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A novel technique of handling the blade for videolaryngoscopy intubation in patients with a semi-rigid neck collar: a prospective randomized controlled trial
DC Field | Value | Language |
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dc.contributor.author | 김도형 | - |
dc.contributor.author | 김명화 | - |
dc.contributor.author | 김지영 | - |
dc.contributor.author | 이종석 | - |
dc.date.accessioned | 2023-11-07T08:16:11Z | - |
dc.date.available | 2023-11-07T08:16:11Z | - |
dc.date.issued | 2023-10 | - |
dc.identifier.issn | 2005-6419 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/196631 | - |
dc.description.abstract | Background: Semi-rigid neck collars to protect the cervical spine can limit the extent of neck movement and mouth opening; this may further complicate orotracheal intubation. We aimed to compare intubation environments obtained with videolaryngoscopy using the technique of gliding a blade under the epiglottis and that obtained using the conventional Macintosh blade technique of blade tip placement on the vallecula. Methods: This prospective randomized study included patients aged ≥ 20 years with American Society of Anesthesiologists physical status I-III scheduled for cervical spine surgery between October 2020 and August 2021. Patients were divided into two groups according to the placement of the blade of the McGrathTM videolaryngoscope: the gliding and conventional groups. The percentage of glottic opening (POGO) score was the primary endpoint. We also recorded the time to obtain the optimal laryngoscopic view, intubation duration, and ease and satisfaction of the researcher performing intubation. Results: Among 176 patients, the POGO scores were significantly higher in the gliding group than in the conventional group (88.9 ± 14.7 vs. 63.8 ± 27.4, P < 0.001). The time to achieve the optimal glottic view for intubation and duration of intubation were also shorter, and ease and satisfaction in performing intubation were better in the gliding group than in the conventional group. Conclusion: Our findings demonstrated a superior glottic view and more favorable intubation environments when the blade tip was placed under the epiglottis than using the conventional Macintosh technique in patients with immobilized cervical spine. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean, English | - |
dc.publisher | 대한마취과학회 | - |
dc.relation.isPartOf | KOREAN JOURNAL OF ANESTHESIOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Cervical Vertebrae / diagnostic imaging | - |
dc.subject.MESH | Cervical Vertebrae / surgery | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Intubation, Intratracheal / methods | - |
dc.subject.MESH | Laryngoscopes* | - |
dc.subject.MESH | Laryngoscopy* / methods | - |
dc.subject.MESH | Prospective Studies | - |
dc.title | A novel technique of handling the blade for videolaryngoscopy intubation in patients with a semi-rigid neck collar: a prospective randomized controlled trial | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) | - |
dc.contributor.googleauthor | Myoung Hwa Kim | - |
dc.contributor.googleauthor | Ji Young Kim | - |
dc.contributor.googleauthor | Jong Seok Lee | - |
dc.contributor.googleauthor | Arim Jo | - |
dc.contributor.googleauthor | Do-Hyeong Kim | - |
dc.identifier.doi | 10.4097/kja.22733 | - |
dc.contributor.localId | A00390 | - |
dc.contributor.localId | A00429 | - |
dc.contributor.localId | A00977 | - |
dc.contributor.localId | A03141 | - |
dc.relation.journalcode | J01963 | - |
dc.identifier.eissn | 2005-7563 | - |
dc.identifier.pmid | 36912005 | - |
dc.subject.keyword | Airway management | - |
dc.subject.keyword | Cervical vertebrae | - |
dc.subject.keyword | Glottis | - |
dc.subject.keyword | Immobilization | - |
dc.subject.keyword | Intratracheal intubation | - |
dc.subject.keyword | Laryngoscopes | - |
dc.contributor.alternativeName | Kim, Do Hyeong | - |
dc.contributor.affiliatedAuthor | 김도형 | - |
dc.contributor.affiliatedAuthor | 김명화 | - |
dc.contributor.affiliatedAuthor | 김지영 | - |
dc.contributor.affiliatedAuthor | 이종석 | - |
dc.citation.volume | 76 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 451 | - |
dc.citation.endPage | 460 | - |
dc.identifier.bibliographicCitation | KOREAN JOURNAL OF ANESTHESIOLOGY, Vol.76(5) : 451-460, 2023-10 | - |
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