%0 Journal Article
%T Evaluation of the Airtraq video laryngoscope as a rescue device after difficult direct laryngoscopy.
%A Iglesias González JL
%A Gómez-Ríos MA
%A Poveda Marina JL
%A Calvo-Vecino JM
%J Rev Esp Anestesiol Reanim (Engl Ed)
%V 65
%N 10
%D Dec 2018
%M 30177221
暂无%R 10.1016/j.redar.2018.06.010
%X <B>OBJECTIVE: </B>Unexpected difficult tracheal intubation and failure to intubate are among the leading causes of anesthesia-related morbidity and mortality. This study was undertaken to evaluate the effectiveness of the Airtraq video laryngoscope for tracheal intubation after difficult direct laryngoscopy.<BR><B>METHODS: </B>75 patients undergoing elective surgery under general anesthesia and whose direct laryngoscopy by a senior anesthesiologist exhibited Cormack-Lehane grade 2b, 3 or 4 were enrolled.<BR><B>RESULTS: </B>The Glottic view was improved in all patients when using the Airtraq video laryngoscope, compared with Macintosh laryngoscope. The view was improved by 2 degrees in 17.3% of the cases, by three in 60% and by four grades in 22.7% (P<0.0001). The success rate for intubation was 100% with the Airtraq. Fifty-six patients (74.7%) required a single attempt, sixteen (21.3%) two attempts and three (4%) a third attempt. Intubation difficulty scale indicated that tracheal intubation was performed easily in most cases There were no critical events.<BR><B>CONCLUSIONS: </B>Tracheal intubation using the Airtraq was effective, simple and safe in patients with difficult laryngoscopy. These results confirm that the Airtraq is a reliable video laryngoscope as a rescue device in cases of difficult laryngeal view with direct laryngoscopy.