Ease of Intubation with McGrath Videolaryngoscope and Incidence of Adverse Events During Tracheal Intubation in COVID-19 Patients: A Prospective Observational Study
, , , , et | 31 juil. 2023
À propos de cet article
Article Category: Research Article
Publié en ligne: 31 juil. 2023
Pages: 162 - 169
Reçu: 15 avr. 2023
Accepté: 19 juil. 2023
DOI: https://doi.org/10.2478/jccm-2023-0020
Mots clés
© 2023 Faisal Shamim et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Fig. 1.
Fig. 2.
Association of ease of intubation based on Fishers exact test
| Male | 66 (84.6%) | 12 (15.4%) | 78 | 0.554 |
| Female | 21 (77.8%) | 6 (22.2%) | 27 | |
| Less than 65 | 45 (75%) | 15 (25%) | 60 | 0.018 |
| More than 65 | 42 (93.3%) | 3 (7.6%) | 45 | |
| Supine | 57 (77%) | 17 (23%) | 74 | 0.002 |
| Head up | 29 (100%) | 0 | 29 | |
| RAMP | 1 (50%) | 1 (50%) | 2 | |
| Single Hand | 53 (80.3%) | 13 (19.3%) | 66 | 0.774 |
| Both Hands CE | 31 (86%) | 5 (14%) | 36 | |
| Both Hands VE | 3 (100%) | 0 | 3 | |
| Full | 75 (88.2%) | 10 (17.8%) | 85 | 0.001 |
| Partial | 12 (75%) | 4 (25%) | 16 | |
| None | 0 | 4 (100%) | 4 | |
Demographics and Baseline characteristics
| Male | 78 | 74.3 | |
| Female | 27 | 25.7 | |
| Less than 65 | 60 | 57.1 | |
| More than 65 | 45 | 42.9 | |
| Diabetes mellitus | 70 | 66.7 | |
| Hypertension | 56 | 53.3 | |
| Ischemic heart disease | 23 | 21.9 | |
| Immune compromise status | 9 | 8.6 | |
| CKD | 9 | 8.6 | |
| None | 6 | 5.7 | |
| COPD | 3 | 2.9 | |
| Malignancy | 2 | 1.9 | |
| Confirmed | 97 | 92.4 | |
| Suspected | 8 | 7.6 | |
| COVID ward | 59 | 56.2 | |
| COVID ICU | 23 | 21.9 | |
| Acute care unit | 11 | 10.5 | |
| Emergency room | 6 | 5.7 | |
| Others | 4 | 3.8 | |
| Surgical or medical ICU | 2 | 1.9 | |
| COVID operating room | 2 | 1.9 | |
| Conventional nasal cannula / prongs | 4 | 3.8 | |
| Simple facemask / non-rebreather mask | 15 | 14.3 | |
| High flow nasal oxygen / cannula | 0 | 0 | |
| Continuous positive airway pressure | 9 | 8.6 | |
| Non-invasive positive pressure ventilation | 77 | 73.3 | |
| Supine | 74 | 70.5 | |
| Head up 15–30 degree | 29 | 27.6 | |
| RAMP | 2 | 1.9 | |
| Classic RSI | 71 | 67.6 | |
| Modified RSI | 21 | 20.0 | |
| Cardiac arrest situation - no drugs given | 13 | 2.4 | |
Tracheal intubation data
| Full | 85 | 8 |
| Partial | 16 | 15.2 |
| None | 4 | 3.8 |
| Easy – ETT passed in first attempt | 87 | 82.9 |
| Modified – ETT passed with more than one attempt | 18 | 17 |
| Unachievable – unable to pass ETT | 0 | 0 |
| External laryngeal manipulation | 23 | 21.9 |
| ETT stylet | 68 | 64.8 |
| Bougie | 5 | 4.8 |
| Magill forceps | 0 | 0 |
| None | 24 | 22.9 |
| Change to conventional laryngoscope | 7 | 6.7 |
| LMA | 6 | 5.7 |
| Face mask ventilation | 5 | 4.8 |
| Front of neck access | 0 | 0 |
| None | 91 | 86.7 |
| First attempt | 87 | 82.9 |
| Second attempt | 14 | 13.3 |
| More than two attempts | 4 | 3.8 |