PMID- 28952139
OWN - NLM
STAT- MEDLINE
DCOM- 20180622
LR  - 20181113
IS  - 1496-8975 (Electronic)
IS  - 0832-610X (Print)
IS  - 0832-610X (Linking)
VI  - 64
IP  - 12
DP  - 2017 Dec
TI  - Randomized comparison of the effectiveness of nasal intubation using a GlideScope 
      video laryngoscope with Magill forceps versus vascular forceps in patients with a 
      normal airway.
PG  - 1176-1181
LID - 10.1007/s12630-017-0971-4 [doi]
AB  - PURPOSE: The GlideScope((R)) video laryngoscope (GVL) is widely used for 
      nasotracheal intubation in dental and facial plastic surgery. The angle of the 
      Magill forceps is different from that of the GVL blade, which suggests that the 
      Magill forceps are not the ideal forceps for use with the GVL. The purpose of 
      this study was to compare the effectiveness of the Magill forceps vs vascular 
      forceps for nasotracheal intubation using the GVL. METHODS: This study included 
      60 patients scheduled to undergo elective surgery requiring nasotracheal 
      intubation. Patients were assigned to one of two groups-i.e., Magill forceps 
      (group M) or vascular forceps along with a tube exchanger (group V), by computer 
      randomization. The primary outcome was total intubation time, defined as the time 
      from when the anesthesiologist picked up the device to the time when three 
      successive end-tidal CO(2) waves were obtained following intubation. Secondary 
      outcomes were blood in the endotracheal tube and trauma to the oral tissues or 
      teeth. A blind observer assessed the presence of sore throat one hour and 24 hr 
      after surgery. RESULTS: The total intubation time was significantly different 
      between group M and group V (96.1 sec and 78.1 sec, respectively; mean 
      difference, 18 sec; 95% confidence interval (CI), 13.7 to 49.7). The incidence of 
      epistaxis in group M was significantly greater than that in group V (46.7% vs 
      16.7%, respectively; relative risk, 2.8; 95% CI, 1.2 to 6.8). CONCLUSION: The 
      total intubation time was significantly less with the vascular forceps (and tube 
      exchanger) than with the Magill forceps. Using vascular forceps also reduced the 
      incidence of epistaxis compared with that using the Magill forceps. Using a tube 
      exchanger and vascular forceps offers advantages over use of Magill forceps when 
      a GlideScope video laryngoscope is used for nasotracheal intubation. TRIAL 
      REGISTRATION: http://www.who.int/ictrp/network/cris2/en/ , CRIS, KCT0001310. 
      Registered 29 July 2014.
FAU - Yeom, Jong H
AU  - Yeom JH
AD  - Department of Anesthesiology and Pain Medicine, Hanyang University Guri Hospital, 
      249-1, Gyomun-dong, Guri-si, Gyeonggi-do, 471-701, Republic of Korea.
FAU - Oh, Mi K
AU  - Oh MK
AD  - Department of Anesthesiology and Pain Medicine, Hanyang University Guri Hospital, 
      249-1, Gyomun-dong, Guri-si, Gyeonggi-do, 471-701, Republic of Korea.
FAU - Shin, Woo J
AU  - Shin WJ
AD  - Department of Anesthesiology and Pain Medicine, Hanyang University Guri Hospital, 
      249-1, Gyomun-dong, Guri-si, Gyeonggi-do, 471-701, Republic of Korea.
FAU - Ahn, Dae W
AU  - Ahn DW
AD  - Department of Anesthesiology and Pain Medicine, Hanyang University Guri Hospital, 
      249-1, Gyomun-dong, Guri-si, Gyeonggi-do, 471-701, Republic of Korea.
FAU - Jeon, Woo J
AU  - Jeon WJ
AD  - Department of Anesthesiology and Pain Medicine, Hanyang University Guri Hospital, 
      249-1, Gyomun-dong, Guri-si, Gyeonggi-do, 471-701, Republic of Korea.
FAU - Cho, Sang Y
AU  - Cho SY
AD  - Department of Anesthesiology and Pain Medicine, Hanyang University Guri Hospital, 
      249-1, Gyomun-dong, Guri-si, Gyeonggi-do, 471-701, Republic of Korea. 
      chosy@hanyang.ac.kr.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
TT  - Etude randomisee comparant l'efficacite de l'intubation nasale avec un 
      videolaryngoscope et une pince Magill versus une pince vasculaire chez des 
      patients ayant des voies aeriennes normales.
DEP - 20170926
PL  - United States
TA  - Can J Anaesth
JT  - Canadian journal of anaesthesia = Journal canadien d'anesthesie
JID - 8701709
RN  - 142M471B3J (Carbon Dioxide)
SB  - IM
CIN - Can J Anaesth. 2018 Jul;65(7):856-857. PMID: 29589324
CIN - Can J Anaesth. 2018 Jul;65(7):858. PMID: 29589325
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Carbon Dioxide/analysis
MH  - Elective Surgical Procedures/instrumentation/methods
MH  - Epistaxis/epidemiology
MH  - Equipment Design
MH  - Female
MH  - Humans
MH  - Intubation, Intratracheal/instrumentation/*methods
MH  - *Laryngoscopes
MH  - Laryngoscopy/instrumentation/*methods
MH  - Male
MH  - Middle Aged
MH  - Pharyngitis/epidemiology
MH  - Surgical Instruments
MH  - Time Factors
MH  - Video Recording
MH  - Young Adult
PMC - PMC5683062
EDAT- 2017/09/28 06:00
MHDA- 2018/06/23 06:00
PMCR- 2017/09/26
CRDT- 2017/09/28 06:00
PHST- 2017/03/22 00:00 [received]
PHST- 2017/09/13 00:00 [accepted]
PHST- 2017/08/03 00:00 [revised]
PHST- 2017/09/28 06:00 [pubmed]
PHST- 2018/06/23 06:00 [medline]
PHST- 2017/09/28 06:00 [entrez]
PHST- 2017/09/26 00:00 [pmc-release]
AID - 10.1007/s12630-017-0971-4 [pii]
AID - 971 [pii]
AID - 10.1007/s12630-017-0971-4 [doi]
PST - ppublish
SO  - Can J Anaesth. 2017 Dec;64(12):1176-1181. doi: 10.1007/s12630-017-0971-4. Epub 
      2017 Sep 26.