Effect of Different Shaping Angles on Endotracheal Intubation under Visual Laryngoscope for Beginners

Qicai QU; Liu YANG; Hui YU; Ningli ZHANG; Ping HU; Jian YANG

doi:10.12259/j.issn.2095-610X.S20231227

Volume 44 Issue 12

Dec. 2023

Turn off MathJax

Article Contents

Article Navigation > Journal of Kunming Medical University > 2023 > 44(12): 171-176

Qicai QU, Liu YANG, Hui YU, Ningli ZHANG, Ping HU, Jian YANG. Effect of Different Shaping Angles on Endotracheal Intubation under Visual Laryngoscope for Beginners[J]. Journal of Kunming Medical University, 2023, 44(12): 171-176. doi: 10.12259/j.issn.2095-610X.S20231227

Citation:

Qicai QU, Liu YANG, Hui YU, Ningli ZHANG, Ping HU, Jian YANG. Effect of Different Shaping Angles on Endotracheal Intubation under Visual Laryngoscope for Beginners[J]. Journal of Kunming Medical University, 2023, 44(12): 171-176. doi: 10.12259/j.issn.2095-610X.S20231227

Citation:

PDF( 1426 KB)

Effect of Different Shaping Angles on Endotracheal Intubation under Visual Laryngoscope for Beginners

doi: 10.12259/j.issn.2095-610X.S20231227

Dept. of Anesthesiology，The 2nd Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650101，China

Received Date: 2023-09-22
Available Online: 2023-12-15
Publish Date: 2023-12-25

Abstract

Abstract

Objective To compare the effects of 4 different shaping angle tubes on the success rate of tracheal intubation and postoperative pharyngeal complications among anesthetic beginners. Methods 160 patients who underwent laparoscopic cholecystectomy under general anesthesia, with ASA classification I to II, no history of difficult airway, were randomly divided into 4 groups according to the catheter shape and tip shaping angle: 35°banana-shaped elbow group（A Group）, 50°banana-shaped bent pipe group（Group B）, 35°straight pipe group（Group C）, 50°straight pipe group（Group D）, with 40 cases in each group. After induction of general anesthesia, tracheal intubation is performed using a video laryngoscope. The Cormack-Lehane grade of laryngoscope exposure, external laryngeal compression, one-time success rate of intubation and intubation time were recorded. SPO2, HR and MAP were recorded before anesthesia induction（T0）, at the end of anesthesia induction drug injection（T1）, immediately after intubation（T2） and 1min after intubation（T3）. The incidence of pharyngeal pain and hoarseness immediately after extubation and 24 hours after operation were followed up. Results There were no statistically significant differences in Cormack-Lehane classification, HR, and MAP among the four groups of patients at each time point（P > 0.05）. The number of cases requiring external laryngeal compression, intubation time, first-time intubation success rate, immediate postoperative sore throat, and immediate postoperative hoarseness rates in Groups B and D were all lower than those in Groups A and C, and the differences were statistically significant（P < 0.05）. Conclusion When using video laryngoscope for tracheal intubation, 50°banana-shaped curved tube and 50°straight tube can shorten the intubation time, reduce postoperative complications, and have no obvious hemodynamic fluctuations.
- Tracheal intubation,
- Video laryngoscope,
- Endotracheal tubeshaping,
- Pharyngeal complications

FullText(HTML)

References(16)

