Ultrasound-guided versus Shikani optical stylet-aided tracheal intubation: a prospective randomized study

Abstract Background: To compare ultrasound-guided tracheal intubation (UGTI) versus Shikani optical stylet (SOS)-aided tracheal intubation in patients with anticipated normal airway.Methods: Sixty patients aged 18-65 years old who presented for elective surgery under general anesthesia were recruited in this prospective randomized study. They were assigned into two equal groups, either an ultrasound-guided group (Group UG, n=30) or an SOS-aided group (Group SOS, n=30). After the induction of anesthesia, the tracheal intubation was performed by a specified skilled anesthesiologist. The number of tracheal intubation attempt and the duration of successful intubation on the first attempt were recorded. Complications relative to tracheal intubation including desaturation, hoarseness and sore throat were also recorded.Results: The first-attempt success rate is 93.3% (28/30) in Group UG and 90% (27/30) in Group SOS (P=0.640). The second-attempt was all successful for the 2 and 3 patients left in the two groups, and the overall success rate of both groups was 100%. The duration of successful intubation on the first attempt of Group UG was not significantly different from that of Group SOS (34.0±20.8s vs 35.5±23.2s, P=0.784). One patient in Group SOS had desaturation (P=0.313), and there was none hoarseness in the two groups. Sore throat was detected in both group (4 in Group UG, 5 in Group SOS, P= 0.718).Conclusion: Ultrasound-guided tracheal intubation was as effective as Shikani optical stylet-aided tracheal intubation in adult patients with anticipated normal airway.Trial registration: Chinese Clinical Trial Registry, ChiCTR-IIC-17010875. Date of Registration: 15 March 2017.

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Ultrasound-guided versus Shikani optical stylet-aided tracheal intubation: a prospective randomized study

10.21203/rs.3.rs-39586/v1 ◽

2020 ◽

Author(s):

Yuanyuan Ma ◽

Yan Wang ◽

Ping Shi ◽

Xue Cao ◽

Shengjin Ge

Keyword(s):

Tracheal Intubation ◽

Success Rate ◽

Sore Throat ◽

Elective Surgery ◽

Randomized Study ◽

Prospective Randomized Study ◽

Intubation Attempt ◽

Successful Intubation ◽

Ultrasound Guided ◽

Normal Airway

Abstract Background To compare ultrasound-guided tracheal intubation (UGTI) versus Shikani optical stylet (SOS)-aided tracheal intubation in patients with anticipated normal airway.Methods Sixty patients aged 18–65 years old who presented for elective surgery under general anesthesia were recruited in this prospective randomized study. They were assigned into two equal groups, either an ultrasound-guided group (Group UG, n = 30) or an SOS-aided group (Group SOS, n = 30). After the induction of anesthesia, the tracheal intubation was performed by a specified skilled anesthesiologist. The number of tracheal intubation attempt and the duration of successful intubation on the first attempt were recorded. Complications relative to tracheal intubation including desaturation, hoarseness and sore throat were also recorded.Results The first-attempt success rate is 93.3% (28/30) in Group UG and 90% (27/30) in Group SOS (P = 0.64). The second-attempt was all successful for the 2 and 3 patients left in the two groups, and the overall success rate of both groups was 100%. The duration of successful intubation on the first attempt of Group UG was not significantly different from that of Group SOS (34.0 ± 20.8 s vs 35.5 ± 23.2 s, P = 0.784). One patient in Group SOS had desaturation (P = 0.313), and there was none hoarseness in the two groups. Sore throat was detected in both group (4 in Group UG, 5 in Group SOS, P = 0.718).Conclusion Ultrasound-guided tracheal intubation was as effective as Shikani optical stylet-aided tracheal intubation in adult patients with anticipated normal airway.Trial registration: Chinese Clinical Trial Registry, ChiCTR-IIC-17010875. Date of Registration: 15 March 2017.

