COMPARATIVE ASSESSMENT OF DIFFERENT TYPES OF LARYNGOSCOPES BLADES - MACINTOSH, MILLER AND MCCOY FOR LARYNGEAL VIEW AND PRESSOR RESPONSE
Journal Title: International Journal of Medical and Biomedical Studies - Year 2018, Vol 2, Issue 5
Abstract
The laryngoscopy is known to have profound cardiovascular effects. This includes pressor response and tachycardia along with an increase in catecholamine concentration, mainly norepinephrine. The major cause of the sympathoadrenal response is believed to arise from stimulation of supraglottic region by laryngoscopic blade with tracheal tube placement and cuff inflation contributing little additional stimulation. Complications of pressor respo laryngoscopy include myocardial ischemia, cardiac failure, intracranial haemorrhage and increase in intracranial pressure. Hence the present study planned to evaluate the laryngeal view and pressor response by using three different blades – Macintosh, McCoy and Miller laryngoscopes. The study was planned in the Department of Anaesthesia in Andaman and Nicobar Islands Institute of Medical Science (ANIIMS), Port Blair India, From Jun 2016 to Jun 2017 . The 30 patient undergoing the Laryngoscopy were enrolled in the present study. For the 10 patients using the Macintosh Blade were divided in Group I. The next 10 patients using the Miller blade were considered in the Group II. The remaining 10 patients were studied by use of McCoy blade. The results in our study show that the MacCoy laryngoscope blade improves the visualization of the larynx and significantly attenuates haemodynamic parameters during laryngoscopy and intubation as compared to that with Macintosh laryngoscope blade. Keywords: Laryngoscopy, Intubation, pressor response, Macintosh, miller and Mccoy laryngoscopes, etc
Authors and Affiliations
Dr Sanjay Kumar
Keywords
Related Articles
- EP ID EP484204
- DOI 10.32553/ijmbs.v2i6.108
- Views 32
- Downloads 0
Evaluation of the functional outcome after Bosworth technique for neglected Achilles tendon rupture - a clinical study
Background: Most ruptures of the Achilles tendon occur at the watershed area which is about 2 to 6 cm proximal to insertion of the tendon. There are many techniques of repair like using tendon transfer, autograft or synt...
PREREQUISITES FOR ADDRESSING THE DEVELOPMENT OF SOIL EROSION IN SLOPING LANDS OF AZERBAIJAN
The article examines the issues of the possibility of studying erosion and its control. The study proved that the development of soil erosion is based on the forming impact of natural and anthropogenic factors. The degre...
ASSESSMENT OF CAUSES FOR UNNATURAL DEATHS AMONGST FEMALE CHILDREN AND ADOLESCENTS IN BIHAR
If a person dies naturally, then there lies no suspicion so as to the death of the person. But in case of unnatural death, the death is caused due to circumstances which needs to be explained and examined. This study is...
CLINICAL PREVALENCE AND CAUSATIVE MICROBES RESPONSIBLE FOR NEONATAL SEPSIS IN NEONATES ADMITTED IN NMCH
Neonatal sepsis is of two types; early onset sepsis and late onset sepsis. Early onset sepsis (EOS) present within first 72 hours of life. In severe cases, the neonates may be symptomatic at birth. Infants with EOS usual...
MUCOADHESIVE AND MICROSPHERE: A SHORT REVIEW
Microsphere constitutes an important part of novel drug delivery system by virtue of their small size and efficient carrier capacity. Due to their short residence time, bioadhesive characteristics can be coupled to micro...