Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Background: Unhealthy teeth can seriously affect general health and increase the risk of death in elderly people. There has been no confirmation of which device is most effective for elderly patients with teeth loss. Therefore, we compared four intubation devices in elderly patients with partial and total tooth loss aiming to reduce risk during anesthesia.
Methods: Two hundred patients were randomized to undergo tracheal intubation with the Macintosh laryngoscope, the Glidescope, the Fiberoptic bronchoscope or the Lightwand as part of general anesthesia. A unified protocol of anesthetic medications was used. HR and BP were measured at T, T, T, T, T and T. Catecholamine (epinephrine and norepinephrine) blood samples were drawn at T, T and T. Intubation time and postoperative complications, including dental damage and losses, were recorded.
Results: Reduced fluctuations in HR, DBP, and SBP were observed in the Lightwand group. Intubation time was significantly shorter in the Lightwand group (p < 0.05). There was no statistically significant difference between the groups in epinephrine levels, but norepinephrine levels were less volatile in the Fiberoptic bronchoscope and Lightwand groups. Fewer patients in the Lightwand group experienced dental damage and other postoperative complications than in the other three groups. Although a higher success rate on the first attempt was as high as in the Fiberoptic bronchoscope group, shorter intubation time was observed only in the Lightwand group.
Conclusion: The Lightwand offers less hemodynamic stimulation than the Macintosh laryngoscope, Glidescope, and Fiberoptic bronchoscope. Because it had the shortest intubation time, the Lightwand caused the least damage to the teeth and throat of elderly patients. Our findings showed that tracheal intubation with the Lightwand was advantageous for preventing cardiovascular stress responses with short intubation times and fewer postoperative complications.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9373093 | PMC |
| http://dx.doi.org/10.1016/j.bjane.2021.03.002 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Comparison of Peyton's Four-Step Approach and Rapid Cycle Deliberate Practice in Basic and Advanced Airway Management: A Simulation-Based Study.
Cureus
August 2025
Medical Education and Research, Briones PulmoCare, Guayaquil, ECU.
Background Simulation-based training plays a critical role in the acquisition of airway management skills in undergraduate medical education. Peyton's Four-Step Approach (PFSA) and Rapid Cycle Deliberate Practice (RCDP) are two structured, evidence-based methodologies used in simulation training. While both have shown educational benefits, few studies have directly compared their effectiveness across both basic procedures, such as laryngeal mask airway (LMA) placement and endotracheal intubation (ETI), and complex procedures, such as fiberoptic intubation (FOI), especially in time-limited massed practice formats.
View Article and Find Full Text PDFA case of tracheobronchomegaly misdiagnosed as COPD: case report and literature review.
BMC Pulm Med
August 2025
Clinical Medical College of Qinghai University, Xining City, Qinghai Province, 810000, China.
Background: Tracheobronchomegaly, also known as Mounier-Kuhn syndrome (MKS), is a rare congenital condition characterized by significant dilation of the trachea and main bronchi along with an abnormal wall structure. Diagnosis can be confirmed through computed tomography, pulmonary function tests, and diagnostic bronchoscopy. Currently, there is no curative treatment for MKS; thus, symptomatic and supportive care remain the primary therapeutic approaches.
View Article and Find Full Text PDFMultidisciplinary Airway Management and Postoperative Planning in a Pediatric Patient With Unrepaired Treacher-Collins Syndrome: A Case Report.
Cureus
July 2025
Anesthesiology, University of Texas Medical Branch at Galveston, Galveston, USA.
Treacher-Collins syndrome (TCS) presents significant challenges in airway management due to craniofacial abnormalities that often worsen with age. We describe the anesthetic management of a three-year-old male with TCS and no history of corrective surgery. Ketamine was used to facilitate vascular access and achieve adequate anesthetic depth.
View Article and Find Full Text PDFAwake intubation with a flexible bronchoscope in the emergency department: Expanding the emergency physician's airway toolkit.
Am J Emerg Med
August 2025
Emergency Department, Careggi University Hospital, Florence, Italy.
Background: Awake intubation using a flexible bronchoscope is a well-established technique in the operating room but remains underutilized in the Emergency Department (ED), despite its potential benefits in managing anticipated difficult airways.
Case Presentation: We describe three cases in which awake fiberoptic intubation was successfully performed in the ED setting. The first involved an elderly woman with caustic ingestion and progressive oropharyngeal edema.
Comparison of SEEK/videolaryngoscopy and fibreoptic bronchoscope for awake tracheal intubation: a randomized clinical trial.
BMC Anesthesiol
July 2025
Faculty of Anesthesiology, Changhai Hospital, Naval Medical University, Shanghai, 200433, China.
Background: Fibreoptic bronchoscope (FOB) is considered complex to learn and operate, and it remains controversial whether videolaryngoscopy can be used as an alternative to FOB for awake tracheal intubation (ATI).
Aims: The Objective is to compare the effectiveness of Safe Easy Endotracheal kit-flexible (SEEK)/video laryngoscopy and FOB in ATI.
Methods: We conducted a pragmatic, multicentre, non-blinded, randomized, parallel-group clinical trial in Shanghai and Putian, China.