A Comparison of McGrath MAC Versus C-MAC Videolaryngoscopes in Morbidly Obese Patients Undergoing Bariatric Surgery: A Randomized, Controlled Clinical Trial

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dc.authoridkaraaslan, erol/0000-0002-8534-3680
dc.authoridOzkan, Ahmet Selim/0000-0002-4543-8853
dc.authoridAkbas, Sedat/0000-0003-3055-9334
dc.authorwosidkaraaslan, erol/ABI-2700-2020
dc.authorwosidOzkan, Ahmet Selim/ABH-2918-2020
dc.authorwosidAkbas, Sedat/ABI-6053-2020
dc.contributor.authorAkbas, Sedat
dc.contributor.authorOzkan, Ahmet Selim
dc.contributor.authorKaraaslan, Erol
dc.date.accessioned2024-08-04T20:45:51Z
dc.date.available2024-08-04T20:45:51Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description.abstractIntroduction: Airway management in morbidly obese patients is a technical challenge for the anesthesiologists. In this study, we aimed to compare the McGrath MAC with C-MAC videolaryngoscopes for tracheal intubation in morbidly obese patients. Materials and Methods: Eighty morbidly obese patients, scheduled for bariatric surgery, were randomly allocated to two study groups: McGrath-MACA (R) and C-MACA (R). The preoperative airway assessment, incidence and attempts for successful intubation, time to intubation, position for successful intubation, percentage of glottic opening (POGO score), ease of intubation, hemodynamic response, and adverse events of tracheal intubation were recorded. Results: Incidence and attempts for successful intubation and position for successful intubation were similar. Time to intubation was significantly shorter in C-MAC than McGrath (p < 0.001). The POGO scores were similar in both groups (p = 0.057). The heart rate and mean arterial pressure of McGrath was significantly higher than C-MAC after tracheal intubation at first minute (p = 0.002). Also adverse events of tracheal intubation were similar. Conclusions: Both devices were efficient and improved the glottic view. However, the C-MAC demonstrated shorter tracheal intubation times, better glottic visualization, and less hemodynamic response than the McGrath. We, therefore, conclude that the C-MAC videolaryngoscope may contribute advantages in performing tracheal intubations in morbidly obese patients.en_US
dc.identifier.doi10.1089/bari.2018.0052
dc.identifier.endpage33en_US
dc.identifier.issn2168-023X
dc.identifier.issn2168-0248
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85063254036en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage25en_US
dc.identifier.urihttps://doi.org/10.1089/bari.2018.0052
dc.identifier.urihttps://hdl.handle.net/11616/98729
dc.identifier.volume14en_US
dc.identifier.wosWOS:000461671000006en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofBariatric Surgical Practice and Patient Careen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectairway managementen_US
dc.subjectC-MAC videolaryngoscopeen_US
dc.subjectdifficult airwayen_US
dc.subjectdifficult intubationen_US
dc.subjectMcGrath videolaryngoscopeen_US
dc.subjectmorbid obesityen_US
dc.titleA Comparison of McGrath MAC Versus C-MAC Videolaryngoscopes in Morbidly Obese Patients Undergoing Bariatric Surgery: A Randomized, Controlled Clinical Trialen_US
dc.typeArticleen_US

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