Routine Use of Glidescope and Macintosh Laryngoscope by Trainee Anesthetists.
OBJECTIVE
To compare intubating conditions, success rate, and ease of intubation by anesthesia trainees using Glidescope Videolaryngoscope (GVL) compared to Macintosh laryngoscope (MCL).


METHODS
Comparative study.


METHODS
King Khalid University Hospital, Riyadh, Saudi Arabia, from January 2012 to February 2015.


METHODS
Eighty adult patients ASAI and II with normal airway, scheduled to undergo elective surgery requiring endotracheal (ET) intubation were enrolled. Patients were randomly divided into 2 groups: GVL and MCL. All intubations were performed by trainee residents having experience of more than 1 year and who had successfully performed more than 50 tracheal intubations with each device. Glottic view based on Cormack and Lehane&amp;#039;s (C&amp;amp;L&amp;#039;s) score and percentage of glottis opening (POGO) score, time to successful intubation, need of external pressure, and overall difficulty scores were compared using either GVL or MCL.


RESULTS
View of glottis based on C&amp;amp;L&amp;#039;s classification was better (p &amp;lt; 0.001) and POGO score was higher (88.25 &amp;plusmn;22.06 vs. 57.25 &amp;plusmn;29.26, p &amp;lt; 0.001) with GVL compared to MCL. Time to intubate in seconds was (32.90 &amp;plusmn;8.69 vs. 41.33 &amp;plusmn;15.29, p = 0.004) and overall difficulty score was less 2.78 &amp;plusmn;1.39 vs. 4.85 &amp;plusmn;1.75 (p &amp;lt; 0.001) using GVL compared to MCL.


CONCLUSIONS
Residents found ET intubation to be faster and easier with superior glottic view using GVL compared to MCL in patients with normal airway.
Department of Anesthesiology, King Saud University, King Khalid University Hospital, Riyadh, Saudi Arabia.
Mansoor
M
Aqil
Department of Anesthesiology, King Saud University, King Khalid University Hospital, Riyadh, Saudi Arabia.
Mueen Ullah
MU
Khan
Department of Anesthesiology, King Saud University, King Khalid University Hospital, Riyadh, Saudi Arabia.
Altaf
A
Hussain
Department of Anesthesiology, King Saud University, King Khalid University Hospital, Riyadh, Saudi Arabia.
Rashid Saeed
RS
Khokhar
Medical Student, Alfaisal University, Riyadh, Saudi Arabia.
Saara
S
Mansoor
Department of Anesthesiology, King Saud University, King Khalid University Hospital, Riyadh, Saudi Arabia.
Tariq
T
Alzahrani
D000328:Adult; D000776:Anesthesiology / Q000193:education / Q000295:instrumentation; D000072077:Anesthetists / Q000193:education*; D002983:Clinical Competence / Q000706:statistics & numerical data; D005260:Female; D005931:Glottis; D006801:Humans; D007396:Internship and Residency; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods / Q000592:standards; D020704:Laryngoscopes; D007828:Laryngoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies