ORIGINAL ARTICLE
Year : 2015  |  Volume : 9  |  Issue : 1  |  Page : 8-13

A prospective randomized comparative study between Macintosh and GlideScope in adult patients undergoing cardiac surgery


1 Department of Cardiac Anesthesia, Madinah Cardiac Center, Almadinah Almonourah Saudi Arabia; Department of Anaesthesia, Cairo University, Egypt
2 Department of Cardiology, Madinah Cardiac Center, Almadinah Almonourah, Saudi Arabia; Department of Cardiology, Sohag University, Egypt
3 Department of Cardiology, Madinah Cardiac Center, Almadinah Almonourah, Saudi Arabia
4 Department of Clinical Pathology, Madinah Cardiac Center, Saudi Arabia

Correspondence Address:
Rabie Soliman
Department of Anaesthesia, Cairo University, Egypt

Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1687-9090.160326

Rights and Permissions

Context The GlideScope laryngoscope is a new device for intubation that provides an improved view of the larynx. Aim The aim of the study was to compare the hemodynamic effect of Macintosh laryngoscope with GlideScope during intubation in adult cardiac surgery. Setting and design This was a prospective, randomized, comparative study conducted in Madinah Cardiac Center, Saudi Arabia. Materials and methods The study included 100 patients classified into two groups (n = 50), The patients were intubated either by Macintosh laryngoscope or by GlideScope. The following parameters were monitored: heart rate, mean arterial blood pressure, catecholamine level, intubation time, number of intubation trials, and the complications. Statistical analysis used Data were statistically described in terms of mean ΁ SD or frequencies. Measurements and main results The intubation time was longer in GlideScope than in Macintosh (P < 0.001), and the number of intubation trials was higher in GlideScope than in Macintosh (P < 0.001). The heart rate increased significantly in patients of the GlideScope group compared with the Macintosh group at first minute (P < 0.001), third minute (P < 0.001), and at fifth minute (P = 0.034). The mean arterial blood pressure increased significantly in patients of the GlideScope group compared with the Macintosh group at first minute (P < 0.001), third minute (P = 0.003), and at fifth minute (P = 0.029). The epinephrine level was higher with GlideScope at first and fifth minute (P = 0.032 and 0.036, respectively). The norepinephrine was higher in the GlideScope group at first and fifth minute (P = 0.043 and 0.033, respectively). The incidence of oral trauma and bleeding was higher with GlideScope than Macintosh (P = 0.003). Conclusion The intubation by GlideScope is associated with increased heart rate, blood pressure, catecholamine level, number of intubation trials, and oral complications compared with Macintosh laryngoscope.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1981    
    Printed147    
    Emailed0    
    PDF Downloaded241    
    Comments [Add]    
    Cited by others 2    

Recommend this journal