Evidence map›Paper›PMID 39979796›Full record

Trial reportBMC anesthesiology2025

Comparison of direct and indirect images and hemodynamic response of two different video laryngoscopes to tracheal intubation.

Özlem Sezen, Tahsin Şimşek, Aynur Kaynar Şimşek, Gülten Arslan, Kemal Tolga Saracoglu, Ayten Saracoglu

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06649526 (Comparison of Direct and Indirect Images of Two Different Video Laryngoscopes in Adult Airway Management), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT06649526 active not recruitingnot on this map

Comparison of Direct and Indirect Images of Two Different Video Laryngoscopes in Adult Airway Management

TypeobservationalSponsorDr. Lutfi Kirdar Kartal Training and Research HospitalRan2024 to 2024Enrolled70ConditionsAnesthesiaArmsendotracheal intubation with videolaryngoscope
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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.

Özlem SezenDepartment of Anesthesiology and Reanimation, University of Health Sciences Türkiye, Kartal Dr. Lutfi Kirdar City Hospital, Cevizli D-100 Güney Yanyol, No:47 Kartal, Istanbul, 34865, Türkiye. drozlemsezen@hotmail.com.ORCID 0000-0002-2144-9224
Tahsin ŞimşekDepartment of Anesthesiology and Reanimation, University of Health Sciences Türkiye, Kartal Dr. Lutfi Kirdar City Hospital, Cevizli D-100 Güney Yanyol, No:47 Kartal, Istanbul, 34865, Türkiye.ORCID 0000-0002-3068-4998
Aynur Kaynar ŞimşekDepartment of Nursing, Faculty of Health Sciences, Marmara University, Istanbul, Türkiye.ORCID 0000-0002-9909-6123
Gülten ArslanDepartment of Anesthesiology and Reanimation, University of Health Sciences Türkiye, Kartal Dr. Lutfi Kirdar City Hospital, Cevizli D-100 Güney Yanyol, No:47 Kartal, Istanbul, 34865, Türkiye.ORCID 0000-0002-8322-5357
Kemal Tolga SaracogluDepartment of Anesthesiology, ICU &Perioperative Medicine, Hazm Mebaireek General Hospital HMC, Qatar University College of Medicine, P.O. Box 2713, Doha, Qatar.ORCID 0000-0002-6320-1403
Ayten SaracogluDepartment of Anesthesiology, ICU &Perioperative Medicine, Aisha Bint Hamad Al Attiyah Hospital HMC, Qatar University College of Medicine, P.O. Box 2713, Doha, Qatar.ORCID 0000-0002-1186-0933

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe aim of this study was to compare the effects of two different videolaryngoscopes (VLs) on direct (through the mouth) and indirect (screen images) laryngoscopy and to evaluate their effects on hemodynamic response. SETTINGS AND

designA total of 70 patients between the ages of 18 and 65 years with ASA I-III physical status, planned for general anesthesia, with an expected difficult airway, were included in the study. Patients were enrolled in the study between 02/ 2022 and 06/ 2022. Patients were randomly divided into two groups. McGrath video laryngoscope was used in Group MC and Hugemed video laryngoscope was used in Group H. Modified Cormack Lehane and POGO scores (Percentage of glottic opening) of all patients on direct and indirect laryngoscopy were evaluated and recorded and then orotracheal intubation was performed. Demographic data, ASA status, Mallampati classification, thyromental distances and mouth opening were recorded. Standard monitoring was applied to all patients. During intubation, endotracheal intubation time, number of attempts, intubation-related complications and sore throat were recorded. Hemodynamic parameters (mean arterial pressure, peripheral oxygen saturation values) were recorded before, after induction and after intubation.

resultsThere was no difference between the groups in terms of descriptive characteristics (p > 0.05). When direct and indirect POGO scores were compared in group MC, no difference was found between the patients (p > 0.05). When direct and indirect POGO scores were compared, no difference was found between patients in Group H (p > 0.05). The mean POGO VL indirect score of Group H patients was found to be significantly higher than that of Group MC (p < 0.035) Both VLs showed similar results in terms of intubation time, number of attempts and hemodynamic findings.

conclusionsMcGrath and Hugemed videolaryngoscopes provide a good laryngeal view with similar Cormack Lehane scores during non-difficult endotracheal intubation and facilitate successful intubation by maintaining hemodynamic stability. It was observed that the Hugemed VL had a better indirect POGO score, but the images provided by the blades of both VLs on direct laryngoscopy allowed intubation. CLINICAL TRIALS REGISTRATION NUMBER: NCT06649526. Clinical trials registration date 17/10/2024 ''retrospectively registered'".

Indexed as

HemodynamicsIntubation, IntratrachealLaryngoscopesLaryngoscopyVideo-Assisted Techniques and ProceduresAdolescentAdultAgedFemaleHumansMaleMiddle AgedVideo RecordingYoung AdultAirway managementIntubationVideo laryngoscopy

Identifiers

PMID39979796
PMCPMC11841296

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Registered trials

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.