Trial reportChinese medical journal2017
Shikani Optical Stylet versus Macintosh Laryngoscope for Intubation in Patients Undergoing Surgery for Cervical Spondylosis: A Randomized Controlled Trial.
Trial report in Chinese medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 24 citations in OpenAlex.
- Randomized controlled trial of Shikani optical stylet's one-person technique in nasotracheal intubation for children undergoing dental treatment.Scientific reports · 2025Trial
- J-Shaped Guidewire-Assisted Nasotracheal Intubation in the Dental Treatment of Children-A Retrospective, Observational Study.Paediatric anaesthesia · 2026Observational
- Improved skill for tracheal intubation using optical stylets through remote training model: a before and after interventional study.BMC medical education · 2022Article
- The Use of the Shikani Video-Assisted Intubating Stylet Technique in Patients with Restricted Neck Mobility.Healthcare (Basel, Switzerland) · 2022Article
- Video-Assisted Intubating Stylet Technique for Difficult Intubation: A Case Series Report.Healthcare (Basel, Switzerland) · 2022Article
- Development of endotracheal intubation devices for patients with tumors.American journal of cancer research · 2022Review
- Optical Devices in Tracheal Intubation-State of the Art in 2020.Diagnostics (Basel, Switzerland) · 2021Review
- Current Evidences for the Use of UEscope in Airway Management.Chinese medical journal · 2017Review
- Comparing Shikani Optical Stylet and Macintosh Laryngoscope for Orotracheal Intubation.Chinese medical journal · 2017Article
- Reply to "Comparing Shikani Optical Stylet and Macintosh Laryngoscope for Orotracheal Intubation".Chinese medical journal · 2017Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAirway management is critical in patients with cervical spondylosis, a population with a high incidence of difficult airway. Intubation with Shikani Optical Stylet (SOS) has become increasingly popular in difficult airway. We compared the effects of intubation with SOS versus Macintosh laryngoscope (MLS) in patients undergoing surgery for cervical spondylosis.
methodsA total of 270 patients scheduled for elective surgery for cervical spondylosis of spinal cord and nerve root type from August 2012 to January 2016 were enrolled and randomly allocated to the MLS or SOS group by random numbers. Patients were evaluated for difficult airway preoperatively, and Cormack-Lehane laryngoscopy classification was determined during anesthesia induction. Difficult airway was defined as Cormack-Lehane Grades III-IV. Patients were intubated with the randomly assigned intubation device. The success rate, intubation time, required assistance, immediate complications, and postoperative complaints were recorded. Categorical variables were analyzed by Chi-square test, and continuous variables were analyzed by independent samples t-test or rank sum test.
resultsThe success rate of intubation among normal airways was 100% in both groups. In patients with difficult airway, the success rates in the MLS and SOS groups were 84.2% and 94.1%, respectively (P = 0.605). Intubation with SOS took longer compared with MLS (normal airway: 25.1 ± 5.8 s vs. 24.5 ± 5.7 s, P = 0.426; difficult airway: 38.5 ± 8.5 s vs. 36.1 ± 8.2 s, P = 0.389). Intubation with SOS required less assistance in patients with difficult airway (5.9% vs. 100%, P< 0.001). The frequency of postoperative sore throat was lower in SOS group versus MLS group in patients with normal airway (22.0% vs. 34.5%, P = 0.034).
conclusionsSOS is a safe and effective airway management device in patients undergoing surgery for cervical spondylosis. Compared with MLS, SOS appears clinically beneficial for intubation, especially in patients with difficult airway.
trial registrationChinese Clinical Trial Registry, ChiCTR-IOR-16007821; http://www.chictr.org.cn/showproj.aspx?proj=13203.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.