Intubation with Storz DCI videolaryngoscope and Truview EVO2 videolaryngoscope: in patients with suspected difficult tracheal intubation

Year 2015, Volume: 4 Issue: 1, 59 - 63, 01.01.2015

Esra Sarıhasan Hediye Ayla Tür Ersin Köksal Faik Emre Üstün İsmail Serhat Kocamanoğlu Cengiz Kaya Yasemin Burcu Üstün Bahriye Binnur Sarıhasan

https://doi.org/10.5505/abantmedj.2015.39358

Abstract

OBJECTIVE: we intended to compare Storz DCI, and Truview EVO2 videolaryngoscopes with respect to the quality of glottis images, intubation times, intubation-related, and postoperative early stage complications, and hemodynamic responses developed following intubation in cases resistant to intubation as predicted by Mallampati tests.METHODS: The study included 60 patients aged between 18-65 years with ASA American Society of Anaesthesiologists I-II, Mallampati score MPS III-IV. The patients were randomly divided into 2 groups. Groups S, and T were intubated using Storz DCI, and Truview EVO2 video laryngosopes, respectively. Cormack-Lehanne score CLS , intubation time, intubation-related, and immediate postoperative complications were recorded. Perioperative heart rate, systolic, diastolic, and mean arterial pressures, peripheral oxygen saturation measured before, and after induction, immediately, 1., 2., 3., 4., and 5. minutes after intubation were recorded. Also, endtidal carbondioxide was noted immediately after intubation.RESULTS: In both groups, any significant difference was not found between CLS grade I, and II as for the quality of glottis images, however CLS grade III was significantly more frequently observed in Group T. In Group S, only 1, and in Group T, 6 patients had attained CLS score III. İntubation time was found to be significantly longer in Group T 36 s than Group S 31 s , and all intubations were successfully performed in all groups. A significant difference could not be found between hemodynamic parametres, and antihypertensive drug requirement between 2 groups.CONCLUSION: Storz DCI video laryngoscope displayed a successful performance with shortened intubation times, improved, and clearer glottis views. Therefore, we have concluded that in cases with intubation problems Storz DCI video laryngoscope can be preferred over Truview EVO2 video laryngoscope.

Keywords

Endotracheal intubation, Storz DCI Video laryngoscope, Truview EVO2 video laryngoscope

Zor Entübasyon Düşünülen Olgularda Storz DCI Videolaringoskop Ve Truview EVO2 Videolaringoskopun Entübasyon Koşulları Ve Hemodinami Yönünden Karşılaştırılması

Abstract

AMAÇ: Zor entübasyon olabileceği mallampati testi ile önceden tahmin edilen hastalarda Storz DCI video laringoskop ile Truview EVO2 video laringoskopu glottik görüntü kalitesi, entübasyon süresi, entübasyona bağlı ve postoperatif erken komplikasyonlar ile entübasyon sonrası gelişen hemodinamik yanıt yönünden karşılaştırmayı amaçladık.YÖNTEMLER: Çalışmaya 18–65 yaş arasında değişen ASA American Society of Anaesthesiologists I-II, mallampati skoru MPS III-IV olan 60 hasta dahil edildi. Hastalar rastgele 30’arlı iki gruba ayrıldı. Grup S ve Grup T sırasıyla Storz DCI videolaringoskop ve Truview EVO2 videolaringoskop kullanılarak entübe edildi. Cormack-Lehanne skorları CLS , entübasyon süresi, entübasyona bağlı ve postoperatif erken komplikasyonlar kaydedildi. Perioperatif kalp atım hızı, sistolik arter basıncı, diyastolik arter basıncı, ortalama arter basıncı, periferik oksijen satürasyonu, indüksiyondan önce, indüksiyondan sonra, entübasyondan hemen sonra, entübasyondan sonraki 1., 2., 3., 4. ve 5. dakikalarda kaydedildi. Endtidal karbondioksit ETCO2 ise entübasyondan hemen ve sonraki dakikalarda kaydedildi.BULGULAR: Her iki grupta glottik görüntü kalitesi karşılaştırıldığında CLS grade I ve II’de, anlamlı fark bulunmazken, CLS grade III Grup T’de anlamlı olarak daha fazla gözlenmiştir. Grup S’de sadece 1 hastada CLS skor III ile karşılaşılırken, Grup T’de ise 6 hastada karşılaşıldı. Entübasyon süresi Grup T’de 36 sn Grup S’e 31 sn göre anlamlı uzun bulınmuştur ve bütün entübasyonlar her iki grupta başarıyla gerçekleştirilmiştir. Hemodinamik parametreler ve antihipertansif medikasyon açısından iki grup arasında anlamlı fark bulunmadı.SONUÇ: Storz DCI video laringoskop entübasyon süresini kısaltarak ve daha net glottik görünüm sağlamıştır. Bu nedenle entübasyon güçlüklerinde Storz DCI video laringoskopun Truview EVO2 video laringoskopa tercih edebileceği kanısına varıldı.

