A Comparative Study of Airtraq with Macintosh Laryngoscope for Intubation in Paediatric Population
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2019, Vol 6, Issue 2
Abstract
ontext: Paediatric airway is different than adult airway in terms of anatomy and physiology, therefore techniques and tools for securing the airway are different. Macintosh laryngoscope is most commonly used but, Airtraq is new tool, that allows high quality viewing of the vocal cords, without requiring a straight line of sight. Aims: To compare use of Airtraq with Macintosh laryngoscope for intubation in paediatric subject posted for elective surgeries. Materials and Methods: After written and informed consent of parents/ guardians, 50 patients of ASA 1 & 2, 2 - 6 years of age were divided into two groups (group A & M). Patients pre-medicated with ondansetron, glycopyrrolate, midazolam, paracetamol. Anaesthesia was induced with ketamine, propofol, succinylcholine and maintain on O2, N2O, sevoflurane and atracurium. Group M (n=25) were intubated with Macintosh and group A (n=25) patients with Airtraq. Intubation time, number of attempts, optimization manoeuvres were recorded. Hemodynamic changes were recorded before induction and after induction at interval of 1, 3, 5 minutes after intubation. Statistical analysis: The statistical analysis was assessed by unpaired t-test on Microsoft excel and IBM SPSS (Statistical Package for Social Sciences) version 21. P-value significant if <0.05. Results: Time taken for intubation was 33.96 + 15.7 seconds for group A and 44.80 + 16.3 seconds for group M. The calculated p value (p=0.02) showed there was statistically significance. Conclusion: Airtraq required shorter time to intubate, lesser number of attempts, lesser optimization manoeuvres’ and better laryngeal view as compared to Macintosh in paediatric patients.
Authors and Affiliations
Gaurang K. Patel
Keywords
Related Articles
- EP ID EP618869
- DOI 10.21088/ijaa.2349.8471.6219.9
- Views 96
- Downloads 0
A comparative Clinical Study of Subarachnoid Block With 0.75% Isobaric Ropivacaine 15 mg & 0.5% Hyperbaric Bupivacaine 8 mg Patients for Caesarean Section
Background: Ropivacaine is a local anaesthetic agent which is a long acting amide, a pure S (-) enantiomer of propivacaine. It has reduced potential for neuro and cardiotoxicity and safer than bupivacaine. This drug is l...
Crystalloid Preload Versus Crystalloid Co-load During Elective Caesarean Section Under Spinal Anesthesia
Background and Aim: Spinal anesthesia is a preferred technique of anesthesia for pregnant women undergoing caesarean section. The major disadvantage with this technique is maternal hypotension which carries the greatest...
Comparative Evaluation of Hyperbaric 0.5% Bupivacaine-Clonidine and only 0.5% Bupivacaine for Spinal Anaesthesia
Pain of any kind is distressing to the life style of human being and relief of pain becomes mandatory all the time. Intraoperative as well as postoperative pain is of concern as it results in morbidity and mortality. Pos...
A Comparative Study of Dexmedetomidine (1 mcg/kg) and Fentanyl (2 mcg/kg) with Dexmedetomidine (1 mcg/kg) Alone for Sedation during Awake Fiberoptic Intubation
Many drugs are used for providing favorable intubation conditions during awake fiberoptic intubation (AFOI). However, most of them cause respiratory depression and airway obstruction leading to hypoxemia. The aim of this...
Comparison of Buprenorphine Versus Fentanyl as an Adjuvant to Bupivacaine in Supraclavicular Brachial Plexus Block
Adjuncts to local anesthetics for brachial plexus blockmay enhance the quality and duration of analgesia. Buprenorphine and Fentanyl both are opioids, known to produce antinociception and enhance the effect of local anes...