Open AccessThe Efficacy of O-Mac®, Patent Video Laryngoscope, and Conventional Laryngoscope for Intubation in the Operating Room
Author(s) -
Jorza Sepmiko,
TjokordaGde Agung Senapathi,
Made Wiryana,
I Putu Kurniyanta,
I Made Gede Widnyana,
Ida Bagus Krisna Jaya Sutawan
Publication year - 2021
Publication title -
open access macedonian journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.288
H-Index - 17
ISSN - 1857-9655
DOI - 10.3889/oamjms.2021.6594
Subject(s) - medicine , laryngoscopy , laryngoscopes , video laryngoscope , intubation , anesthesia , airway management , anesthesiology , tracheal intubation , airway , surgery
BACKGROUND: Management of the airway in patients undergoing surgery is increasingly difficult. The airway management in the operating room in terms of the initial action of anesthesia is very important. Video-laryngoscopy has been shown to provide a better view of the larynx’s structure compared to direct visualization.AIM: We describe our experience using a custom made and inexpensive tool for a video-laryngoscopy.METHODS: This is an experimental research with single randomized clinical trial conducted at the Anesthesiology Department of Sanglah General Hospital Denpasar. There were 270 patients divides into three group with conventional, O-Mac® and Mc-GRATH™ BF laryngoscope, aged 18–65 years old, with Mallampati grade 1–2, randomly selected, and signed informed consent.RESULTS: Intubation time fastest with O-Mac® median 26 (15–36) s, p = 0.000. Laryngoscopy time fastest with O-Mac® median 5.5 (2–13 s), p = 0.000. O-Mac® does not use many tools, p = 0.000. All three did not produce tissue damage with results p = 0.007. Hemodynamic changes p = 0.000.CONCLUSION: The O-Mac® is superior in terms of laryngoscope time and intubation time compared to the Mc-GRATH™ BF blade and has the same level of safety as the patented Mc-GRATH ™ video laryngoscope, and better than conventional laryngoscopes.