[A comparison of ramping position and sniffing position during endotracheal intubation: a systematic review and meta-analysis].

ABSTRACT:

Objectives

Positioning during endotracheal intubation (ETI) is critical to ensure its success. We aimed to determine if the ramping position improved laryngeal exposure and first attempt success at intubation when compared to the sniffing position.

Methods

PubMed, EMBASE, and Cochrane CENTRAL databases were searched systematically from inception until January 2020. Our primary outcomes included laryngeal exposure as measured by Cormack-Lehane Grade 1 or 2 (CLG 1/2), CLG 3 or 4 (CLG 3/4), and first attempt success at intubation. Secondary outcomes were intubation time, use of airway adjuncts, ancillary maneuvers and complications during ETI.

Results

Seven studies met our inclusion criteria, of which 4 were RCTs and 3 were cohort studies. The meta-analysis was conducted

SUBMITTER: Tsan SEH 

PROVIDER: S-EPMC9373499 | biostudies-literature | 2020 Nov-Dec

REPOSITORIES: biostudies-literature