Comparison of the Parker flex tip and the unoflex reinforced endotracheal tube for orotracheal fibreoptic intubation in simulated difficult intubation patients

Rupesh Narhari; Wan Mohd Nazaruddin Wan Hassan; Rhendra Hardy Mohamad Zaini; Sanihah Che Omar; Nik Abdullah Nik Mohamad; Praveena Seevaunnamtum

eISSN: 1731-2515
ISSN: 0209-1712

Anestezjologia Intensywna Terapia

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5/2020
vol. 52

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Original paper

Comparison of the Parker flex tip and the unoflex reinforced endotracheal tube for orotracheal fibreoptic intubation in simulated difficult intubation patients

Rupesh Narhari

^{1, 2}

,

Wan Mohd Nazaruddin Wan Hassan

^{1, 2}

,

Rhendra Hardy Mohamad Zaini

^{1, 2}

,

Sanihah Che Omar

^{1, 2}

,

Nik Abdullah Nik Mohamad

^{1, 2}

,

Praveena Seevaunnamtum

^{1, 2}

Department of Anaesthesiology and Intensive Care, School of Medical Sciences, Universiti Sains Malaysia (USM), Kubang Kerian, Kelantan, Malaysia
Hospital USM, USM, Kubang Kerian, Kelantan, Malaysia

Anestezjologia Intensywna Terapia
2020; 52, 5: 381–386

Online publish date: 2020/12/24

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AMA

Narhari R, Nazaruddin Wan Hassan W, Hardy Mohamad Zaini R, Che Omar S, Abdullah Nik Mohamad N, Seevaunnamtum P. Comparison of the Parker flex tip and the unoflex reinforced endotracheal tube for orotracheal fibreoptic intubation in simulated difficult intubation patients. Anestezjologia Intensywna Terapia. 2020:381-386.

APA

Narhari, R., Nazaruddin Wan Hassan, W., Hardy Mohamad Zaini, R., Che Omar, S., Abdullah Nik Mohamad, N.,  & Seevaunnamtum, P. (2020). Comparison of the Parker flex tip and the unoflex reinforced endotracheal tube for orotracheal fibreoptic intubation in simulated difficult intubation patients. Anestezjologia Intensywna Terapia, 381-386.

Chicago

Narhari, Rupesh, Wan Mohd Nazaruddin Wan Hassan, Rhendra Hardy Mohamad Zaini, Sanihah Che Omar, Nik Abdullah Nik Mohamad,  and Praveena Seevaunnamtum. 2020. "Comparison of the Parker flex tip and the unoflex reinforced endotracheal tube for orotracheal fibreoptic intubation in simulated difficult intubation patients". Anestezjologia Intensywna Terapia: 381-386.

Harvard

Narhari, R., Nazaruddin Wan Hassan, W., Hardy Mohamad Zaini, R., Che Omar, S., Abdullah Nik Mohamad, N.,  and Seevaunnamtum, P. (2020). Comparison of the Parker flex tip and the unoflex reinforced endotracheal tube for orotracheal fibreoptic intubation in simulated difficult intubation patients. Anestezjologia Intensywna Terapia, pp.381-386.

MLA

Narhari, Rupesh et al. "Comparison of the Parker flex tip and the unoflex reinforced endotracheal tube for orotracheal fibreoptic intubation in simulated difficult intubation patients." Anestezjologia Intensywna Terapia, 2020, pp. 381-386.

Vancouver

Narhari R, Nazaruddin Wan Hassan W, Hardy Mohamad Zaini R, Che Omar S, Abdullah Nik Mohamad N, Seevaunnamtum P. Comparison of the Parker flex tip and the unoflex reinforced endotracheal tube for orotracheal fibreoptic intubation in simulated difficult intubation patients. Anestezjologia Intensywna Terapia. 2020:381-386.

Introduction
The choice of endotracheal tube (ETT) is important for successful orotracheal fibreoptic intubation (OFI). The aim of this study was to compare the use of the Parker flex tip (PFT) with the unoflex reinforced (UFR) ETT during OFI.

Material and methods
A total of 58 patients who underwent elective surgery under general anaesthesia were randomised to two ETT groups, the PFT group (n = 29) and the UFR group (n = 29), for OFI in simulated difficult intubation patients using a rigid cervical collar. After successful standardised induction and relaxation, OFI and railroading of selected ETT were subsequently performed by a similarly experienced practitioner. Ease of insertion, degree of manipulation, time to successful intubation, post-intubation complications and haemodynamic changes were recorded for both groups.

Results
The percentage of easy intubation was comparable between both groups with a slightly higher percentage in the UFR group than the PFT group (69.0% vs. 62.0%; P = 0.599). Degree of manipulation was also comparable between the two groups; the percentage of cases in which manipulation was not required was slightly higher in the UFR group than the PFT group (69.0% vs. 62.1%; P = 0.849). Time to successful intubation was also comparable between the groups, although the time was slightly shorter for the UFR group than the PFT group (56.9 s ± 39.7 s vs. 63.9 s ± 36.9 s; P = 0.488). There were also no significant differences in other parameters.

Conclusions
The Parker flex tip ETT was comparable to the unoflex reinforced ETT for OFI in simulated difficult airway patients.

keywords:

Comparison of the Parker flex tip and the unoflex reinforced endotracheal tube for orotracheal fibreoptic intubation in simulated difficult intubation patients

Rupesh Narhari 1, 2 , Wan Mohd Nazaruddin Wan Hassan 1, 2 , Rhendra Hardy Mohamad Zaini 1, 2 , Sanihah Che Omar 1, 2 , Nik Abdullah Nik Mohamad 1, 2 , Praveena Seevaunnamtum 1, 2

fibreoptic, endotracheal tube, general anaesthesia, intubation

Rupesh Narhari

^{1, 2}

,

Wan Mohd Nazaruddin Wan Hassan

^{1, 2}

,

Rhendra Hardy Mohamad Zaini

^{1, 2}

,

Sanihah Che Omar

^{1, 2}

,

Nik Abdullah Nik Mohamad

^{1, 2}

,

Praveena Seevaunnamtum

^{1, 2}