References

[1]	Lim H, Cha Y B, Ryu K H, et al. Comparison of two different shapes of stylets for intubation with the McGrath MAC® video laryngoscope: A randomized controlled trial[J]. Journal of International Medical Research, 2020, 48（10）: 300060520962951.
[2]	Gupta A,Singh P,Gupta N,et al. Comparative efficacy of C-MAC Miller videolaryngoscope versus McGrathMAC size "1" video laryngoscope in neonates and infants undergoing surgical procedures under general anesthesia: A prospective randomized controlled trial[J]. Paediatric Anaesthesia,2021,31(10):1089-1096. doi: 10.1111/pan.14244
[3]	陈齐,高志伟,刘岳鑫,等. “J”型塑形气管导管不同向上弯曲长度对可视喉镜引导下气管插管的影响[J]. 西南医科大学学报,2017,40(6):547-550. doi: 10.3969/j.issn.2096-3351.2017.06.007
[4]	Hung T Y,Lin L W,Yeh Y H,et al. The evaluation of a better intubation strategy when only the epiglottis is visible: A randomized,cross-over mannequin study[J]. BMC Anesthesiol,2019,19(1):8. doi: 10.1186/s12871-018-0663-9
[5]	Varela M L,Carmo M J,Lares A. Cormack-Lehane grading evolution to assess trainee's progress in laryngoscopy[J]. Postgraduate Medical Journal,2018,94(1114):479-479. doi: 10.1136/postgradmedj-2018-135926
[6]	Pujari V S,Thiyagarajan B,Annamalai A,et al. A comparative study in airway novices using king vision videolaryngoscope and conventional macintosh direct laryngoscope for endotracheal intubation[J]. Anesthesia,Essays and Researches,2021,15(1):57-61. doi: 10.4103/aer.aer_72_21
[7]	Hosalli V,Arjun B K,Ambi U,et al. Comparison of Airtraq™,McCoy™ and Macintosh laryngoscopes for endotracheal intubation in patients with cervical spine immobilisation: A randomised clinical trial[J]. Indian Journal of Anaesthesia,2017,61(4):332-337. doi: 10.4103/ija.IJA_517_16
[8]	Singh P,Srivastava V,Gautam S,et al. A randomized controlled trial comparing Macintosh laryngoscope and Airtraq video laryngoscope for endotracheal intubation in patients with thyroid swelling: Competing the convention[J]. Journal of Family Medicine and Primary Care,2022,11(7):3699-3704. doi: 10.4103/jfmpc.jfmpc_2454_21
[9]	Dagli R,Canturk M,Celik F,et al. The role of videolaryngoscope in endotracheal intubation training programs[J]. Brazilian Journal of Anesthesiology,2018,68(5):447-454. doi: 10.1016/j.bjan.2018.02.008
[10]	Huang P,Zhou R,Lu Z,et al. GlideScope® versus C-MAC®(D) videolaryngoscope versus macintosh laryngoscope for double lumen endotracheal intubation in patients with predicted normal airways: A randomized,controlled,prospective trial[J]. BMC Anesthesiology,2020,20(1):119. doi: 10.1186/s12871-020-01012-y
[11]	吴朝萌,郑剑桥,刘斌. 对麻醉实习医师进行不同插管喉镜气管插管的教学效果比较[J]. 解放军预防医学杂志,2019,37(8):93-95. doi: 10.13704/j.cnki.jyyx.2019.08.043
[12]	刘冬梅,莫怀忠,易强林. 初学者使用环状弯曲与管芯塑形气管导管在预期非困难气道患者中的效果比较[J]. 临床麻醉学杂志,2022,38(8):841-845. doi: 10.12089/jca.2022.08.013
[13]	Jaber S,Rolle A,Godet T,et al. Effect of the use of an endotracheal tube and stylet versus an endotracheal tube alone on first-attempt intubation success: A multicentre,randomised clinical trial in 999 patients[J]. Intensive Care Medicine,2021,47(6):653-664.
[14]	Tosh P,Rajan S,Kumar L. Ease of intubation with C-MAC videolaryngoscope: Use of 60° angled styletted endotracheal tube versus intubation over bougie[J]. Anesthesia Essays & Researches,2018,12(1):194-198.
[15]	李楠,崔晓岗,孙双春,等. 复方利多卡因乳膏联合达克罗宁胶浆改善气管插管不良反应的效果[J]. 实用临床医药杂志,2022,26(10):92-96.
[16]	Bilgi M,Velioglu Y,Yoldas H,et al. Effects of lidocaine oropharyngeal spray applied before endotracheal intubation on QT bispersion in patients undergoing coronary artery bypass grafting: A prospective randomized controlled study[J]. Brazilian Journal of Cardiovascular Surgery,2020,35(3):291-298.

Relative Articles(20)

Relative Articles

[1]	Dong WANG, Ying TAN, Jun WANG, Min GAO. Effect of UE Video Laryngoscope and Fiberoptic Bronchoscope for Awake Orotracheal Intubation. Journal of Kunming Medical University, 2021, 42(10): 117-120. doi: 10.12259/j.issn.2095-610X.S20211027
[2]	Yun-rui GUO, Jian-ming YANG, Hao YANG, Ye-cai ZHANG, Guo-yun ZHANG, Chen ZHOU, Ya-ting HOU. The Clinical Study on the Effects of Sedation，Analgesia and Slow Induction of Endotracheal Intubation on Hemodynamics，Reduction of Postoperative Adverse Memory and Psycho-psychological Effects in Patients with General Anesthesia. Journal of Kunming Medical University, 2021, 42(9): 127-133. doi: 10.12259/j.issn.2095-610X.S20210906
[3]	Zhao Yu Bin , Qu Qi Cai , Si Yong Yu . . Journal of Kunming Medical University, 2019, 40(08): 93-96.
[4]	Dai Hong , Qian Jun , Zhang Jin Yang , Xia Liang , Huang Ping . . Journal of Kunming Medical University, 2018, 39(09): 120-123.
[5]	Song Tao , Xiao Fan . Influence of Tracheal Intubation Guided with Light Wand on Hemodynamics in Patients with Obstructive Sleep Apnea Syndrome. Journal of Kunming Medical University, 2016, 37(12): 85-88.
[6]	Zhang Can Hua . Analysis on Clinical Effect in 116 Patients with Tracheal Intubation under General Anesthesia Guiding by HC Visual Laryngoscope in Combination with Fiberoptic Bronchoscopy. Journal of Kunming Medical University,
[7]	Zhou Chen . . Journal of Kunming Medical University,
[8]	Long Ru Hua . . Journal of Kunming Medical University,
[9]	Wen Kai Lan . . Journal of Kunming Medical University,
[10]	Li Jian Gang . . Journal of Kunming Medical University,
[11]	Wang Dong . . Journal of Kunming Medical University,
[12]	Yang Yan Ming . . Journal of Kunming Medical University,
[13]	Fang Yu . . Journal of Kunming Medical University,
[14]	Dai Zhuan Yun . . Journal of Kunming Medical University,
[15]	Wang Zhong Hui . . Journal of Kunming Medical University,
[16]	Zhang Chun Xi . . Journal of Kunming Medical University,
[17]	Chen Ai Xian . . Journal of Kunming Medical University,
[18]	. Clinical Observation of Dexmedetomidine in Inhibiting Nasal Endotracheal Intubation Response. Journal of Kunming Medical University,
[19]	. The Influences of Dexmedetomidine on Circulatory System and Propofol Dose in Endotracheal Intubation. Journal of Kunming Medical University,
[20]	Wang Hui Ming . . Journal of Kunming Medical University,