Comparing GlideScope Video Laryngoscope and Macintosh Laryngoscope Regarding Hemodynamic Responses During Orotracheal Intubation: A Randomized Controlled Trial

Overview

Journal Iran Red Crescent Med J

Specialty General Medicine

Date 2014 Jun 10

PMID 24910788

Citations 19

Authors

Ali Reza Pournajafian

Mohammad Reza Ghodraty

Seyed Hamid Reza Faiz

Poupak Rahimzadeh

Hamidreza Goodarzynejad

Enseyeh Dogmehchi

Affiliations

Soon will be listed here.

Abstract

Background: To determine if the GlideScope® videolaryngoscope (GVL) could attenuate the hemodynamic responses to orotracheal intubation compared with conventional Macintosh laryngoscope.

Objectives: The aim of this relatively large randomized trial was to compare the hemodynamic stress responses during laryngoscopy and tracheal intubation using GVL versus MCL amongst healthy adult individuals receiving general anesthesia for elective surgeries.

Patients And Methods: Ninety five healthy adult patients with American Society of Anesthesiologists physical status class I or II that were scheduled for elective surgery under general anesthesia were randomly allocated to either Macintosh or GlideScope arms. All patients received a standardized protocol of general anesthesia. Hemodynamic changes associated with intubation were recorded before and at 1, 3 and 5 minutes after the intubation. The time taken to perform endotracheal intubation was also noted in both groups.

Results: Immediately before laryngoscopy (pre-laryngoscopy), the values of all hemodynamic variables did not differ significantly between the two groups (All P values > 0.05). Blood pressures and HR values changed significantly over time within the groups. Time to intubation was significantly longer in the GlideScope (15.9 ± 6.7 seconds) than in the Macintosh group (7.8 ± 3.7 sec) (P< 0.001). However, there were no significant differences between the two groups in hemodynamic responses at all time points.

Conclusions: The longer intubation time using GVL suggests that the benefit of GVL could become apparent if the time taken for orotracheal intubation could be decreased in GlideScope group.

Citing Articles

Comparative study of the effect of two different doses of intravenous labetalol on the cardiovascular response to endotracheal extubation.

Shetabi H, Nazemroaya B, Mahjobipoor H, Majidi S J Cardiovasc Thorac Res. 2023; 15(2):98-105.

PMID: 37654815 PMC: 10466463. DOI: 10.34172/jcvtr.2023.31623.

Videolaryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation.

Hansel J, Rogers A, Lewis S, Cook T, Smith A Cochrane Database Syst Rev. 2022; 4():CD011136.

PMID: 35373840 PMC: 8978307. DOI: 10.1002/14651858.CD011136.pub3.

Effect of N-Acetylcysteine on the treatment of acute respiratory distress syndrome in mechanically ventilated patients admitted to the intensive care unit.

Ghorbi M, Rashidi M, Olapour A, Javaherforooshzadeh F, Akhondzadeh R Med J Islam Repub Iran. 2021; 35:87.

PMID: 34291011 PMC: 8285549. DOI: 10.47176/mjiri.35.87.

Clinical Features and Prognosis of Invasive Ventilation in Hospitalized Patients with COVID-19: A Retrospective Study.

Rahimzadeh P, Faiz H, Farahmandrad R, Hassanlouei B, Habibi A, Emami S Anesth Pain Med. 2021; 10(6):e108773.

PMID: 34150575 PMC: 8207877. DOI: 10.5812/aapm.108773.

Haemodynamic responses following orotracheal intubation in patients with hypertension---Macintosh direct laryngoscope versus Glidescope®videolaryngoscope.

Meshram T, Ramachandran R, Trikha A, Rewari V Indian J Anaesth. 2021; 65(4):321-327.

PMID: 34103747 PMC: 8174590. DOI: 10.4103/ija.IJA_417_20.

References

Turkstra T, Craen R, Pelz D, Gelb A . Cervical spine motion: a fluoroscopic comparison during intubation with lighted stylet, GlideScope, and Macintosh laryngoscope. Anesth Analg. 2005; 101(3):910-915. DOI: 10.1213/01.ane.0000166975.38649.27. View

Pott L, Murray W . Review of video laryngoscopy and rigid fiberoptic laryngoscopy. Curr Opin Anaesthesiol. 2008; 21(6):750-8. DOI: 10.1097/ACO.0b013e3283184227. View

Hirabayashi Y, Hiruta M, Kawakami T, Inoue S, Fukuda H, Saitoh K . Effects of lightwand (Trachlight) compared with direct laryngoscopy on circulatory responses to tracheal intubation. Br J Anaesth. 1998; 81(2):253-5. DOI: 10.1093/bja/81.2.253. View

Shribman A, Smith G, Achola K . Cardiovascular and catecholamine responses to laryngoscopy with and without tracheal intubation. Br J Anaesth. 1987; 59(3):295-9. DOI: 10.1093/bja/59.3.295. View

