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Tracheal intubation in patients with rigid collar immobilisation of the cervical spine: a comparison of Airtraq ® and LMA CTrach™ devices *
Author(s) -
Arslan Z. I.,
Yildiz T.,
Baykara Z. N.,
Solak M.,
Toker K.
Publication year - 2009
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2009.06053.x
Subject(s) - medicine , cervical collar , intubation , tracheal intubation , anesthesia , glottis , cervical spine , fentanyl , surgery , general anaesthesia , propofol , larynx
Summary The aim of this study was to evaluate the effectiveness of the Airtraq ® and CTrach™ in lean patients with simulated cervical spine injury after application of a rigid cervical collar. Eighty‐six consenting adult patients of ASA physical status 1 or 2, who required elective tracheal intubation were included in this study in a randomised manner. Anaesthesia was induced using 1 μg.kg −1 fentanyl, 3 mg.kg −1 propofol and 0.6 mg.kg −1 rocuronium, following which a rigid cervical collar was applied. Comparison was then made between tracheal intubation techniques using either the AirTraq or CTrach device. The mean (SD) time to see the glottis was shorter with the Airtraq than the CTrach (11.9 (6.8) vs 37.6 (16.7)s, respectively; p < 0.001). The mean (SD) time taken for tracheal intubation was also shorter with the Airtraq than the CTrach (25.6 (13.5) and 66.3 (29.3)s, respectively; p < 0.001). There was less mucosal damage in the Airtraq group (p = 0.008). Our findings demonstrate that use of the Airtraq device shortened the tracheal intubation time and reduced the mucosal damage when compared with the CTrach in patients who require cervical spine immobilisation.