Flexible nasal bronchoscopy vs. Airtraq ® videolaryngoscopy for awake tracheal intubation: a randomised controlled non‐inferiority study
Authors' conclusion
The Airtraq videolaryngoscope is not non-inferior to flexible bronchoscopy for awake tracheal intubation in a clinical setting when awake tracheal intubation is indicted.
Study context
- Population
- Patients with an anticipated difficult airway scheduled for awake tracheal intubation (upper airway RA blockade and remifentanil TCI)all analysed
- Participants
- 78 patients
- Comparison
- Airtraq vs Flexible bronchoscopy
- Primary endpoint
- Success rate with the allocated technique
Methodological detailsnon-inferiority
- Non-inferiority
Primary result
As reported in the abstract
Successful intubation
P = 0.032
Further findings
Time to tracheal intubation · shorter with Airtraq
P = 0.030
Median
| Outcome | Flexible bronchoscopy | Airtraq | P value |
|---|---|---|---|
| VAS ease of intubation | 8 (IQR [range] 7-9 [0-10]) | 8 (IQR [range] 7-9 [0-10]) | P = 0.710 |
| VAS patient comfort | 8 (IQR [range] 7-9 [3-10]) | 8 (IQR [range] 6-9 [2-10]) | P = 0.370 |
Safety
Complications
- No significant differences between the groups
Original publication
Flexible nasal bronchoscopy vs. Airtraq ® videolaryngoscopy for awake tracheal intubation: a randomised controlled non‐inferiority study. Anaesthesia. Published 15 May 2023. doi:10.
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