అనస్థీషియా & క్లినికల్ రీసెర్చ్
అందరికి ప్రవేశం
ISSN: 2155-6148
ISSN: 2155-6148
Parth Kalathiya*, Vandana Trivedi
Background: The most challenging aspect for the anesthesiologist in case of requiring general anaesthesia is the insertion of a Tracheal tube. Airway management and endotracheal intubation are fundamental skills for the safe conduct of anaesthesia. Despite of popularity of Macintosh laryngoscope in routine surgeries, failures during intubation are not uncommon, especially in patients with unanticipated difficult airway. Recent advances gives opportunity with development of video laryngoscope which does not require alignment of the oral-pharyngeal-laryngeal axes that may reduce the difficult in endotracheal intubation. So in this study, we compared Hemodynamic parameters and duration of Intubation between Macintosh laryngoscope and Truview video laryngoscope. Review Video laryngoscope is device with unique blade which provides 42° anterior reflected view of larynx and glottis without alignment of oral pharyngeal laryngeal axes.
Objectives: A type of prospective Double blind Randomised controlled trial carried out at tertiary care unit during 2020- 2021 with 60 adult patients, after taking approval of Institutional Ethical Committee(Ref no. IEC/Certi/223/06/2020) and written informed consent in their own language according to institutional protocols and explaining the cause, pathology and consequences of the process.
Methods: In this Prospective, Randomized controlled study on 60 patients of 18 to 60 years of age and either sex after matched inclusion criteria with American society of Anesthesiologists class I, II and III, who were posted for elective surgery requiring general Anaesthesia with endotracheal intubation. Patients are equally divided in to two groups, Group M (n=30) and Group T (n=30), in which intubation was done using Macintosh laryngoscope and Truview Video laryngoscope respectively. Duration of intubation and Hemodynamic Parameters were measured at different time interval. Statistical analysis was done by using SPSS Statistical Software version 24.0. Mean and standard deviation were calculated. Unpaired ‘t’ test were applied between Group M and Group T. p value of <0.05 is considered statistically Significant and p value<0.001 was considered statistically highly significant.
Results: Truview Video laryngoscope make easiear intubatrion as compared to Macintosh laryngoscope, But total duration of intubation was more with Group T (38.16 ± 4.47 seconds) as compared to Group M (14.66 ± 4.02 seconds) which was statistically Highly Significant (p value<0.001). There was fewer rises in hemodynamic parameters with Truview Video laryngoscope as compared with Macintosh laryngoscope.
Conclusion: Truview Video laryngoscope provides easier intubation and better hemodynamic stability. But duration of intubation was more with Truview Video laryngoscope as compared to Macintosh laryngoscope.