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Comparison of Effectiveness between Wycope Video Laryngoscope, C-MAC Video Laryngoscope, and Direct Laryngoscope in Intubation of Elective Surgery Patients.
Jayadi, Jayadi; Veterini, Anna Surgean; Kusuma, Edward; Waloejo, Christrijogo Sumartono; Airlangga, Prananda Surya; Semedi, Bambang Pujo.
  • Jayadi J; Department of Anaesthesiology and Intensive Therapy Medical Faculty of Airlangga University, Surabaya, Indonesia. jayadipangestu85@gmail.com.
  • Veterini AS; Department of Anaesthesiology and Intensive Therapy Medical Faculty of Airlangga University, Surabaya, Indonesia.
  • Kusuma E; Department of Anaesthesiology and Intensive Therapy Medical Faculty of Airlangga University, Surabaya, Indonesia.
  • Waloejo CS; Department of Anaesthesiology and Intensive Therapy Medical Faculty of Airlangga University, Surabaya, Indonesia.
  • Airlangga PS; Department of Anaesthesiology and Intensive Therapy Medical Faculty of Airlangga University, Surabaya, Indonesia.
  • Semedi BP; Department of Anaesthesiology and Intensive Therapy Medical Faculty of Airlangga University, Surabaya, Indonesia.
Acta Med Acad ; 51(2): 99-107, 2022 Aug.
Article in English | MEDLINE | ID: covidwho-2100260
ABSTRACT

OBJECTIVE:

Airway management has undergone a dramatic transformation since the arrival of video laryngoscope (VL). VL has higher intubation success rate on first try and lower complications in comparison to direct laryngoscope (DL). The use of VL is recommended in intubating COVID-19 patients to speed up intubation time and reduce failure rate. A team from Airlangga University developed Wycope Video Laryngoscope (Wycope VL), a VL with Wi-Fi connection to smartphones for an easier VL with low cost. This study aimed to compare the effectiveness of Wycope VL, C-MAC Video Laryngoscope (C-MAC VL), and DL. MATERIALS AND

METHODS:

This study was an analytic observational study with a cross sectional design, involving 63 patients who were divided into 3 groups based on the type of laryngoscope, namely Wycope VL, C-MAC VL, and DL. Intubation is carried out by 4th year anaesthesiology resident. Research subjects were patients who will undergo elective surgery at Dr. Soetomo General Hospital under general anaesthesia using orotracheal tube. Inclusion age of 19-64 years, PS ASA 1-2, no anatomical abnormalities of the airway, did not have difficult airway, and was willing to participate in the study.

RESULTS:

All patients were successfully intubated without complications. C-MAC VL (5.33±1.42 seconds) and Wycope VL (5.95±0.74 seconds) was significantly faster in seeing vocal folds and glottis compared to DL (7.14±0.72 seconds) with P=0.000. DL was significantly faster in average time of intubation (15.52±5.90 seconds) compared to C-MAC VL (16.95±1.11 seconds) and Wycope VL (20.29±2.81 seconds) with P=0.000.

CONCLUSION:

DL was faster compared to VL in speed of intubation while C-MAC VL and Wycope VL was faster in viewing the vocal folds and glottis compared to DL.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Laryngoscopes / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Humans / Middle aged / Young adult Language: English Journal: Acta Med Acad Year: 2022 Document Type: Article Affiliation country: Ama2006-124.378

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Laryngoscopes / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Humans / Middle aged / Young adult Language: English Journal: Acta Med Acad Year: 2022 Document Type: Article Affiliation country: Ama2006-124.378