Impact of Universal Use of the McGrath Videolaryngoscope as a Device for All Intubations in the Cardiac Operating Room. A Prospective Before-After VIDEOLAR-CAR Study.

URL: https://pubmed.ncbi.nlm.nih.gov/38580479/

DOI: 10.1053/j.jvca.2024.03.016

Published online: Epub 2024 Mar 15

Authors: Taboada M, Estany-Gestal A, Rial M, Cariñena A, Martínez A, Selas S, Eiras M, Veiras S, Ferreiroa E, Cardalda B, López C, Calvo A, Fernández J, Álvarez J, Alcántara JM, Seoane-Pillado T.

Article description

Summary:

Tracheal intubation in cardiac surgery has a higher incidence of difficult laryngoscopic views than other surgeries. The hypothesis was that using the McGrath Mac VL as first option will increase ‘easy intubation’ vs. direct Macintosh laryngoscope
Prospective, observational, before-after study
Tertiary-care hospital
n-1109 patients for cardiac surgery
Macintosh laryngoscope (preinterventional phase) or a McGrath Mac VL (interventional phase)
Results: n-801 noninterventional phase and n-308 interventional phase. An “easy intubation” =93% in the interventional phase versus 78% noninterventional phase (p < 0.001)
First-success-rate interventional phase (304/308; 98.7%) vs noninterventional phase (754/801, 94.1%; p = 0.005)

Conclusions:

McGrath VL as first intubation option in cardiac surgery improves the percentage of patients with “easy” intubation: increasing glottic view and first-success-rate intubation and decreasing the incidence of moderate or difficult intubation

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