A comparison of bullard laryngoscope and intubating laryngeal mask using fiberoptic guidance for tracheal intubation

The purpose of this study is to compare the success rate of tracheal intubation, intubation time and laryngoscopic view of the larynx by Bullard laryngoscope or by intubating laryngeal mask using fiberoptic guidance in 50 patients. Following a standardized induction protocol, conventional laryngosco...

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Bibliographic Details
Published inMasui. The Japanese journal of anesthesiology Vol. 49; no. 7; p. 736
Main Authors Onizuka, S, Kawano, T, Takasaki, M
Format Journal Article
LanguageJapanese
Published Japan 01.07.2000
Subjects
Adolescent
Adult
Aged
Anesthesia, General
Female
Fiber Optic Technology
Humans
Intubation, Intratracheal - instrumentation
Laryngeal Masks
Laryngoscopes
Male
Middle Aged
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Summary:The purpose of this study is to compare the success rate of tracheal intubation, intubation time and laryngoscopic view of the larynx by Bullard laryngoscope or by intubating laryngeal mask using fiberoptic guidance in 50 patients. Following a standardized induction protocol, conventional laryngoscopic view by Macintosh's laryngoscope was obtained and classified by Cormack's grades. We measured the times from incertion of laryngoscopy or laryngeal mask until obtaining the best view of the larynx and until tracheal intubation. A best view by Bullard laryngoscopy or by fiberoscopy through the laryngeal mask was classified by Cormack's grades. The success rate of tracheal intubation was higher by Bullard laryngoscopy than by intubating laryngeal mask. The durations of laryngoscopy and tracheal intubation were significantly shorter and Cormack's grades were significantly lower by Bullard laryngoscopy than by laryngeal mask and fiberscopy. These results demonstrate that tracheal intubation by Bullard laryngoscope is faster and more successful compared with intubating laryngeal mask using fiberoptic guidance.
ISSN:0021-4892