Comparing the “Sniffing position” with neutral position for intubation difficulty score (IDS) in Hyperangulated video laryngoscope assisting intubation
Keywords:
Sniffing position, Hyperangulated video laryngoscope, Endotracheal tube intubationAbstract
Purpose: To compare the “Sniffing position” with neutral position for intubation difficulty score (IDS) in Hyperangulated video laryngoscope assisting intubation.
Study design: A randomized controlled trial.
Materials and Methods: A randomized-controlled trial involved 94 patients who undergoing surgery under general anesthesia with endotracheal tube intubation. Patients were randomly allocated to undergo intubation using a hyperangulated video laryngoscope (C-MAC Video Laryngoscope D-BLADE) with Sniffing position (n=47) or neutral position (n=47).
Main findings: The intubation difficulty score (IDS) did not differ between Sniffing group and Neutral group. The total intubation time of Sniffing group was statistically shorter than the Neutral group which the median of total intubation time was 25.5 (22.3-28.6) seconds และ 28.9 (25.7-33.9) seconds respectively (p< .001).
Conclusion and recommendations: Hyperangulated video laryngoscope assisting intubation in the sniffing position demonstrated no significant difference in Intubation Difficulty Score (IDS) compared to the neutral position but resulted in a significantly shorter intubation time.
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