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Direct versus indirect epiglottis elevation in cervical spine movement during videolaryngoscopic intubation under manual in-line stabilization: a randomized controlled trial
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Choi, Seungeun | - |
dc.contributor.author | Lee, Dong Ju | - |
dc.contributor.author | Shin, Kyung Won | - |
dc.contributor.author | Kim, Yoon Jung | - |
dc.contributor.author | Park, Hee-Pyoung | - |
dc.contributor.author | Oh, Hyongmin | - |
dc.date.accessioned | 2023-09-14T05:56:14Z | - |
dc.date.available | 2023-09-14T14:56:35Z | - |
dc.date.issued | 2023-09-07 | - |
dc.identifier.citation | BMC Anesthesiology, Vol.23(1):303 | ko_KR |
dc.identifier.issn | 1471-2253 | - |
dc.identifier.uri | https://hdl.handle.net/10371/195555 | - |
dc.description.abstract | Background
During videolaryngoscopic intubation, direct epiglottis elevation provides a higher percentage of glottic opening score than indirect epiglottis elevation. In this randomized controlled trial, we compared cervical spine movement during videolaryngoscopic intubation under manual in-line stabilization between the two glottis exposure methods. Methods Videolaryngoscopic intubation under manual in-line stabilization was performed using C-MAC® D-blade: direct (n = 51) and indirect (n = 51) epiglottis elevation groups. The percentage of glottic opening score was set equally at 50% during videolaryngoscopic intubation in both groups. The primary outcome measure was cervical spine movement during videolaryngoscopic intubation at the occiput–C1, C1–C2, and C2–C5. The secondary outcome measures included intubation performance (intubation success rate and intubation time). Results Cervical spine movement during videolaryngoscopic intubation was significantly smaller at the occiput–C1 in the direct epiglottis elevation group than in the indirect epiglottis elevation group (mean [standard deviation] 3.9 [4.0] vs. 5.8 [3.4] °, P = 0.011), whereas it was not significantly different at the C1–C2 and C2–C5 between the two groups. All intubations were successful on the first attempt, achieving a percentage of glottic opening score of 50% in both groups. Intubation time was longer in the direct epiglottis elevation group (median [interquartile range] 29.0 [24.0–35.0] vs. 22.0 [18.0–27.0] s, P < 0.001). Conclusions When performing videolaryngoscopic intubation under manual in-line stabilization, direct epiglottis elevation can be more beneficial than indirect epiglottis elevation in reducing cervical spine movement during videolaryngoscopic intubation at the occiput–C1. | ko_KR |
dc.language.iso | en | ko_KR |
dc.publisher | BMC | ko_KR |
dc.subject | Cervical spine movement | - |
dc.subject | Videolaryngoscopic intubation | - |
dc.subject | Glottis exposure method | - |
dc.subject | Direct epiglottis elevation | - |
dc.subject | Indirect epiglottis elevation | - |
dc.title | Direct versus indirect epiglottis elevation in cervical spine movement during videolaryngoscopic intubation under manual in-line stabilization: a randomized controlled trial | ko_KR |
dc.type | Article | ko_KR |
dc.identifier.doi | 10.1186/s12871-023-02259-x | ko_KR |
dc.citation.journaltitle | BMC Anesthesiology | ko_KR |
dc.language.rfc3066 | en | - |
dc.rights.holder | BioMed Central Ltd., part of Springer Nature | - |
dc.date.updated | 2023-09-10T03:10:23Z | - |
dc.citation.volume | 23 | ko_KR |
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