Mort T . Complications of emergency tracheal intubation: hemodynamic alterations--part I. J Intensive Care Med. 2007; 22(3):157-65. DOI: 10.1177/0885066607299525. View

Cooper R . Use of a new videolaryngoscope (GlideScope) in the management of a difficult airway. Can J Anaesth. 2003; 50(6):611-3. DOI: 10.1007/BF03018651. View

Eberhart L, Arndt C, Cierpka T, Schwanekamp J, Wulf H, Putzke C . The reliability and validity of the upper lip bite test compared with the Mallampati classification to predict difficult laryngoscopy: an external prospective evaluation. Anesth Analg. 2005; 101(1):284-9, table of contents. DOI: 10.1213/01.ANE.0000154535.33429.36. View

Adachi Y, Takamatsu I, Watanabe K, Uchihashi Y, Higuchi H, Satoh T . Evaluation of the cardiovascular responses to fiberoptic orotracheal intubation with television monitoring: comparison with conventional direct laryngoscopy. J Clin Anesth. 2001; 12(7):503-8. DOI: 10.1016/s0952-8180(00)00196-3. View

Malik M, Subramaniam R, Maharaj C, Harte B, Laffey J . Randomized controlled trial of the Pentax AWS, Glidescope, and Macintosh laryngoscopes in predicted difficult intubation. Br J Anaesth. 2009; 103(5):761-8. DOI: 10.1093/bja/aep266. View

10.

Sameenakousar , Mahesh , Srinivasan K . Comparison of fentanyl and clonidine for attenuation of the haemodynamic response to laryngocopy and endotracheal intubation. J Clin Diagn Res. 2013; 7(1):106-11. PMC: 3576763. DOI: 10.7860/JCDR/2012/4988.2682. View

11.

Xue F, Zhang G, Li X, Sun H, Li P, Sun H . Comparison of haemodynamic responses to orotracheal intubation with GlideScope videolaryngoscope and fibreoptic bronchoscope. Eur J Anaesthesiol. 2006; 23(6):522-6. DOI: 10.1017/S0265021506000299. View

12.

Malik M, Maharaj C, Harte B, Laffey J . Comparison of Macintosh, Truview EVO2, Glidescope, and Airwayscope laryngoscope use in patients with cervical spine immobilization. Br J Anaesth. 2008; 101(5):723-30. DOI: 10.1093/bja/aen231. View

13.

Carassiti M, Zanzonico R, Cecchini S, Silvestri S, Cataldo R, Agro F . Force and pressure distribution using Macintosh and GlideScope laryngoscopes in normal and difficult airways: a manikin study. Br J Anaesth. 2011; 108(1):146-51. DOI: 10.1093/bja/aer304. View

14.

FOREGGER R . Richard von Foregger, Ph.D., 1872-1960. Manufacturer of anesthesia equipment. Anesthesiology. 1996; 84(1):190-200. DOI: 10.1097/00000542-199601000-00021. View

15.

Kihara S, Brimacombe J, Yaguchi Y, Watanabe S, Taguchi N, KOMATSUZAKI T . Hemodynamic responses among three tracheal intubation devices in normotensive and hypertensive patients. Anesth Analg. 2003; 96(3):890-895. DOI: 10.1213/01.ANE.0000048706.15720.C9. View

16.

Davis L, Cook-Sather S, Schreiner M . Lighted stylet tracheal intubation: a review. Anesth Analg. 2000; 90(3):745-56. DOI: 10.1097/00000539-200003000-00044. View

17.

Griesdale D, Liu D, McKinney J, Choi P . Glidescope® video-laryngoscopy versus direct laryngoscopy for endotracheal intubation: a systematic review and meta-analysis. Can J Anaesth. 2011; 59(1):41-52. PMC: 3246588. DOI: 10.1007/s12630-011-9620-5. View

18.

Takahashi S, Mizutani T, Miyabe M, Toyooka H . Hemodynamic responses to tracheal intubation with laryngoscope versus lightwand intubating device (Trachlight) in adults with normal airway. Anesth Analg. 2002; 95(2):480-4, table of contents. DOI: 10.1097/00000539-200208000-00046. View

19.

Griesdale D, Chau A, Isac G, Ayas N, Foster D, Irwin C . Video-laryngoscopy versus direct laryngoscopy in critically ill patients: a pilot randomized trial. Can J Anaesth. 2012; 59(11):1032-9. DOI: 10.1007/s12630-012-9775-8. View

20.

Lim T, Lim Y, Liu E . Evaluation of ease of intubation with the GlideScope or Macintosh laryngoscope by anaesthetists in simulated easy and difficult laryngoscopy. Anaesthesia. 2005; 60(2):180-3. DOI: 10.1111/j.1365-2044.2004.04038.x. View