Next Article in Journal
The Use of the Central Vein Sign in the Diagnosis of Multiple Sclerosis: A Systematic Review and Meta-analysis
Previous Article in Journal
Prevalence of COVID-19 Diagnostic Output with Chest Computed Tomography: A Systematic Review and Meta-Analysis
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
Diagnostics
Volume 10
Issue 12
10.3390/diagnostics10121024
diagnostics-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

A Randomized Comparison of Non-Channeled GlidescopeTM Titanium Versus Channeled KingVisionTM Videolaryngoscope for Orotracheal Intubation in Obese Patients with BMI > 35 kg·m−2

by
Tomas Brozek
1,2,
Jan Bruthans
1,
Michal Porizka
1,
Jan Blaha
1,
Jitka Ulrichova
1 and
Pavel Michalek
1,3,*
1
Department of Anaesthesiology and Intensive Medicine, General University Hospital and First Medical Faculty of the Charles University, 128 00 Prague, Czech Republic
2
Medical Faculty, Masaryk University, 625 00 Brno, Czech Republic
3
Department of Anaesthesia, Antrim Area Hospital, Antrim BT41 2RL, UK
*
Author to whom correspondence should be addressed.
Diagnostics 2020, 10(12), 1024; https://doi.org/10.3390/diagnostics10121024
Submission received: 31 October 2020 / Revised: 24 November 2020 / Accepted: 25 November 2020 / Published: 29 November 2020
(This article belongs to the Section Medical Imaging and Theranostics)
Browse Figures
Review Reports Versions Notes

Abstract

Videolaryngoscopes may improve intubating conditions in obese patients. A total of 110 patients with a body mass index > 35 kg∙m−2 were prospectively randomized to tracheal intubation using non-channeled Glidescope Titanium or channeled King Vision videolaryngoscope. The primary outcome was the time to tracheal intubation. Secondary outcomes included: total success rate, number of attempts, the quality of visualization, peri-procedural and post-proceduralcomplications. Time to the first effective breath was shorter with the King Vision (median; 95% CI)—36; 34–39 s vs. 42; 40–50 in the Glidescope group (p = 0.007). The total success rate was higher in the Glidescope group—100% vs. 89.1% (p = 0.03). There was a higher incidence of moderate and difficult laryngoscopy in the King Vision group. No difference was recorded in first attempt success rates, total number of attempts, use of additional maneuvers, intraoperative trauma, or any significant decrease in SpO2 during intubation. No serious complications were noted and the incidence of postoperative complaints was without difference. Although tracheal intubation with King Vision showed shorter time to the first breath, total success was higher in the Glidescope group, and all but one patients where intubation failed with the KingVision were subsequently intubated with the Glidescope.
Keywords: obesity; videolaryngoscopy; King VisionTM laryngoscope; Glidescope TitaniumTM laryngoscope; non-channeled blade; channeled blade obesity; videolaryngoscopy; King VisionTM laryngoscope; Glidescope TitaniumTM laryngoscope; non-channeled blade; channeled blade
Graphical Abstract

Share and Cite

MDPI and ACS Style

Brozek, T.; Bruthans, J.; Porizka, M.; Blaha, J.; Ulrichova, J.; Michalek, P. A Randomized Comparison of Non-Channeled GlidescopeTM Titanium Versus Channeled KingVisionTM Videolaryngoscope for Orotracheal Intubation in Obese Patients with BMI > 35 kg·m−2. Diagnostics 2020, 10, 1024. https://doi.org/10.3390/diagnostics10121024

AMA Style

Brozek T, Bruthans J, Porizka M, Blaha J, Ulrichova J, Michalek P. A Randomized Comparison of Non-Channeled GlidescopeTM Titanium Versus Channeled KingVisionTM Videolaryngoscope for Orotracheal Intubation in Obese Patients with BMI > 35 kg·m−2. Diagnostics. 2020; 10(12):1024. https://doi.org/10.3390/diagnostics10121024

Chicago/Turabian Style

Brozek, Tomas, Jan Bruthans, Michal Porizka, Jan Blaha, Jitka Ulrichova, and Pavel Michalek. 2020. "A Randomized Comparison of Non-Channeled GlidescopeTM Titanium Versus Channeled KingVisionTM Videolaryngoscope for Orotracheal Intubation in Obese Patients with BMI > 35 kg·m−2" Diagnostics 10, no. 12: 1024. https://doi.org/10.3390/diagnostics10121024

APA Style

Brozek, T., Bruthans, J., Porizka, M., Blaha, J., Ulrichova, J., & Michalek, P. (2020). A Randomized Comparison of Non-Channeled GlidescopeTM Titanium Versus Channeled KingVisionTM Videolaryngoscope for Orotracheal Intubation in Obese Patients with BMI > 35 kg·m−2. Diagnostics, 10(12), 1024. https://doi.org/10.3390/diagnostics10121024

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop