CUFF INFLATION TO AID NASOTRACHEAL INTUBATION USING THE C-MAC VIDEO LARYNGOSCOPE- A COMPARISON OF TWO TYPES OF ENDOTRACHEAL TUBES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 39
Abstract
BACKGROUND Nasotracheal intubation offers the head and neck surgeons more scope for surgical manoeuvres. Aim: We decided to study the success rate of nasotracheal intubation with the aid of an inflated cuff of an ET tube in the oropharynx and to avoid the usage of forceps using a video laryngoscope and also to compare the above technique using two different tubes i.e. PVC ET tubes and flexometallic ET tubes. MATERIALS AND METHODS Sixty consenting adults were randomly allotted to be intubated nasally with a conventional PVC ET tube or flexometallic tube using a C-MAC video laryngoscope. The time taken, any other manoeuvres used, failure rate and any complications were noted. The sample size was calculated to be 30 patients in each group. Sample size was calculated in order to achieve a power of 80% and considering alpha error of 10%. RESULTS A statistically significant increase in the success rate of nasotracheal intubation with the aid of an inflated cuff of an ET tube and with a C-MAC video laryngoscope were noted in both groups, which was the primary outcome studied. In PVC group and in flexometallic group, 8 patients and 13 patients were intubated with the aid of cuff inflation using a C-MAC video laryngoscope respectively, 22 patients and 17 patients were intubated without the aid of cuff inflation respectively. CONCLUSION The usage of C-MAC video laryngoscope for nasotracheal intubation of PVC and Flexometallic ETT reduced the grade of difficulty and provided easy navigability of ETT from laryngeal inlet to trachea and also decreased the amount of time taken for intubation significantly.
Authors and Affiliations
Ashok M. S, Deepali N. V
Keywords
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- EP ID EP548143
- DOI 10.14260/jemds/2018/952
- Views 57
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