Original Articles
A Comparative study of Different Type of Video Laryngoscope with Direct Laryngoscope for Endotracheal Intubation in Adult Patients with Difficult Airway | |
Dr. Saunil N Shah, Dr. Katha Vyas, Dr. Tirth Vyas, Sanya Shah | |
Introduction: The essential practice of anaesthesia as well as emergency and critical care medicine is airway management. Endotracheal intubation is the gold standard method for airway management because it is quick, non-surgical, and safe. It also achieves all airway management objectives, preserves airway patency, guards the lungs from aspiration, and allows leak-free breathing during mechanical ventilation. Methodology: A prospective study at a tertiary care hospital was conducted including 120 participants as per the inclusion and exclusion criteria within the weight group of 40 to 70 and ASA grade II and III. After their Consent, Randomized distribution was conducted to segregate them equally between 3 groups, to compare King Vision and Trueview PCD video laryngoscopes and direct laryngoscopy with Macintosh blade and draw results. Result: This clinical study involved 120 adult patients. They were divided into three groups using the closed envelope technique. Each group consisted of 40 patients. Group KV has patients under Kingvision, Group TV having Trueview, Group MC having Macintosh laryngoscope. On average, Group K took 18.3s for intubation; an increase was seen with Group T and M by +5.85s and +3.4s respectively. While 95% of patients in group K were intubated in 1st attempt, the percentage dropped to 70% and 50% in group T and M respectively. External laryngeal manipulation was not required in any patient of group KV, but in 31% and 68% in group TV and group MC respectively. Conclusion: King vision and TruView PCD video laryngoscope offer a better laryngoscopy view, higher success rate, faster intubations, minimum external maneuvers, less attempts for intubation and less hemodynamic stress response to direct laryngoscopy with Macintosh blade. |
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