Trial reportAnnals of African medicine2026
Comparison of Ease of Awake Intubation Using Traditional Fibreoptic Bronchoscope Versus Hybrid Technique with Videolaryngoscopic Assistance in Patients with Difficult Airway.
Trial report in Annals of African medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsDifficult airways pose a significant challenge for intubation. While video laryngoscopes and fiberoptic bronchoscopes (FOB) are effective, they have limitations when used alone. A hybrid technique combining both may improve success. Our study's primary objective was to compare intubation time between a traditional fiberoptic method versus a hybrid videolaryngoscopic technique in patients with difficult airways. Secondary objectives included assessing ease of intubation, number of attempts, and patient comfort.
methodsThis prospective, randomized, observational study enrolled 60 patients with a difficult airway. The airway of patients was topicalized, and those having a percentage of glottic opening score 0 with C-MAC videoscope during awake check laryngoscopy were included in the study. Patients were randomized into two groups: Group F was intubated by traditional awake fiberoptic intubation (AFOI). Awake intubation in Group H was performed using a hybrid technique (FOB with C-MAC videolaryngoscopic assistance). Time to intubate, ease of intubation, number of attempts, and patient comfort score were noted.
resultsMean time to intubation was significantly shorter in Group H (35.57 ± 13.984 s) compared to Group F (76.80 ± 26.484 s, P < 0.001). Intubation was "Easy" in 86.7% of Group H patients versus 33.33% in Group F ( P < 0.001). The number of intubation attempts and hemodynamic stability were comparable between groups. However, patient comfort was significantly higher in Group F, with 70% reporting no reaction compared to 23.33% in Group H ( P < 0.001).
conclusionThe hybrid technique of AFOI with videolaryngoscopic assistance significantly reduced time and improved ease of intubation, though with reduced patient comfort.
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