Airway management

A Prospective, Randomized Comparison of the Classical Altemir’s Method With the Newer Seldinger’s Technique of Submental Intubation

Anesth AnalgPublished Randomised controlled trial

Authors' conclusion

Seldinger's technique is associated with shorter procedure time and reduced apnea time due to easier and better tract formation, thus minimizing the effort required to exteriorize the endotracheal tube.

Study context

Population
Patients with maxillofacial fractures scheduled for maxillofacial injury fixation under GA
Participants
60 patients
Comparison
Seldinger vs Altemir
Primary endpoint
Time taken to complete submental intubation
Methodological detailsprospective
  • Prospective

Primary result

As reported in the abstract

P value, .040

Secondary outcomes

Disconnection time · significantly lower in Seldinger

P value, .036

Safety

Absence of significant bleeding

Scar characteristics · 1- and 3-month follow-up

No evidence of differences between the 2 groups

Original publication

A Prospective, Randomized Comparison of the Classical Altemir’s Method With the Newer Seldinger’s Technique of Submental Intubation. Anesth Analg. Published 12 April 2023. doi:10.1213/ane.0000000000006453

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