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Ultrasound-guided versus Shikani optical stylet-aided tracheal intubation: a prospective randomized study

BMC Anesthesiology ◽

10.1186/s12871-020-01133-4 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Yuanyuan Ma ◽

Yan Wang ◽

Ping Shi ◽

Xue Cao ◽

Shengjin Ge

Keyword(s):

Tracheal Intubation ◽

Randomized Study ◽

Prospective Randomized Study ◽

Ultrasound Guided

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Sevoflurane at 1.0 MAC together with remifentanil and propofol produces clinically acceptable intubation conditions at the vocal cords: A prospective randomized study

Journal of International Medical Research ◽

10.1177/0300060517701355 ◽

2017 ◽

Vol 45 (3) ◽

pp. 1098-1108 ◽

Cited By ~ 1

Author(s):

Attila Ovari ◽

Ilona Bicker ◽

Susann Machmueller ◽

Tobias Schuldt ◽

Martin Sauer ◽

...

Keyword(s):

Clinical Trial ◽

Tracheal Intubation ◽

Vocal Cord ◽

Sore Throat ◽

Minimum Alveolar Concentration ◽

Randomized Study ◽

Trial Registration ◽

Prospective Clinical Trial ◽

Prospective Randomized Study ◽

Vocal Cords

Objective The overall intubation conditions after tracheal intubation with remifentanil, propofol, and sevoflurane at 1.0 minimum alveolar concentration (MAC) are worse than with rocuronium at 0.45 mg/kg. Therefore, we compared the intubation conditions and laryngeal morbidity (vocal cord injuries, hoarseness, and sore throat) with sevoflurane at 1.2 and 1.4 MAC versus 1.0 MAC. Methods In this prospective clinical trial, 90 patients were randomized to 3 groups: the sevoflurane 1.0, 1.2, and 1.4 MAC groups. At 3 min, tracheal intubation was performed and the patients’ intubation conditions were assessed. The vocal cords were examined for injury by videolaryngoscopy. Additionally, the incidence and severity of laryngeal morbidity were compared between women and men. Results Acceptable intubation conditions were seen in 72% of the patients without significant differences between the groups. Overall, vocal cord injuries (oedema) occurred in three (4%) patients. Women reported sore throat more often than men (51% vs. 21%, respectively). Conclusions Intubation conditions were not improved with higher sevoflurane concentrations. The incidence and severity of sore throat were greater in women than men. Trial registration: ClinicalTrials.Gov: NCT 01896245

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Comparison of Ketamine Nebulisation with Ketamine Gargle in Attenuating Post Operative Sore Throat Following General Anaesthesia with Endotracheal Intubation

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i52b33608 ◽

2021 ◽

pp. 129-136

Author(s):

Anjali Modak ◽

Eshana Rasheed ◽

Nikhil Bhalerao ◽

Pallavi Devulkar

Keyword(s):

Tracheal Intubation ◽

General Anaesthesia ◽

Sore Throat ◽

Normal Saline ◽

Statistical Difference ◽

Elective Surgery ◽

Randomized Study ◽

Point Scale ◽

Post Operative Period ◽

Preservative Free

Background & Objective: In the post operative period, Sore throat is a common morbidity following tracheal intubation. The aim was to compare ketamine nebulisation with ketamine gargle to see the effectiveness of nebulisation over gargle in reducing the incidence and severity of post operative sore throat (POST). Methods: In this prospective, randomized study 80 patients between 18-64 year, of either sex belonging to ASA I/II, scheduled for elective surgery under general anaesthesia, were assigned into two groups of 40 patients each. Group GK received preservative free ketamine 50mg in 29 ml of saline, gargled for 30 seconds and Group NK received ketamine 50 mg in 4ml of normal saline via nebulisation for 15 min. General anaesthesia was induced 5 min later in both the groups. Postoperatively sore throat was assessed at 0, 2, 4, 24 hrs using four point scale (0-3). Results: The incidence of POST at 0, 2, 4, 24 hrs was 27%, 25%, 20% and 17% respectively in GK group and 20%, 17.5%, 12.5% and 7.5% in NK group respectively with no statistical difference between the two.. None of the patients in either group experienced severe sore throat. Conclusion: Ketamine nebulisation seemed to represent an effective alternative to ketamine gargle for reliving Post Operative sore throat.

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