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Video laryngoscopy provides easily a good laryngeal view compared to direct laryngoscopy. It is particularly, useful in patients with anticipated difficult intubation, and also widely used for educational purposes. Among video laryngoscopy, Mcgrath is a recently-developed, portable video laryngoscopy with a liquid crystal display (LCD) monitor and disposable curved blade.
Mcgrath is known to provide excellent laryngeal visibility even in case of anticipated-difficult and anticipated-unsuccessful intubation as well as normal airway management. However, compared with direct laryngoscopy, the success rate of intubation and the time required for anticipated difficult intubation have been reported conflicting results in previous studies. The aim of this study was to compare the intubation success rate, the intubation time and the ease of use with Mcgrath video laryngoscopy and direct laryngoscopy during intubation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group ML | Experimental | Mcgrath videolaryngoscopy |
|
| Group DL | Active Comparator | direct Macintosh laryngoscope |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group ML | Device | Mcgrath videolaryngoscope |
| |
| Group DL |
| Measure | Description | Time Frame |
|---|---|---|
| Intubation success rate | success or failure of intubation | 1 hour |
| Measure | Description | Time Frame |
|---|---|---|
| Time required for intubation | time until end tidal carbon dioxide (CO2) measurement after laryngeal blade passing through patient's teeth | 1 hour |
| Intubation difficulty score | difficulty at the time of intubation. (easy /moderate/ difficult) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yi Hwa Choi, Dr. | Contact | 82-31-380-3813 | 9346 | pcyhchoi@hallym.or.kr |
| Name | Affiliation | Role |
|---|---|---|
| Yi Hwa Choi, Dr | Halllym university Sacred Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hallym University Sacred Heart Hospital | Recruiting | Anyang-si | Gyeonggi-do | 14068 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15601274 | Background | Rai MR, Dering A, Verghese C. The Glidescope system: a clinical assessment of performance. Anaesthesia. 2005 Jan;60(1):60-4. doi: 10.1111/j.1365-2044.2004.04013.x. | |
| 12846635 | Background | Asai T, Murao K, Shingu K. Training method of applying pressure on the neck for laryngoscopy: use of a videolaryngoscope. Anaesthesia. 2003 Jun;58(6):602-3. doi: 10.1046/j.1365-2044.2003.03207_7.x. No abstract available. |
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| Device |
Macintosh laryngoscope |
|
| 1 hour |
| Complications | oral bleeding, teeth or lip bleeding | 1 day |
| 17400984 | Result | Shippey B, Ray D, McKeown D. Case series: the McGrath videolaryngoscope--an initial clinical evaluation. Can J Anaesth. 2007 Apr;54(4):307-13. doi: 10.1007/BF03022777. |
| 17959584 | Result | Shippey B, Ray D, McKeown D. Use of the McGrath videolaryngoscope in the management of difficult and failed tracheal intubation. Br J Anaesth. 2008 Jan;100(1):116-9. doi: 10.1093/bja/aem303. Epub 2007 Oct 23. |