Intubation of non-difficult airways using video laryngoscope versus direct laryngoscope: a randomized, parallel-group study

Abstract

Abstract Background The video laryngoscope is recommended for intubating difficult airways. The present study aimed to determine whether the video laryngoscope can further improve intubation success rates compared with the direct laryngoscope in patients with non-difficult airways. Methods In total, 360 patients scheduled for elective abdominal surgeries were randomly assigned to undergo intubation using either a video laryngoscope (n = 179) or a direct laryngoscope (n = 181). The following parameters were measured: mouth opening; thyromental distance; sternomental distance; shape angle of the tracheal catheter; and glottic exposure grade. Results The percentage of patients with level I-II of total glottic exposure in the video laryngoscope group was 100% versus 63.5% in the direct laryngoscope group (P 2 days. Conclusions Intubation using a video laryngoscope yielded significantly higher intubation success rates and significantly fewer postoperative complications than direct laryngoscopy in patients with non-difficult airways. Trial registration Chinese Clinical Trial Registry. No: ChiCTR-IOR-16009023. Prospective registration.

Keywords

• Intubation
• Anesthesia
• Glottic exposure
• Abdominal surgery