Comparison of the Clinical Use of Macintosh and Miller Laryngoscopes for Orotracheal Intubation by Second-Month Nurse Students in Anesthesiology
Aim. The aim of this study is to compare the clinical feasibility of Macintosh and Miller laryngoscopes for tracheal intubation in non-experienced users in anesthetized patients. Patients and Methods. 119 patients were randomized into the Macintosh group (59) and the Miller group (60). The primary o...
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th-mahidol.296642018-09-24T16:28:28Z Comparison of the Clinical Use of Macintosh and Miller Laryngoscopes for Orotracheal Intubation by Second-Month Nurse Students in Anesthesiology Somchai Amornyotin Ungkab Prakanrattana Phongthara Vichitvejpaisal Thantima Vallisut Neunghathai Kunanont Ladda Permpholprasert Mahidol University Medicine Aim. The aim of this study is to compare the clinical feasibility of Macintosh and Miller laryngoscopes for tracheal intubation in non-experienced users in anesthetized patients. Patients and Methods. 119 patients were randomized into the Macintosh group (59) and the Miller group (60). The primary outcome variable was successful tracheal intubation. The secondary outcome variables were number of insertion attempt, intubation time needed, total time to intubation, hemodynamic change and complications. Results. All patients were successfully intubated using the Macintosh, whereas 13 patients (21.6) were failed with the Miller (P <.001). The Macintosh significantly reduced the mean total time to intubation (P <.001). There were significant differences in the mean blood pressure at 2 minutes after laryngoscope insertion, immediately, and 2 minutes after tracheal intubation and in the mean heart rate at the laryngoscope insertion, immediately, and at 2 minutes after tracheal intubation between the two groups. Overall complications in both were not significantly different. Conclusion. Orotracheal intubation using the Macintosh is an effective and safe technique in non-experienced hands with significantly increased success rate as well as decreased mean total time to intubation as compare to the Miller. However, these intubations only apply to selected patients deemed to have normal airways. © 2010 Somchai Amornyotin et al. 2018-09-24T09:28:28Z 2018-09-24T09:28:28Z 2010-05-03 Article Anesthesiology Research and Practice. Vol.2010, (2010) 10.1155/2010/432846 16876970 16876962 2-s2.0-77951593593 https://repository.li.mahidol.ac.th/handle/123456789/29664 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=77951593593&origin=inward |
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Medicine Somchai Amornyotin Ungkab Prakanrattana Phongthara Vichitvejpaisal Thantima Vallisut Neunghathai Kunanont Ladda Permpholprasert Comparison of the Clinical Use of Macintosh and Miller Laryngoscopes for Orotracheal Intubation by Second-Month Nurse Students in Anesthesiology |
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Aim. The aim of this study is to compare the clinical feasibility of Macintosh and Miller laryngoscopes for tracheal intubation in non-experienced users in anesthetized patients. Patients and Methods. 119 patients were randomized into the Macintosh group (59) and the Miller group (60). The primary outcome variable was successful tracheal intubation. The secondary outcome variables were number of insertion attempt, intubation time needed, total time to intubation, hemodynamic change and complications. Results. All patients were successfully intubated using the Macintosh, whereas 13 patients (21.6) were failed with the Miller (P <.001). The Macintosh significantly reduced the mean total time to intubation (P <.001). There were significant differences in the mean blood pressure at 2 minutes after laryngoscope insertion, immediately, and 2 minutes after tracheal intubation and in the mean heart rate at the laryngoscope insertion, immediately, and at 2 minutes after tracheal intubation between the two groups. Overall complications in both were not significantly different. Conclusion. Orotracheal intubation using the Macintosh is an effective and safe technique in non-experienced hands with significantly increased success rate as well as decreased mean total time to intubation as compare to the Miller. However, these intubations only apply to selected patients deemed to have normal airways. © 2010 Somchai Amornyotin et al. |
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Mahidol University |
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Mahidol University Somchai Amornyotin Ungkab Prakanrattana Phongthara Vichitvejpaisal Thantima Vallisut Neunghathai Kunanont Ladda Permpholprasert |
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Article |
author |
Somchai Amornyotin Ungkab Prakanrattana Phongthara Vichitvejpaisal Thantima Vallisut Neunghathai Kunanont Ladda Permpholprasert |
author_sort |
Somchai Amornyotin |
title |
Comparison of the Clinical Use of Macintosh and Miller Laryngoscopes for Orotracheal Intubation by Second-Month Nurse Students in Anesthesiology |
title_short |
Comparison of the Clinical Use of Macintosh and Miller Laryngoscopes for Orotracheal Intubation by Second-Month Nurse Students in Anesthesiology |
title_full |
Comparison of the Clinical Use of Macintosh and Miller Laryngoscopes for Orotracheal Intubation by Second-Month Nurse Students in Anesthesiology |
title_fullStr |
Comparison of the Clinical Use of Macintosh and Miller Laryngoscopes for Orotracheal Intubation by Second-Month Nurse Students in Anesthesiology |
title_full_unstemmed |
Comparison of the Clinical Use of Macintosh and Miller Laryngoscopes for Orotracheal Intubation by Second-Month Nurse Students in Anesthesiology |
title_sort |
comparison of the clinical use of macintosh and miller laryngoscopes for orotracheal intubation by second-month nurse students in anesthesiology |
publishDate |
2018 |
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https://repository.li.mahidol.ac.th/handle/123456789/29664 |
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1763488356302323712 |