title: [Comparison of Seven Intubation Devices in Difficult Airway Model].
abstract: BACKGROUND
  The efficacy in tracheal intubation may differ between different video-optical devices, in particular in patients with difficult airways. The purpose of this study was to evaluate the efficacy of video-laryngoscopes and fiberoptic bronchoscope (FOB) in tracheal intubation on a mannequin with several difficult airways, including limited mouth opening, cervical spine rigidity and tongue edema.
  
  
  METHODS
  Residents performed tracheal intubation on a mannequin using Macintosh laryngoscope (Mac), rigid indirect-optical intubation devices and FOB. The laryngeal view, the success rate of tracheal intubation, and the time to intubate trachea were recorded.
  
  
  RESULTS
  With limited mouth opening and cervical spine rigidity, video-optical intubation devices showed a significantly higher success rate of tracheal intubation than the Mac or FOB. In contrast, with tongue edema, the success rate of tracheal intubation was lower when Mac-type videolaryngoscopes were used.
  
  
  CONCLUSIONS
  Videolaryngoscopes can generally be useful in patients with all difficult airways, but may be difficult in some circumstances (such as tongue edema). The FOB provided good laryngeal view in all cases, but the success rate of tracheal intubation was low and the time to intubate trachea was long.
authors.forename: Asuka
authors.initials: A
authors.lastname: Taguchi
authors.forename: Takashi
authors.initials: T
authors.lastname: Asai
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Hashimoto
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Saito
authors.forename: Takero
authors.initials: T
authors.lastname: Arai
authors.forename: Yasuhisa
authors.initials: Y
authors.lastname: Okuda
mesh_terms: D058109:Airway Management; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D007830:Larynx