COMPARISON OF MACINTOSH BLADE AND MCCOY BLADE FOR GLOTTIC EXPOSURE AND EASE OF INTUBATION
Journal Title: Journal of Drug Discovery and Therapeutics - Year 2014, Vol 2, Issue 10
Abstract
BACK GROUND: Laryngoscopes forms an important part of general anaesthesia and endotracheal intubation. The aim of laryngoscopy is to obtain good visualization of vocal cords to facilitate smooth endotracheal intubation. The blades used for laryngoscopy should facilitate good laryngoscopic view for smooth endotracheal intubation.AIMS AND OBJECTIVES:1. To compare the laryngoscopic view.2. Ease of intubation using mccoy laryugoscope as compared with conventional macintosh laryngoscope. MATERIALS AND METHODS: After institutional committee approval 100 adult patients in the age group of 18 to 60 years and ASA status I and II and Mallampati grade I and II undergoing elective surgeries under general anaesthesia were included in this study. The study population was divided into 2 groups with 50 patients in each group. Group I consists of laryngoscopic view of patients intubated with Macintosh blade. Group II consists of laryngoscopic view of patients intubated with Mccoy blade.RESULTS: Most of the patients in both the groups were in the age group of 20-39years. In Group I 66% patients were in ASA I grading and 34% in ASA II grading .In Group II 68% patients were in ASA I grading and 16 % in ASA II grading. In group I 64%patients had ease of intubation of grade I and 18% with grade II.CONCLUSION: Based on the present prospective randomized clinical comparative study the Mccoy laryngoscope with flexitip blade with its levering tip significantly improves the visualisation of larynx and ease of intubation.
Authors and Affiliations
G. Jebanesh Rose| Post graduate, Division of Anaesthesia, Rajah Muthiah Medical College and Hospital, Annamalai University, India, R. Abishek| Post graduate, Division of Community medicine, Rajah Muthiah Medical College and Hospital, Annamalai University, India
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