This study included
60 patients scheduled to undergo elective surgery requiring nasotracheal
intubation. Patients were assigned to one of two groups-i.e., Magill forceps
(group M) or vascular forceps along with a tube exchanger (group V), by computer
randomization. The primary outcome was total intubation time, defined as the time
from when the anesthesiologist picked up the device to the time when three
successive end-tidal CO(2) waves were obtained following intubation. Secondary
outcomes were blood in the endotracheal tube and trauma to the oral tissues or
teeth. A blind observer assessed the presence of sore throat one hour and 24 hr
after surgery. RESULTS: The total intubation time was significantly different
between group M and group V (96.1 sec and 78.1 sec, respectively; mean
difference, 18 sec; 95% confidence interval (CI), 13.7 to 49.7). The incidence of
epistaxis in group M was significantly greater than that in group V (46.7% vs
16.7%, respectively; relative risk, 2.8; 95% CI, 1.2 to 6.8). CONCLUSION: The
total intubation time was significantly less with the vascular forceps (and tube
exchanger) than with the Magill forceps. Using vascular forceps also reduced the
incidence of epistaxis compared with that using the Magill forceps. Using a tube
exchanger and vascular forceps offers advantages over use of Magill forceps when
a GlideScope video laryngoscope is used for nasotracheal intubation. TRIAL
REGISTRATION: http://www.who.int/ictrp/network/cris2/en/ , CRIS, KCT0001310.
Registered 29 July 2014.