RT Journal Article
T1 Impact of Universal Use of the McGrath Videolaryngoscope as a Device for All Intubations in the Cardiac Operating Room. A Prospective Before-After VIDEOLAR-CAR Study
A1 Taboada, Manuel
A1 Seoane-Pillado, Teresa
AB ObjectiveTracheal intubation in cardiac surgery patients has a higher incidence of difficult laryngoscopic views compared with patients undergoing other types of surgery. The authors hypothesized that using the McGrath Mac videolaryngoscope as the first intubation option for cardiac surgery patients improves the percentage of patients with “easy intubation” compared with using a direct Macintosh laryngoscope.DesignA prospective, observational, before-after study.SettingAt a tertiary-care hospital.ParticipantsOne thousand one hundred nine patients undergoing cardiac surgery.InterventionConsecutive patients undergoing cardiac surgery were intubated using, as the first option, a Macintosh laryngoscope (preinterventional phase) or a McGrath Mac videolaryngoscope (interventional phase).Measurements and Main ResultsThe main objective was to assess whether the use of the McGrath videolaryngoscope, as the first intubation option, improves the percentage of patients with “easy intubation,” defined as successful intubation on the first attempt, modified Cormack-Lehane grades of I or IIa, and the absence of the need for adjuvant airway devices. A total of 1,109 patients were included, 801 in the noninterventional phase and 308 in the interventional phase. The incidence of “easy intubation” was 93% in the interventional phase versus 78% in the noninterventional phase (p < 0.001). First-success-rate intubation was higher in the interventional phase (304/308; 98.7%) compared with the noninterventional phase (754/801, 94.1%; p = 0.005). Intubation in the interventional phase showed decreases in the incidence of difficult laryngoscopy (12/308 [3.9%] v 157/801 [19.6%]; p < 0.001), as well as moderate or difficult intubation (5/308 [1.6%] v 57/801 [7.1%]; p < 0.001).ConclusionsThe use of the McGrath videolaryngoscope as the first intubation option for tracheal intubation in cardiac surgery improves the percentage of patients with “easy” intubation,” increasing glottic view and first-success-rate intubation and decreasing the incidence of moderate or difficult intubation.
PB Elsevier
SN 1053-0770
YR 2024
FD 2024
LK http://hdl.handle.net/10347/34253
UL http://hdl.handle.net/10347/34253
LA eng
NO Journal of Cardiothoracic and Vascular Anesthesia Volume 38, Issue 7, July 2024, Pages 1499-1505
DS Minerva
RD 30 abr 2026