Examinando por Materia "Laryngoscopy"

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Effectiveness of direct laryngoscopy versus video laryngoscopy in adult patients undergoing endotracheal intubation
(Universidad Privada Norbert Wiener, 2018-12-02) Tunjar Guimet, Rosario; Vargas Torres, Jackeline; Glenni Garay, Zarely Zabeli
Materials and Methods: Systematic review that simplifies the results of various investigations, identifying what is most relevant to answer specific questions of daily practice. The search was restricted to articles with full text subjected to critical reading, using the GRADE system to assign the strength of recommendation. In the final selection, 10 articles were chosen, finding that 40% (04) correspond to Europe (2 from the United Kingdom, 1 from France and 1 from Italy), 30% (03) from America (2 from the USA and 1 from Canada). ) and 30% (03) Asia (2 from Japan and 1 from Taiwan). These are mostly meta-analysis (60%), clinical trials (20%), systematic review (20%). Results: 90% of the studies affirm that videolaryngoscopy is effective, because it reduced the number of failed intubations particularly in patients with a difficult airway, increased the success of the first intubation attempts, improved glottic vision, reduced laryngeal airway trauma, there was less incidence of postoperative hoarseness and showed higher success rate and shorter intubation time and is not effective for adult patients undergoing intubation endotracheal in 10% of the studies because no significant advantage between both was evident. Conclusions: video laryngoscopy is more effective than direct laryngoscopy in adult patients undergoing endotracheal intubation.