Cardiothoracic & vascular anesthesia
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
Authors' conclusion
The use of the McGrath videolaryngoscope as the first intubation option for tracheal intubation 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.
Study context
- Population
- Consecutive cardiac surgery patients, tertiary-care hospital
- Participants
- 1,109 patients
- Exposure
- Interventional phase vs Noninterventional phase
- Interventional phasen = 308
- Noninterventional phasen = 801reference
- Outcome
- "Easy intubation": first-attempt success, modified Cormack-Lehane grade I or IIa, and no need for adjuvant airway devices
Methodological detailssingle tertiary-care hospital
- Single tertiary-care hospital
Main finding
As reported in the abstract
Easy intubation
P < 0.001
Observational data: associations, not effects.
Further findings
First-attempt intubation success
P = 0.005
Difficult laryngoscopy
P < 0.001
Moderate or difficult intubation
P < 0.001
Original publication
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. J Cardiothorac Vasc Anesth. Published 15 March 2024. doi:10.
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