sanyar video laryngoscope improved time and first pass success of tracheal intubation in intensive care unit in compared to direct laryngoscopy

Background: airway management and tracheal intubation in the icu is a difficult procedure that may be concomitant with major complications. the purpose of this study was to evaluate the effect of the sanyar ® video laryngoscope(s-vl) on laryngeal view and first pass success of tracheal intubation compared with direct laryngoscopy. methods: this comparative, prospective clinical study was conducted on 120 adult patients in a single-center, in a surgical icu under the supervision of an anesthesiologist in a university hospital. difficult airway predictors, glottic view, first pass success of tracheal intubation and time of intubation were evaluated with macintosh laryngoscopy (ml) or the sanyar® video laryngoscope(s-vl). results: tracheal intubation was performed in 58 critically ill patients using ml and 62 patients using s-vl. according to cormack and lehane (c&l) grading glottic visualization was more difficult using ml (41%, c&l grade 3 and 4) compared with s-vl (13%, c&l grade 3 and 4) p<0.001. intubation of trachea was more successful in the first attempt, in patients with at least one difficult airway predictor with a s-vl compared to ml (87% vs. 38%; p = 0.001), time of intubation was also shorter by using s-vl. conclusion: among critically ill patients in the intensive care unit, who require intubation, the sanyar video laryngoscopy improved glottis view compared to the macintosh direct laryngoscopy and first-pass orotracheal intubation rate especially in patients with potentially difficult airways.