BJA Advance Access originally published online on June 21, 2007
British Journal of Anaesthesia 2007 99(2):292-296; doi:10.1093/bja/aem127
Comparison of intubating laryngeal mask airway and Bullard laryngoscope for oro-tracheal intubation in adult patients with simulated limitation of cervical movements
Department of Anaesthesiology, Kasturba Medical College, Manipal, Karnataka, India
* Corresponding author: Department of Anaesthesiology, Kasturba Medical College, Manipal, Karnataka, India E-mail: anitharshenoy{at}yahoo.co.in
Background: Intubation of a patient with limited cervical spine movement or in whom movement of the cervical spine is not desirable is always a challenge even to the most experienced anaesthesiologist. The intubating laryngeal mask airway (ILMA) and the Bullard laryngoscope (BL) are two instruments recommended for endotracheal intubation of such patients. We compared their utility and safety in patients with simulated cervical spine immobility using manual inline stabilization (MILS).
Methods: Sixty-two patients, ASA I or II, between 18 and 65 yr, were enrolled in this prospective and randomized study. They were randomly allocated to one of the two groups: Group BL (Bullard laryngoscope) and Group IL (Intubating Laryngeal Mask Airway). The patients were intubated orally using either equipment after induction of general anaesthesia.
Results: The success rate for intubation in the first or second attempt was higher in Group BL [90.32% (28/31)] than in Group IL [74.2% (23/31)] but was not statistically significant. The number of attempts taken for intubation and the total time to intubate were similar between the groups. Trauma as evidenced by blood on endotracheal tube or sore throat was similar in both groups.
Conclusions: Both the BL and the ILMA are useful equipment in intubating patients with limitation of cervical movements. Although not statistically significant, the BL may provide a higher success rate of intubation when compared with the ILMA.
Keywords: equipment, airway; equipment, laryngoscopes; position, neck
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  M. A. Malik, R. Subramaniam, C. H. Maharaj, B. H. Harte, and J. G. Laffey Randomized controlled trial of the Pentax AWS(R), Glidescope(R), and Macintosh laryngoscopes in predicted difficult intubation Br. J. Anaesth., November 1, 2009; 103(5): 761 - 768. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. A. Malik, R. Subramaniam, S. Churasia, C. H. Maharaj, B. H. Harte, and J. G. Laffey Tracheal intubation in patients with cervical spine immobilization: a comparison of the Airwayscope(R), LMA CTrach(R), and the Macintosh laryngoscopes Br. J. Anaesth., May 1, 2009; 102(5): 654 - 661. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. A. Malik, C. H. Maharaj, B. H. Harte, and J. G. Laffey Comparison of Macintosh, Truview EVO2(R), Glidescope(R), and Airwayscope(R) laryngoscope use in patients with cervical spine immobilization Br. J. Anaesth., November 1, 2008; 101(5): 723 - 730. [Abstract] [Full Text] [PDF]
|
|
E-letters:
Read all E-letters
- Comparison of the Intubating Laryngeal Mask and Bullard Laryngoscope
- Chandy Verghese, et al.
- British Journal of Anaesthesia, 14 Aug 2007 [Full text]
- Author reply
- Anitha Nileshwar, et al.
- British Journal of Anaesthesia, 28 Aug 2007 [Full text]