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The primary goal of this study was to identify parameters affecting the failure of videolaryngoscopy in clinical practice; secondly, the incidence of videolaryngoscopy use and the most frequently used patient groups.
Videolaryngoscopy is widely used in the management of patients with presumed difficult airway. It offers an improved laryngeal view compared with direct laryngoscopy and increases the likelihood of successful intubation in patients for whom direct laryngoscopy is anticipated to be difficult. It is among the most frequently preferred difficult airway devices due to its ease of use, portability and direct laryngoscopy resemblance. The use of videolaryngoscopy has been shown to improve intubation success in many cases associated with difficult intubation, such as morbid obesity, pregnancy, limitation of cervical motility, and poor mouth opening.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Videolaryngoscopy patients | The patients who were attempted to be intubated with videolaryngoscopy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Videolaryngoscopy | Device | Videolaryngoscopy device type |
|
| Measure | Description | Time Frame |
|---|---|---|
| Intubation success | The success of intubation attempt with videolaryngoscopy (yes/no) | 15 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| The reason of videolaryngoscopy | Why videolaryngoscopy is preferred instead of standard direct laryngoscopy | 15 minutes |
| The type of videolaryngoscopy blade | acute angled/macintosh/miller blade |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who will undergo surgery under general anesthesia will be followed in Hacettepe University Hospital's operating room. All patients aged 0-95 years who used videolaryngoscopy will be included in the study.
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| Name | Affiliation | Role |
|---|---|---|
| Aysun Ankay Yilbas, MD | Turkish Society of Anesthesiology and Reanimation | Study Director |
| Sevilay Kivrakoglu, MD | Turkish Society of Anesthesiology and Reanimation | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hacettepe University Hospital | Ankara | 06100 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27317711 | Background | Aziz MF, Bayman EO, Van Tienderen MM, Todd MM; StAGE Investigator Group; Brambrink AM. Predictors of difficult videolaryngoscopy with GlideScope(R) or C-MAC(R) with D-blade: secondary analysis from a large comparative videolaryngoscopy trial. Br J Anaesth. 2016 Jul;117(1):118-23. doi: 10.1093/bja/aew128. | |
| 8638791 | Background |
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| 15 minutes |
| The rescue technique | The rescue technique used for patients who could not be intubated with videolaryngoscopy | 30 minutes |
| Factors affecting success of videolaryngoscopy | Mallampati score, thyromental distance, neck movements, upper lip bite test, mouth opening | 30 minutes |
| el-Ganzouri AR, McCarthy RJ, Tuman KJ, Tanck EN, Ivankovich AD. Preoperative airway assessment: predictive value of a multivariate risk index. Anesth Analg. 1996 Jun;82(6):1197-204. doi: 10.1097/00000539-199606000-00017. |
| 21150569 | Background | Aziz MF, Healy D, Kheterpal S, Fu RF, Dillman D, Brambrink AM. Routine clinical practice effectiveness of the Glidescope in difficult airway management: an analysis of 2,004 Glidescope intubations, complications, and failures from two institutions. Anesthesiology. 2011 Jan;114(1):34-41. doi: 10.1097/ALN.0b013e3182023eb7. |
| 25081584 | Background | Toshniwal G, McKelvey GM, Wang H. STOP-Bang and prediction of difficult airway in obese patients. J Clin Anesth. 2014 Aug;26(5):360-7. doi: 10.1016/j.jclinane.2014.01.010. Epub 2014 Jul 28. |
| 26199794 | Background | Nakao K, Komasawa N, Kusaka Y, Minami T. Rapid-Sequence Intubation in the Left-Lateral Tilt Position in a Pregnant Woman with Premature Placental Abruption Utilizing a Videolaryngoscope. AJP Rep. 2015 Apr;5(1):e30-2. doi: 10.1055/s-0034-1544109. Epub 2015 Feb 25. |
| 27106971 | Background | Kleine-Brueggeney M, Greif R, Schoettker P, Savoldelli GL, Nabecker S, Theiler LG. Evaluation of six videolaryngoscopes in 720 patients with a simulated difficult airway: a multicentre randomized controlled trial. Br J Anaesth. 2016 May;116(5):670-9. doi: 10.1093/bja/aew058. |
| 4027773 | Background | Mallampati SR, Gatt SP, Gugino LD, Desai SP, Waraksa B, Freiberger D, Liu PL. A clinical sign to predict difficult tracheal intubation: a prospective study. Can Anaesth Soc J. 1985 Jul;32(4):429-34. doi: 10.1007/BF03011357. |
| 3415893 | Background | Wilson ME, Spiegelhalter D, Robertson JA, Lesser P. Predicting difficult intubation. Br J Anaesth. 1988 Aug;61(2):211-6. doi: 10.1093/bja/61.2.211. |
| 9352759 | Background | Nath G, Sekar M. Predicting difficult intubation--a comprehensive scoring system. Anaesth Intensive Care. 1997 Oct;25(5):482-6. doi: 10.1177/0310057X9702500505. |
| 1824555 | Background | Benumof JL. Management of the difficult adult airway. With special emphasis on awake tracheal intubation. Anesthesiology. 1991 Dec;75(6):1087-110. doi: 10.1097/00000542-199112000-00021. |
| 8273882 | Background | Williamson JA, Webb RK, Szekely S, Gillies ER, Dreosti AV. The Australian Incident Monitoring Study. Difficult intubation: an analysis of 2000 incident reports. Anaesth Intensive Care. 1993 Oct;21(5):602-7. doi: 10.1177/0310057X9302100518. |
| 6830676 | Background | Nichol HC, Zuck D. Difficult laryngoscopy--the "anterior" larynx and the atlanto-occipital gap. Br J Anaesth. 1983 Feb;55(2):141-4. doi: 10.1093/bja/55.2.141. |
| 2015145 | Background | Oates JD, Macleod AD, Oates PD, Pearsall FJ, Howie JC, Murray GD. Comparison of two methods for predicting difficult intubation. Br J Anaesth. 1991 Mar;66(3):305-9. doi: 10.1093/bja/66.3.305. |
| 3688398 | Background | Charters P, Perera S, Horton WA. Visibility of pharyngeal structures as a predictor of difficult intubation. Anaesthesia. 1987 Oct;42(10):1115. doi: 10.1111/j.1365-2044.1987.tb05182.x. No abstract available. |
| 6507827 | Background | Cormack RS, Lehane J. Difficult tracheal intubation in obstetrics. Anaesthesia. 1984 Nov;39(11):1105-11. |