Keywords

Endotrakeal entübasyon, Storz DCI Video laringoskop, Truwiev EVO2 Video laringoskop

References

• 1. Shiga T, Wajima Z, Inoue T, Sakamoto A. Predicting difficult intubation in apparently normal patients: a meta-analysis of bedside screening test performance. Anesthesiology. 2005 Aug; 103(2):429-37.
• 2. Jacob, A.K., Kopp, S.L., Bacon, D.R., Smith, H.M., 2009. The History of Anesthesia. In: Barash PG, Cullen BF, Stoelting RK, editors. Clin. Anesth. 6th Ed. Philadelphia: Lippincott Williams & Wilkins, 3-26.
• 3. Henderson J. Airway management in the Adult. In: Miller RD, ed. Miller’s Anesthesia vol.2, 7th ed. Philadelphia: Elsevier Churchill Livingstone; 2010:1573- 1610.
• 4. Mallick A, Klein H, Moss E. Prevention of cardiovascular response to tracheal intubation. Br J Anaesth. 1996; 77: 296-297.
• 5. Stone DJ, Gal TJ. Airway Management. In Miller RD ed. Anesthesia. 5th ed. Churchill Livingstone NewYork, 2000; 39: 1444-1445.
• 6. Channa AB. Video laryngoscopes. Saudi J Anaesth. 2011 Oct; 5(4):357-359.
• 7. Jungbauer A, Schumann M, Brunkhorst V, Börgers A, Groeben H. Expected difficult tracheal intubation: a prospective comparison of direct laryngoscopy and video laryngoscopy in 200 patients. Br J Anaesth. 2009 Apr; 102(4): 546-550.
• 8. Noppens RR, Geimer S, Eisel N, David M, Piepho T. Endotracheal intubation using the C-MAC® video laryngoscope or the Macintosh laryngoscope: A prospective, comparative study in the ICU. Crit Care. 2012 Jun 13; 16(3):R103.
• 9. Malik MA, Maharaj CH, Harte BH, Laffey JG. Comparison of Macintosh, Truview EVO2, Glidescope, and Airwayscope laryngoscope use in patients with cervical spine immobilization. Br J Anaesth. 2008 Nov; 101(5):723-730.
• 10. Maassen R, Lee R, Hermans B, Marcus M, van Zundert A. A comparison of three videolaryngoscopes: the Macintosh laryngoscope blade reduces, but does not replace, routine stylet use for intubation in morbidly obese patients. Anesth Analg. 2009 Nov; 109(5):1560-5. Epub 2009 Aug 27.
• 11. van Zundert A, Maassen R, Lee R, Willems R, Timmerman M, Siemonsma M, et al. A Macintosh laryngoscope blade for videolaryngoscopy reduces stylet use in patients with normal airways. Anesth Analg 2009;109:825-831.
• 12. Barak M, Philipchuck P, Abecassis P, Katz Y. A comparison of the Truview blade with the Macintosh blade in adult patients. Anaesthesia 2007; 62: 827-831.
• 13. Jones PM, Armstrong PM, Cherry RA, Harle CC, Hoogstra J. A comparison of GlideScope videolaryngoscopy to direct laryngoscopy for nasotracheal intubation. Anesth Analg 2008;107:144- 148.
• 14. Xue FS, Zhang GH, Li XY, Sun HT, Li P, Li CW. Comparison of hemodynamic responses to orotracheal intubation with the GlideScope videolaryngoscope and the Macintosh direct laryngoscope. J Clin Anesth 2007; 19: 245-250.
• 15. Hassan H.G, El-Sharkawy T.Y, Renck H, Mansour G, Fouda A. Hemodynamic and catecholamine responses to laryngoscopy with vs. without endotracheal intubation. Acta Anaesthesiol Scand. 1991; 35(5):442- 7.