Comparison of forces acting on maxillary incisors during tracheal intubation with different laryngoscopy techniques: a blinded manikin study
| العنوان: | Comparison of forces acting on maxillary incisors during tracheal intubation with different laryngoscopy techniques: a blinded manikin study |
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| المؤلفون: | Mark Schieren, J. Kleinschmidt, Axel Schmutz, K.‐H. Gatzweiler, Jerome Defosse, Frank Wappler, Torsten Loop, Manfred Staat |
| المصدر: | Anaesthesia. 74:1563-1571 |
| بيانات النشر: | Wiley, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_treatment, Laryngoscopy, Laryngoscopes, Manikins, Force sensor, 03 medical and health sciences, 0302 clinical medicine, 030202 anesthesiology, Intubation, Intratracheal, Maxilla, medicine, Humans, Intubation, 030212 general & internal medicine, Airway Management, Dental injury, Dental trauma, medicine.diagnostic_test, business.industry, Tracheal intubation, Tooth Injuries, medicine.disease, Incisor, Anesthesiology and Pain Medicine, Anesthesia, business, Complication, Algorithms |
| الوصف: | Dental trauma is a common complication of tracheal intubation. As existing evidence is insufficient to validly assess the impact of different laryngoscopy techniques on the incidence of dental trauma, the force exerted onto dental structures during tracheal intubation was investigated. An intubation manikin was equipped with hidden force sensors in all maxillary incisors. Dental force was measured while 104 anaesthetists performed a series of tracheal intubations using direct laryngoscopy with a Macintosh blade, and videolaryngoscopy with a C-MAC® , or the hyperangulated GlideScope® or KingVision® laryngoscopes in both normal and difficult airway conditions. A total of 624 tracheal intubations were analysed. The median (IQR [range]) peak force of direct laryngoscopy in normal airways was 21.1 (14.0-32.8 [2.3-127.6]) N and 29.3 (17.7-44.8 [3.3-97.2]) N in difficult airways. In normal airways, these were lower with the GlideScope and KingVision hyperangulated laryngoscopes, with a reduction of 4.6 N (p = 0.006) and 10.9 N (p |
| تدمد: | 1365-2044 0003-2409 |
| DOI: | 10.1111/anae.14815 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cc3e2b4b4700c70f96910866d4fa28b1 https://doi.org/10.1111/anae.14815 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....cc3e2b4b4700c70f96910866d4fa28b1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13652044 00032409 |
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| DOI: | 10.1111/anae.14815 |