PMID- 26749229
OWN - NLM
STAT- MEDLINE
DCOM- 20160823
LR  - 20220317
IS  - 1735-9694 (Electronic)
IS  - 0044-6025 (Linking)
VI  - 53
IP  - 12
DP  - 2015 Dec
TI  - GlideScope Video Laryngoscope for Difficult Intubation in Emergency Patients: a 
      Quasi-Randomized Controlled Trial.
PG  - 738-42
AB  - Macintosh direct laryngoscope has been the most widely used device for tracheal 
      intubation. GlideScope video laryngoscope (GVL) has been recently introduced as 
      an alternative device for performing intubation; however, its validity in 
      emergency settings has not been thoroughly evaluated. The aim of this study was 
      to compare Macintosh direct laryngoscope versus GVL for emergency endotracheal 
      intubation. This quasi-randomized clinical trial was performed on 97 patients 
      referred to Imam Reza Hospital whom all needed emergency intubation in 2011. 
      Patients were divided into two groups of the easy airway and difficult airway; 
      intubation was performed for patients with direct laryngoscopy or GVL. Then, the 
      patients were evaluated in terms of demographic characteristics, successful 
      intubation rate and intubation time. Data was analyzed by SPSS software 16. There 
      was no significant difference in demographic characteristics of the patients in 
      both easy airway and difficult airway groups who intubated with direct 
      laryngoscopy and GVL methods (P>0.05). In difficult airway group, a significant 
      difference was found in successful intubation at the first attempt (60.9% vs. 
      87.5%; P=0.036), overall intubation time (32.7 +/- 14.58 vs. 22.5+/-7.88; P<0.001) 
      and first attempt intubation time (28.43 +/- 12.51 vs. 21.48+/-7.8; P=0.001) between 
      direct laryngoscopy and GVL. These variables were not significantly different 
      between two methods in easy airway group. According to the results, GVL can be a 
      useful alternative to direct laryngoscopy in emergency situations and especially 
      in cases with a difficult airway.
FAU - Ahmadi, Koorosh
AU  - Ahmadi K
AD  - Department of Emergency Medicine, Alborz University of Medical Sciences, Karaj, 
      Iran.
FAU - Ebrahimi, Mohsen
AU  - Ebrahimi M
AD  - Department of Emergency Medicine, Mashhad University of Medical Sciences, 
      Mashhad, Iran.
FAU - Hashemian, Amir Masoud
AU  - Hashemian AM
AD  - Department of Emergency Medicine, Mashhad University of Medical Sciences, 
      Mashhad, Iran.
FAU - Sarshar, Saeed
AU  - Sarshar S
AD  - Department of Emergency Medicine, Khorramabad University of Medical Sciences, 
      Khorramabad, Iran.
FAU - Rahimi-Movaghar, Vafa
AU  - Rahimi-Movaghar V
AD  - Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, 
      Tehran, Iran.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - Iran
TA  - Acta Med Iran
JT  - Acta medica Iranica
JID - 14540050R
SB  - IM
MH  - Adult
MH  - Aged
MH  - Female
MH  - Humans
MH  - Intubation, Intratracheal/*instrumentation
MH  - *Laryngoscopes
MH  - Laryngoscopy/*instrumentation
MH  - Male
MH  - Middle Aged
OTO - NOTNLM
OT  - Difficult airway
OT  - Direct laryngoscope
OT  - Tracheal intubation
OT  - Video laryngoscope
EDAT- 2016/01/11 06:00
MHDA- 2016/08/24 06:00
CRDT- 2016/01/11 06:00
PHST- 2016/01/11 06:00 [entrez]
PHST- 2016/01/11 06:00 [pubmed]
PHST- 2016/08/24 06:00 [medline]
PST - ppublish
SO  - Acta Med Iran. 2015 Dec;53(12):738-42.