Comparison of video laryngoscope and direct laryngoscope for endotracheal intubation across different body mass index categories: A prospective study

The aim is to compare video laryngoscopy (VL) and Macintosh blade direct laryngoscopy according to the intubation difficulty scale (IDS) in patients with ASA 1 and Mallampati score I (C-MAC-D blade) according to body mass index (BMI). A total of 180 patients aged 18-70 years, scheduled for elective...

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Main Authors: Gulay Esen, Arzu Acikel
Format: Article
Language:English
Published: Society of Turaz Bilim 2024-04-01
Series:Medicine Science
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Online Access:https://www.medicinescience.org/?mno=217678
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author Gulay Esen
Arzu Acikel
author_facet Gulay Esen
Arzu Acikel
author_sort Gulay Esen
collection DOAJ
description The aim is to compare video laryngoscopy (VL) and Macintosh blade direct laryngoscopy according to the intubation difficulty scale (IDS) in patients with ASA 1 and Mallampati score I (C-MAC-D blade) according to body mass index (BMI). A total of 180 patients aged 18-70 years, scheduled for elective surgery under general anesthesia with ASA 1-2, Mallampati score I, and BMI>18 kg/m² were included. DL and VL were performed in 50% of patients. Patients were randomly assigned to six groups based on BMI and laryngoscopy type. During intubation, data on the number of tubes used, number of anesthetists attempting intubation, number of alternative techniques employed, C-L score (C-L), laryngoscopy suspension power, application of external pressure, and vocal cord imaging were recorded, and IDS was calculated. Notable variations were detected in mouth opening, thyromental distance, and C-L and IDS levels across different laryngoscopy methods. Patients in the VL group exhibited a greater frequency of mouth opening of [Med-Science 2024; 13(4.000): 921-9]
format Article
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institution Kabale University
issn 2147-0634
language English
publishDate 2024-04-01
publisher Society of Turaz Bilim
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spelling doaj-art-f13c9815fa8c467085e161767e40ba0d2025-02-07T08:49:23ZengSociety of Turaz BilimMedicine Science2147-06342024-04-01134921910.5455/medscience.2024.08.103217678Comparison of video laryngoscope and direct laryngoscope for endotracheal intubation across different body mass index categories: A prospective studyGulay Esen0Arzu Acikel1Department of Anesthesiology, Sivas Gemerek State Hospital, Sivas, Turkey Department of Anesthesiology, Celal Bayar Univercity, Hafsa Sultan Hospital, Manisa, TurkeyThe aim is to compare video laryngoscopy (VL) and Macintosh blade direct laryngoscopy according to the intubation difficulty scale (IDS) in patients with ASA 1 and Mallampati score I (C-MAC-D blade) according to body mass index (BMI). A total of 180 patients aged 18-70 years, scheduled for elective surgery under general anesthesia with ASA 1-2, Mallampati score I, and BMI>18 kg/m² were included. DL and VL were performed in 50% of patients. Patients were randomly assigned to six groups based on BMI and laryngoscopy type. During intubation, data on the number of tubes used, number of anesthetists attempting intubation, number of alternative techniques employed, C-L score (C-L), laryngoscopy suspension power, application of external pressure, and vocal cord imaging were recorded, and IDS was calculated. Notable variations were detected in mouth opening, thyromental distance, and C-L and IDS levels across different laryngoscopy methods. Patients in the VL group exhibited a greater frequency of mouth opening of [Med-Science 2024; 13(4.000): 921-9]https://www.medicinescience.org/?mno=217678body mass indexvideo laryngoscopemacintosh direct laryngoscopeintubation difficulty scale
spellingShingle Gulay Esen
Arzu Acikel
Comparison of video laryngoscope and direct laryngoscope for endotracheal intubation across different body mass index categories: A prospective study
Medicine Science
body mass index
video laryngoscope
macintosh direct laryngoscope
intubation difficulty scale
title Comparison of video laryngoscope and direct laryngoscope for endotracheal intubation across different body mass index categories: A prospective study
title_full Comparison of video laryngoscope and direct laryngoscope for endotracheal intubation across different body mass index categories: A prospective study
title_fullStr Comparison of video laryngoscope and direct laryngoscope for endotracheal intubation across different body mass index categories: A prospective study
title_full_unstemmed Comparison of video laryngoscope and direct laryngoscope for endotracheal intubation across different body mass index categories: A prospective study
title_short Comparison of video laryngoscope and direct laryngoscope for endotracheal intubation across different body mass index categories: A prospective study
title_sort comparison of video laryngoscope and direct laryngoscope for endotracheal intubation across different body mass index categories a prospective study
topic body mass index
video laryngoscope
macintosh direct laryngoscope
intubation difficulty scale
url https://www.medicinescience.org/?mno=217678
work_keys_str_mv AT gulayesen comparisonofvideolaryngoscopeanddirectlaryngoscopeforendotrachealintubationacrossdifferentbodymassindexcategoriesaprospectivestudy
AT arzuacikel comparisonofvideolaryngoscopeanddirectlaryngoscopeforendotrachealintubationacrossdifferentbodymassindexcategoriesaprospectivestudy