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Article: A clinical comparison of the Flexiblade™ and Macintosh laryngoscopes for laryngeal exposure in anesthetized adults

TitleA clinical comparison of the Flexiblade™ and Macintosh laryngoscopes for laryngeal exposure in anesthetized adults
Authors
Issue Date2006
PublisherLippincott, Williams & Wilkins. The Journal's web site is located at http://www.anesthesia-analgesia.org
Citation
Anesthesia And Analgesia, 2006, v. 102 n. 2, p. 626-630 How to Cite?
AbstractThe Flexiblade™ is a laryngoscope with a flexible blade. To evaluate the efficacy of the Flexiblade™ compared with the classic Macintosh laryngoscope, we performed a clinical study in 200 paralyzed patients undergoing elective surgery requiring general anesthesia and endotracheal intubation. Direct laryngoscopy was performed with a size 3 Macintosh laryngoscope and the Flexiblade™, with and without activation of the lever. The laryngeal views were recorded, without manipulation, according to the Cormack and Lehane classification. No laryngoscopic view obtained by the Macintosh blade was worse than that obtained by the Flexiblade™ without the lever activated. The Macintosh blade improved 58.5% of non-Grade I views obtained by the Flexiblade™ with its lever not activated. However, when the Flexiblade™ lever was activated, 39.6% of non-Grade I views obtained by the Macintosh blade were improved, whereas 84.5% of non-Grade I views obtained by the inactivated Flexiblade™ were improved. Activating the Flexiblade™ lever never caused a deterioration of view. In only one case was the view better with the Macintosh blade than that with the activated Flexiblade™. We conclude that the Flexiblade™, after lever activation, is significantly better than the Macintosh laryngoscope for laryngeal visualization in paralyzed adults (P < 0.0001). ©2006 by the International Anesthesia Research Society.
Persistent Identifierhttp://hdl.handle.net/10722/147226
ISSN
2015 Impact Factor: 3.827
2015 SCImago Journal Rankings: 1.523
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorCheung, RWWen_US
dc.contributor.authorIrwin, MGen_US
dc.contributor.authorLaw, BCWen_US
dc.contributor.authorChan, CKen_US
dc.date.accessioned2012-05-29T06:00:54Z-
dc.date.available2012-05-29T06:00:54Z-
dc.date.issued2006en_US
dc.identifier.citationAnesthesia And Analgesia, 2006, v. 102 n. 2, p. 626-630en_US
dc.identifier.issn0003-2999en_US
dc.identifier.urihttp://hdl.handle.net/10722/147226-
dc.description.abstractThe Flexiblade™ is a laryngoscope with a flexible blade. To evaluate the efficacy of the Flexiblade™ compared with the classic Macintosh laryngoscope, we performed a clinical study in 200 paralyzed patients undergoing elective surgery requiring general anesthesia and endotracheal intubation. Direct laryngoscopy was performed with a size 3 Macintosh laryngoscope and the Flexiblade™, with and without activation of the lever. The laryngeal views were recorded, without manipulation, according to the Cormack and Lehane classification. No laryngoscopic view obtained by the Macintosh blade was worse than that obtained by the Flexiblade™ without the lever activated. The Macintosh blade improved 58.5% of non-Grade I views obtained by the Flexiblade™ with its lever not activated. However, when the Flexiblade™ lever was activated, 39.6% of non-Grade I views obtained by the Macintosh blade were improved, whereas 84.5% of non-Grade I views obtained by the inactivated Flexiblade™ were improved. Activating the Flexiblade™ lever never caused a deterioration of view. In only one case was the view better with the Macintosh blade than that with the activated Flexiblade™. We conclude that the Flexiblade™, after lever activation, is significantly better than the Macintosh laryngoscope for laryngeal visualization in paralyzed adults (P < 0.0001). ©2006 by the International Anesthesia Research Society.en_US
dc.languageengen_US
dc.publisherLippincott, Williams & Wilkins. The Journal's web site is located at http://www.anesthesia-analgesia.orgen_US
dc.relation.ispartofAnesthesia and Analgesiaen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAnesthesia, Generalen_US
dc.subject.meshEquipment Designen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIntubation, Intratrachealen_US
dc.subject.meshLaryngoscopesen_US
dc.subject.meshLaryngoscopyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.titleA clinical comparison of the Flexiblade™ and Macintosh laryngoscopes for laryngeal exposure in anesthetized adultsen_US
dc.typeArticleen_US
dc.identifier.emailIrwin, MG:mgirwin@hku.hken_US
dc.identifier.authorityIrwin, MG=rp00390en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1213/01.ane.0000185035.89265.3cen_US
dc.identifier.pmid16428574-
dc.identifier.scopuseid_2-s2.0-31444438662en_US
dc.identifier.hkuros109430-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-31444438662&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume102en_US
dc.identifier.issue2en_US
dc.identifier.spage626en_US
dc.identifier.epage630en_US
dc.identifier.isiWOS:000234912900057-
dc.publisher.placeUnited Statesen_US

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