Evidence map›Paper›PMID 36192677›Full record

ArticleBMC anesthesiology2022

Effect of table inclination angle on videolaryngoscopy and direct laryngoscopy: Operator's muscle activation and laryngeal exposure analysis.

Efrain Riveros-Perez, Lori Bolgla, Nianlan Yang, Bibiana Avella-Molano, Camila Albo, Alexander Rocuts

Open access · goldAbstract read
In one paragraph

Article in BMC anesthesiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Efrain Riveros-PerezDepartment of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, 1120 15th street BI-2144, Augusta, GA, 30912, USA. eriverosperez@augusta.edu.
Lori BolglaCollege of Allied Health Sciences, Augusta University, Augusta, GA, USA.
Nianlan YangDepartment of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, GA, Augusta, USA.
Bibiana Avella-MolanoDepartment of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, GA, Augusta, USA.
Camila AlboMedical College of Georgia at Augusta University, Augusta, GA, USA.
Alexander RocutsDepartment of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, GA, Augusta, USA.
Augusta University · USAugusta University Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOptimal vocal cord visualization depends on the patient's anatomical factors, characteristics of the laryngoscope, and the operator's muscle action. This study evaluated the effect of table inclination and three different laryngoscopic methods on procedural variables. The primary aim of this study is to compare differences in laryngoscopic view among clinicians based on the instrument used and table orientation. The secondary aim is to determine differences in upper extremity muscle activity based on laryngoscope use and table inclination.

methodsFifty-five anesthesia providers with different experience levels performed intubations on a manikin using three angles of table inclination and three laryngoscopy methods. Time to intubation, use of optimization maneuvers, glottic view, operator's comfort level, and upper extremity muscle activation measured by surface electromyography were evaluated.

resultsTable inclination of 15° and 30° significantly reduced intubation time and the need for optimization maneuvers. Fifteen degrees inclination gave the highest comfort level. Anterior deltoid muscle intensity was decreased when table inclination at 15° and 30° was compared to a flat position.

conclusionTable inclination of 15° reduces intubation time and the need to use optimization maneuvers and is associated with higher operator's comfort levels than 0° and 30° inclination in a simulated scenario using a manikin. Different upper extremity muscle groups are activated during laryngoscopy, with the anterior deltoid muscle exhibiting significantly higher activation levels with direct laryngoscopy at zero-degree table inclination.

Indexed as

LaryngoscopesHumansIntubation, IntratrachealLaryngoscopyManikinsMusclesAirway managementElectromyographyIntratracheal intubation

Identifiers

PMID36192677
PMCPMC9528055
OpenAlexW4300963309

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.