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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes a highly contagious infection with the highest viral load in the upper respiratory secretions. Despite using personal protective equipment, SARS-CoV-2 contamination to the healthcare personnel is possible during the airway management of infected patients. Direct laryngoscopy remains as the most common method for endotracheal intubation. Our study aimed to compare the use of video laryngoscopy with direct laryngoscopy for tracheal intubation in adult patients receiving general anesthesia for elective surgery during the COVID-19 pandemic.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Videolaryngoscopy | Active Comparator | The patients were intubated with the C-MAC PM-Karl Storz Video laryngoscope. |
|
| Laryngoscopy | Active Comparator | The patients were intubated with the Macintosh laryngoscope. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Videolaryngoscope | Device | C-MAC PM-Karl Storz |
| |
| Macintosh Laryngoscope |
| Measure | Description | Time Frame |
|---|---|---|
| Intubation time | Time from Beginning of Intubation to Full Ventilation of the Lungs | First 5 minutes of the operation |
| Measure | Description | Time Frame |
|---|---|---|
| Intubation Comfort | Scale(0=bad, 1=moderate, 2=good 3=very good) | First 5 minutes of the operation |
| Cormack-Lehane Scoring | Scale(1= Full view of glottis, 2=Partial view of glottis 3=Only epiglottis seen, none of glottis seen 4=Neither glottis nor epiglottis seen) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Erzurum City Hospital | Erzurum | 25100 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21883131 | Background | Piepho T, Fortmueller K, Heid FM, Schmidtmann I, Werner C, Noppens RR. Performance of the C-MAC video laryngoscope in patients after a limited glottic view using Macintosh laryngoscopy. Anaesthesia. 2011 Dec;66(12):1101-5. doi: 10.1111/j.1365-2044.2011.06872.x. Epub 2011 Aug 25. |
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| Device |
Laryngoscope |
|
| First 5 minutes of the operation |