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Randomised Comparison of Pentax AirwayScope and Glidescope for Tracheal Intubation in Patients with Normal Airway Anatomy

Overview
Journal Anaesthesia
Specialty Anesthesiology
Date 2009 Sep 9
PMID 19735405
Citations 17
Authors
W H L Teoh
M K Shah
A T H Sia
Affiliations
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Abstract

We compared intubating characteristics of the Pentax AirwayScope and Glidescope in a randomised controlled trial involving 140 patients. We found significantly shorter intubation times with mean (SD) 21.3 (12.3) vs 30.2 (13.2) s, lower intubating difficulty scores 4.4 (10.4) vs 12.8 (16.3) p < 0.001, and better grade 1 laryngeal views with the Pentax AirwayScope (95.7 vs 81.4%, p = 0.015). Significantly more optimisation manoeuvres were needed to successfully intubate with the Glidescope, with significant inability to align the tip of the tracheal tube with the glottic opening with the Glidescope in 9 (13%) vs no patients, p = 0.013. There was more mucosal bleeding (4 (5.7%) vs 1 (1.4%), p = 0.366), more lip bleeding (3 (4.3%) vs 1 (1.4%), p = 0.620) and significantly more postoperative sorethroat, 13 (18.6%) vs 0, p < 0.001 associated with the Glidescope.

Citing Articles

Effects of GlideScope, Pentax Airway Scope, and Macintosh Blade on the incidence of postoperative sore throat: a cohort study of 9,881 patients.

Fu C, Sung C BMC Anesthesiol. 2024; 24(1):409.

PMID: 39533185 PMC: 11555873. DOI: 10.1186/s12871-024-02798-x.

A Prospective Randomized Controlled Trial of the Effect of Maintenance of Continuous Cuff Pressures (20 cmH2O vs 30 cmH2O) on Postoperative Airway Symptoms in Laparoscopic Surgeries.

Mami M, Edanaga M, Mizuguchi H, Sugimoto M, Yamamoto S, Yamakage M Cureus. 2023; 15(10):e47816.

PMID: 38022225 PMC: 10679786. DOI: 10.7759/cureus.47816.

Hemodynamic response related to the Airway Scope versus the Macintosh laryngoscope: A systematic review and meta-analysis with trial sequential analysis.

Nagumo T, Hoshijima H, Maruyama K, Mihara T, Mieda T, Sato Boku A Medicine (Baltimore). 2023; 102(8):e33047.

PMID: 36827056 PMC: 11309650. DOI: 10.1097/MD.0000000000033047.

Comparisons of Videolaryngoscopes for Intubation Undergoing General Anesthesia: Systematic Review and Network Meta-Analysis of Randomized Controlled Trials.

Lee J, Cho Y, Kim W, Choi K, Jang B, Shin H J Pers Med. 2022; 12(3).

PMID: 35330362 PMC: 8954588. DOI: 10.3390/jpm12030363.

A Literature Review of Factors Related to Postoperative Sore Throat.

Mitobe Y, Yamaguchi Y, Baba Y, Yoshioka T, Nakagawa K, Itou T J Clin Med Res. 2022; 14(2):88-94.

PMID: 35317364 PMC: 8912995. DOI: 10.14740/jocmr4665.