External Laryngeal Manipulation for Better Laryngeal View
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 1
Abstract
Purpose:External Laryngeal Manipulation (ELM) Is Used To Get Better Laryngeal View During Direct Laryng oscopy.This Study Was Designed To Test The Hypothesis That ELM Done By The Intubating Anesthetist(Laryng oscopist) Offers The Best Laryngeal View For Tracheal Intubation.Materials And Method:A Total Of 160 Patie nts Underwent Different Surgical Procedures Were Included In This Study. Percentage OfGlottic Opening (PO GO) Score And Cormack And Lehane Scale Were Used As Outcome Measures ForComparison Between Differe nt Laryngoscopic Views.Four Views Were Described; Basic LaryngoscopicView And Then Views After ELM Do ne By The Assistant, By The Laryngoscopist And Finally By The AssistantAfter The Guidance From The Laryng oscopist Respectively. The Last Three Views Compared With The BasicLaryngoscopic View.Results:ELM Done By The Laryngoscopist Or By The Assistant After Guidance From The LaryngoscopistshowedSignificant Improv ement Of Cormack Grades And POGO Scores Compared With Basic Laryngoscopic View.Number Of Patients With Cormack Grade1 Increased From 39 After Direct Laryngoscopy To 97 And 96patients (P < 0.001 By Fish er's Exact Test), After Elmdone By The Laryngoscopist And That Done By TheAssistant After Guidance From T he Anesthetist Respectively. Furthermore, The Number Of Patients WithPOGO Scores Of 100% Increased From 39After Direct Laryngoscopy To 78 And 61 (P < 0.01)Patients AfterELM Done By The Laryngoscopist And Th at Done By The Assistant After GuidanceFrom The AnesthetistRespectively.Conclusion:It Appeared From This Study That ELM Done By The Anesthetist Makes The Best Laryngeal View For Tracheal Intubation.
Authors and Affiliations
Dr. Shahnaz Geelani1, Dr. Mushtaq Ahmad Rather2, Dr. Farhana Bashir3, Dr. Saba Ahad4
Keywords
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