Comparison of Effectiveness between Wycope Video Laryngoscope, C-MAC Video Laryngoscope, and Direct Laryngoscope in Intubation of Elective Surgery Patients

Authors

  • Jayadi Jayadi Department of Anaesthesiology and Intensive Therapy Medical Faculty of Airlangga University, Surabaya
  • Anna Surgean Veterini Department of Anaesthesiology and Intensive Therapy Medical Faculty of Airlangga University, Surabaya
  • Edward Kusuma Department of Anaesthesiology and Intensive Therapy Medical Faculty of Airlangga University, Surabaya
  • Christrijogo Sumartono Waloejo Department of Anaesthesiology and Intensive Therapy Medical Faculty of Airlangga University, Surabaya
  • Prananda Surya Airlangga Department of Anaesthesiology and Intensive Therapy Medical Faculty of Airlangga University, Surabaya
  • Bambang Pujo Semedi Department of Anaesthesiology and Intensive Therapy Medical Faculty of Airlangga University, Surabaya

DOI:

https://doi.org/10.5644/ama2006-124.378

Keywords:

Laryngoscope, Airway Management, Intubation

Abstract

Objective. Airway management has undergone a dramatic transformation since the arrival of video laryngoscope (VL). VL has higher intubation success rate on first try and lower complications in comparison to direct laryngoscope (DL). The use of VL is recommended in intubating COVID-19 patients to speed up intubation time and reduce failure rate. A team from Airlangga University developed Wycope Video Laryngoscope (Wycope VL), a VL with Wi-Fi connection to smartphones for an easier VL with low cost. This study aimed to compare the effectiveness of Wycope VL, C-MAC Video Laryngoscope (C-MAC VL), and DL.

Materials and Methods. This study was an analytic observational study with a cross sectional design, involving 63 patients who were divided into 3 groups based on the type of laryngoscope, namely Wycope VL, C-MAC VL, and DL. Intubation is carried out by 4th year anaesthesiology resident. Research subjects were patients who will undergo elective surgery at Dr. Soetomo General Hospital under general anaesthesia using orotracheal tube. Inclusion age of 19-64 years, PS ASA 1-2, no anatomical abnormalities of the airway, did not have difficult airway, and was willing to participate in the study.

Results. All patients were successfully intubated without complications. C-MAC VL (5.33±1.42 seconds) and Wycope VL (5.95±0.74 seconds) was significantly faster in seeing vocal folds and glottis compared to DL (7.14±0.72 seconds) with P=0.000. DL was significantly faster in average time of intubation (15.52±5.90 seconds) compared to C-MAC VL (16.95±1.11 seconds) and Wycope VL (20.29±2.81 seconds) with P=0.000.

Conclusion. DL was faster compared to VL in speed of intubation while C-MAC VL and Wycope VL was faster in viewing the vocal folds and glottis compared to DL.

Downloads

Download data is not yet available.

Downloads

Published

2022-12-16

How to Cite

Jayadi, J., Veterini, A. S., Kusuma, E., Waloejo, C. S., Airlangga, P. S., & Semedi, B. P. (2022). Comparison of Effectiveness between Wycope Video Laryngoscope, C-MAC Video Laryngoscope, and Direct Laryngoscope in Intubation of Elective Surgery Patients. Acta Medica Academica, 51(2), 99–107. https://doi.org/10.5644/ama2006-124.378

Issue

Section

Clinical Medicine

Similar Articles

You may also start an advanced similarity search for this article.