Airway management

Hyperangulated vs. Macintosh videolaryngoscopy in adults with anticipated difficult airway management: a randomised controlled trial

AnaesthesiaPublished Randomised controlled trial

Authors' conclusion

Glottic view and first attempt success rate were superior with hyperangulated videolaryngoscope blades compared with Macintosh videolaryngoscope blades when used by experienced anaesthetists in patients with difficult airways.

Study context

Population
Adults with anticipated difficult airway scheduled for elective ear, nose and throat or oral and maxillofacial surgery; operators consultant anaesthetists2,540 assessed
Participants
182 adults
Comparison
Hyperangulated vs Macintosh videolaryngoscope blades
Primary endpoint
Percentage of glottic opening
Methodological detailsopen-label, patient-blinded
  • Open-label
  • Patient-blinded

Primary result

As reported in the abstract

Percentage of glottic opening visualised

P < 0.001

Secondary outcomes

First attempt success (key secondary outcome)

P < 0.001

OutcomeHyperangulatedMacintoshP value
Failure of first-line videolaryngoscopy1 events13%P = 0.002

Original publication

Hyperangulated vs. Macintosh videolaryngoscopy in adults with anticipated difficult airway management: a randomised controlled trial. Anaesthesia. Published 24 May 2024. doi:10.1111/anae.16326

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.