{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T13:04:36Z","timestamp":1792069476064,"version":"4.4.0"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,2,12]],"date-time":"2024-02-12T00:00:00Z","timestamp":1707696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>Aspiration of gastric contents is a recognised complication during all phases of anaesthesia. The risk of this event becomes more likely with repeated attempts at tracheal intubation. There is a lack of clinical data on the effectiveness of videolaryngoscopy relative to direct laryngoscopy rapid sequence intubation in the operating theatre. We hypothesised that the use of a videolaryngoscope during rapid sequence intubation would be associated with a higher first pass tracheal intubation success rate than conventional direct laryngoscopy. In this multicentre randomised controlled trial, 1000 adult patients requiring tracheal intubation for elective, urgent or emergency surgery were allocated randomly to airway management using a McGrath\u2122 MAC videolaryngoscope (Medtronic, Minneapolis, MN, USA) or direct laryngoscopy. Both techniques used a Macintosh blade. First\u2010pass tracheal intubation success was higher in patients allocated to the McGrath group (470\/500, 94%) compared with those allocated to the direct laryngoscopy group (358\/500, 71.6%), odds ratio (95%CI) 1.31 (1.23\u20131.39); p\u2009&lt;\u20090.001. This advantage was observed in both trainees and consultants. Cormack and Lehane grade \u2265\u20093 view occurred less frequently in patients allocated to the McGrath group compared with those allocated to the direct laryngoscopy group (5\/500, 1% vs. 94\/500, 19%, respectively; p\u2009&lt;\u20090.001). Tracheal intubation with a McGrath videolaryngoscope was associated with a lower rate of adverse events compared with direct laryngoscopy (13\/500, 2.6% vs. 61\/500, 12.2%, respectively; p\u2009&lt;\u20090.001). These findings suggest that the McGrath videolaryngoscope is superior to a conventional direct laryngoscope for rapid sequence intubation in the operating theatre.<\/jats:p>","DOI":"10.1111\/anae.16250","type":"journal-article","created":{"date-parts":[[2024,2,12]],"date-time":"2024-02-12T08:10:36Z","timestamp":1707725436000},"page":"801-809","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":44,"title":["A comparison of the\n                    <scp>McGrath<\/scp>\n                    videolaryngoscope with direct laryngoscopy for rapid sequence intubation in the operating theatre: a multicentre randomised controlled trial"],"prefix":"10.1111","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7350-7908","authenticated-orcid":false,"given":"M.","family":"Kriege","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Institute of Medical Biostatistics, Epidemiology and Informatics University Medical Centre of the Johannes Gutenberg\u2010University Mainz  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Lang","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Institute of Medical Biostatistics, Epidemiology and Informatics University Medical Centre of the Johannes Gutenberg\u2010University Mainz  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Lang","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Institute of Medical Biostatistics, Epidemiology and Informatics University Medical Centre of the Johannes Gutenberg\u2010University Mainz  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8743-6752","authenticated-orcid":false,"given":"I.","family":"Schmidtmann","sequence":"additional","affiliation":[{"name":"Institute of Medical Biostatistics, Epidemiology and Informatics University Medical Centre of the Johannes Gutenberg\u2010University Mainz  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Kunitz","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Emergency and Intensive Care Medicine, Klinikum Mutterhaus der Borrom\u00e4erinnen GmbH Trier  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Roth","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Emergency and Intensive Care Medicine, Klinikum Mutterhaus der Borrom\u00e4erinnen GmbH Trier  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Strate","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Faculty of Medicine, Medical Center \u2010 University of Freiburg University of Freiburg im Breisgau  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Schmutz","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Faculty of Medicine, Medical Center \u2010 University of Freiburg University of Freiburg im Breisgau  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Vits","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Intensive Care Medicine and Emergency Medicine Bundeswehrzentralkrankenhaus Koblenz  Koblenz Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Balogh","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Intensive Care Medicine and Emergency Medicine Bundeswehrzentralkrankenhaus Koblenz  Koblenz Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3550-1211","authenticated-orcid":false,"given":"C.","family":"J\u00e4nig","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Intensive Care Medicine and Emergency Medicine Bundeswehrzentralkrankenhaus Koblenz  Koblenz Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.1986.tb02373.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aer058"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000003831"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1213\/01.ANE.0000122825.04923.15"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15817"},{"key":"e_1_2_6_7_1","first-page":"CD011136","article-title":"Videolaryngoscopy versus direct laryngoscopy for adults undergoing tracheal intubation","volume":"4","author":"Hansel J","year":"2022","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15985"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-021-01921-7"},{"key":"e_1_2_6_10_1","first-page":"451","article-title":"The clinical assessment of Glidescope in orotracheal intubation under general anesthesia","volume":"73","author":"Xue FS","year":"2007","journal-title":"Minerva Anesthesiologica"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aev438"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14057"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-052977"},{"key":"e_1_2_6_14_1","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1097\/00003643-200000002-00114","article-title":"Airway Difficulty Score (ADS): a new score to predict difficulty in airway management","volume":"17","author":"Janssens M","year":"2000","journal-title":"European Journal of Anaesthesiology"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03021895"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2011.02541.x"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199712000-00005"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15301"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2012.03.031"},{"key":"e_1_2_6_20_1","first-page":"1291","article-title":"Comparison of tracheal intubation performance between macintosh direct laryngoscope and McGRATH\u00ae MAC video laryngoscope among anesthesia trainees","volume":"64","author":"Kasuya Y","year":"2015","journal-title":"Masui"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003918"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000000525"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.1727"},{"key":"e_1_2_6_24_1","first-page":"4264","article-title":"Video laryngoscopy versus direct laryngoscopy on time of orotracheal intubation in normal adult in elective surgeries","volume":"24","author":"Altaiee AH","year":"2020","journal-title":"Medical Science"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2301601"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aes145"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aep191"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/MEJ.0000000000000161"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X9302100519"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.16057"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2753.2001.00280.x"}],"container-title":["Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anae.16250","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T18:09:24Z","timestamp":1761674964000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1111\/anae.16250"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,12]]},"references-count":30,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1111\/anae.16250"],"URL":"https:\/\/doi.org\/10.1111\/anae.16250","archive":["Portico"],"relation":{},"ISSN":["0003-2409","1365-2044"],"issn-type":[{"value":"0003-2409","type":"print"},{"value":"1365-2044","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,12]]},"assertion":[{"value":"2024-01-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}