PMID- 25171459
OWN - NLM
STAT- MEDLINE
DCOM- 20150602
LR  - 20211021
IS  - 1423-0151 (Electronic)
IS  - 1011-7571 (Print)
IS  - 1011-7571 (Linking)
VI  - 23
IP  - 5
DP  - 2014
TI  - Comparison of three tracheal intubation techniques in thyroid tumor patients with 
      a difficult airway: a randomized controlled trial.
PG  - 448-52
LID - 10.1159/000364875 [doi]
AB  - OBJECTIVE: To investigate the effectiveness of the Shikani optical stylet (SOS) 
      and GlideScope video laryngoscope (GVL) for tracheal intubation of thyroid tumor 
      patients with a difficult airway. SUBJECTS AND METHODS: One hundred and twenty 
      thyroid tumor patients with a difficult airway, who were undergoing elective 
      surgery requiring general anesthesia, were enrolled in the study. They were 
      randomly allocated to 3 groups (n = 40 each) who underwent direct laryngoscopy 
      (DL), SOS or GVL. The outcomes recorded were time to intubation, first-attempt 
      success rate, mean artery pressure (MAP), heart rate (HR) and incidence of 
      complications. RESULTS: The mean time to intubation in the SOS group (group S; 
      42.4 +/- 24.1 s) and the GLV group (group G; 29.8 +/- 22.3 s) was significantly less 
      than that in the DL group (group D) (68.8 +/- 26.6 s). The first-attempt success 
      rate in group S (90.0%) and group G (97.5%) was significantly higher than that in 
      group D (75.0%; all p < 0.05). The HR and MAP at 1 min after intubation were 
      lowest in group S (76.4 +/- 9.2 beats/min and 12.9 +/- 1.1 kPa), followed by group G 
      (79.9 +/- 9.3 beats/min and 13.0 +/- 0.9 kPa) and then group D (90.4 +/- 8.1 beats/min 
      and 16.6 +/- 1.2 kPa). The difference was statistically significant (all p < 0.05). 
      The incidence of lip or mucosal trauma was lowest in group S, followed by group G 
      and then group D. CONCLUSION: The SOS and the GLV had advantages over the DL in 
      the management of thyroid tumor patients with a difficult airway in terms of a 
      shorter time to intubation, a higher first-attempt success rate and a reduced 
      incidence of complications. Thus, a rational choice of one of these techniques 
      may be better for the perioperative safety of thyroid tumor patients with a 
      difficult airway.
CI  - (c) 2014 S. Karger AG, Basel.
FAU - Liu, Ling
AU  - Liu L
AD  - Department of Anesthesiology, Tianjin Medical University Cancer Institute and 
      Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer 
      Prevention and Therapy, Tianjin, China.
FAU - Yue, Hui
AU  - Yue H
FAU - Li, Jincheng
AU  - Li J
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20140823
PL  - Switzerland
TA  - Med Princ Pract
JT  - Medical principles and practice : international journal of the Kuwait University, 
      Health Science Centre
JID - 8901334
SB  - IM
MH  - Adult
MH  - Anesthesia, General
MH  - Blood Pressure
MH  - Elective Surgical Procedures
MH  - Female
MH  - Heart Rate
MH  - Humans
MH  - Intubation, Intratracheal/adverse effects/*instrumentation/methods
MH  - *Laryngoscopes
MH  - *Laryngoscopy
MH  - Male
MH  - Middle Aged
MH  - Operative Time
MH  - Thyroid Neoplasms/*pathology/*surgery
PMC - PMC5586920
EDAT- 2014/08/30 06:00
MHDA- 2015/06/03 06:00
PMCR- 2014/08/23
CRDT- 2014/08/30 06:00
PHST- 2013/11/28 00:00 [received]
PHST- 2014/05/27 00:00 [accepted]
PHST- 2014/08/30 06:00 [entrez]
PHST- 2014/08/30 06:00 [pubmed]
PHST- 2015/06/03 06:00 [medline]
PHST- 2014/08/23 00:00 [pmc-release]
AID - 000364875 [pii]
AID - mpp-0023-0448 [pii]
AID - 10.1159/000364875 [doi]
PST - ppublish
SO  - Med Princ Pract. 2014;23(5):448-52. doi: 10.1159/000364875. Epub 2014 Aug 23.