Direct laryngoscope is a standard equipment for endotracheal intubation. To identify the differences between Macintosh size 3 and 2 blades, we will analysis the data collected from airway and intubation condition.
Selection the most appropriate size of laryngoscope blade size could not only increased intubation successful rate at the first time but also decrease the incidence of tissue trauma. Laryngoscope blade used in daily practice is usually Macintosh 3. However, compared with Caucasian people, Asian people are smaller and thinner especially in women. This study aims to confirm that the Macintosh 2 blade is not inferior to size 3 blade in laryngeal view and intubation rate. Female patients without known difficult airway will be enrolled and allocated into Macintosh blade size 2 and size 3 groups. The age, body weight, body height, Mallampati classification, mouth opening, thyromental distance, neck circumference, intubation time, Cormack-Lehane grade, intubation difficulty scale scores and associated teeth or tissue traumas will be recorded.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
90
intubate with Macintosh size 2 blade
intubate with Macintosh size 3 blade
Mackay Memorial Hospital
Taipei, Taiwan
Intubation time
Time from laryngoscope insertion to the first adequate lung insufflation
Time frame: 0-10 minutes during induction
Cormack-Lehane grade
Classification of glottis view during intubation
Time frame: 0-10 minutes during induction
Intubation difficulty scale scores
Scoring system to assess the difficulty of intubation in each patient
Time frame: 0-10 minutes during induction
Tissue trauma
Any tissue trauma event related to intubation
Time frame: 0-10 minutes during induction
Teeth trauma
Any dental damage event related to intubation
Time frame: 0-10 minutes during induction
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