“Efficacy of Laryngoscopy and Haemodynamic Response to Endotracheal Intubation: A Comparitive Study between Airtraq Optical Laryngoscope and Macintosh Laryngoscope
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2017, Vol 4, Issue 3
Abstract
Background: Laryngoscopy is the most important step in the process of endotracheal intubation for administration of general anaesthesia. Airtraq optical laryngoscope is a new rigid indirect optical device with exaggerated curvature of the blade and an internal arrangement of optical components, a view of the glottis is provided without alignment of oral, pharyngeal and tracheal axes. Objective: To compare the efficacy of laryngoscopy and the haemodynamic response to endotracheal intubation between Airtraq and Macintosh laryngoscopes. Methods: One hundred patients of either sex in the age of 20–60 years under ASA grade I and II with Mallampati grading I and II posted for elective surgery under general anaesthesia were selected for the study. Patients were randomly divided into two groups (n = 50). Induction of anaesthesia was standardized. The efficacy of laryngoscopy was compared according to Cormack and Lehane grading and haemodynamic response to endotracheal intubation were compared. Results: In group A (Airtraq), all 50 (100%) patients had Cormack and Lehane grading I and in group M (Macintosh), 33 (66%) patients had Cormack and Lehane grading I and 17 (36%) patients had Cormack and Lehane grading II ( p = 0.000). In x Group A, mean heart rate increased from 83.54±10.19 bpm prior to intubation to 90.08±9.98 bpm after intubation and mean arterial pressure increased from 91.06±8.16 mmHg prior to intubation to 95.30±8.40 mmHg after intubation. In Group M, mean heart rate increased from 80.94±6.71 bpm prior to intubation to 103.30±7.86 bpm after intubation and mean arterial pressure increased from 91.80±7.70 mmHg prior to intubation to 114.20±6.69 mmHg after intubation (p = 0.000). Conclusion: Airtraq optical laryngoscope provides a better exposure of the glottis when compared to Macintosh laryngoscope while triggering minimum haemodynamic response to endotracheal intubation.
Authors and Affiliations
Raghavendra Babu T.
Keywords
Related Articles
- EP ID EP471633
- DOI 10.21088/ijaa.2349.8471.4317.27
- Views 98
- Downloads 0
Hyomental Distance in Neutral and Extension as a Clinically Reliable Predictor of Difficult Airway
Aims: This study was been done with a purpose to evaluating the benifit of the Hyomental Distance [Hmd] neutral and extended position for predicting accurately difficult visualization of the larynx (DVL) in normal lookin...
Incidence of Internal Jugular Vein Valve Incompetence through High versus Low Approach for IJV Cannulation
Studies done on internal jugular venous valve (IJVV) competence shows that structural and functional integrity of the IJV valve may be compromised when the IJV is cannulated for insertion of a central venous catheter. US...
A Study of Effectiveness of Dexmedetomidine in Intravenous Regional Anesthesia as an Adjuvant to Lignocaine
Context: Dexmedetomidine has been a prime matter of subject studies in research over it with its comparison with various other agents as it possesses properties like sedation and analgesia. Aims: To study the effectivene...
A Study of Incidence of Congenital Cardiac Anomalies in the NewBorns with Ano-Rectal Malformation: Our Hospital Experience
Background: Anorectal malformation is a common anomaly seen in newborns and is associated with multiple anomalies like renal, vertebral, muscular and cardiac. Associated cardiac anomalies determine the morbidity and mor...
Efficacy of Epidural Ropivacaine with Fentanyl as Postoperative Analgesia in Total Knee Replacement Surgeries
ontext: Ropivacaine is a new agent introduced recently which can provide differential blockade. It has been reported to produce greater degree of analgesia at the same time producing lesser motor blockade compared to bup...