Obesity Surgery

, Volume 19, Issue 8, pp 1096–1101 | Cite as

Video-Assisted Versus Conventional Tracheal Intubation in Morbidly Obese Patients

  • Gilles Dhonneur
  • Widad Abdi
  • Serge K. Ndoko
  • Roland Amathieu
  • Nabil Risk
  • Lodfi El Housseini
  • Claude Polliand
  • Gerard Champault
  • Xavier Combes
  • Loïc Tual
Research Article

Abstract

Background

We compared tracheal intubation characteristics and arterial oxygenation quality during airway management of morbidly obese patients whose trachea was intubated under video assistance with the LMA CTrach™ (SEBAC, Pantin, France) or the Airtraq™ laryngoscope (VYGON, Écouen, France) with that of the conventional Macintosh laryngoscope.

Methods

After standardized induction of anesthesia, 318 morbidly obese patients scheduled for elective morbid obesity surgery received tracheal intubation with the LMA CTrach™, the Airtraq™ laryngoscope, or the conventional Macintosh laryngoscope. Duration of apnea, time to tracheal intubation, and oxygenation quality during airway management were compared between the LMA CTrach™ and the laryngoscope groups.

Results

Patients’ characteristics were similar in the three groups. The success rate for tracheal intubation was 100% with the LMA CTrach™ and the Airtraq™ laryngoscope. One patient of the Macintosh laryngoscope group received LMA CTrach™ intubation because of early arterial oxygen desaturation associated with unstable facemask ventilation. The duration of apnea was shorter with the LMA CTrach™ than that of the Airtraq™ laryngoscope and the Macintosh laryngoscope. The duration tracheal intubation was shorter with the Airtraq™ laryngoscope than with the Macintosh laryngoscopes and the LMA CTrach™. During airway management, arterial oxygenation was of better quality with the LMA CTrach™ and the Airtraq™ laryngoscope than that of the Macintosh laryngoscope.

Conclusion

Because LMA CTrach™ promoted short apnea time and the Airtraq™ laryngoscope allowed early definitive airway, both video-assisted tracheal intubation devices prevented most serious arterial oxygenation desaturation evidenced during tracheal intubation of morbidly obese patients with the conventional Macintosh laryngoscope.

Keywords

Anesthesia induction Ventilation Tracheal intubation Oxygenation Morbid obesity 

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Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • Gilles Dhonneur
    • 1
    • 3
    • 4
  • Widad Abdi
    • 1
    • 3
  • Serge K. Ndoko
    • 1
    • 3
  • Roland Amathieu
    • 1
    • 3
  • Nabil Risk
    • 2
    • 3
  • Lodfi El Housseini
    • 1
    • 3
  • Claude Polliand
    • 2
    • 3
  • Gerard Champault
    • 2
    • 3
  • Xavier Combes
    • 1
    • 3
  • Loïc Tual
    • 1
    • 3
  1. 1.Anesthesiology and Intensive Care Medicine DepartmentJean Verdier Public University Hospital of Paris (APHP)BondyFrance
  2. 2.Morbid Obesity and Visceral Surgery DepartmentJean Verdier Public University Hospital of Paris (APHP)BondyFrance
  3. 3.Paris 13 School of MedicineBobignyFrance
  4. 4.Département d’Anesthésie et RéanimationCHU (APHP) Jean VerdierBondyFrance

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