Optimal external laryngeal manipulation versus McCoy blade in active position in patients with poor view of glottis on direct laryngoscopy
| Autor: | Ranjani Venkat, Ashok Shankar Badhe, Arumugam Vasudevan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Glottis medicine.diagnostic_test business.industry McCoy laryngoscope Difficult intubation Laryngoscopy Optimal external laryngeal manipulation Endotracheal intubation Submandibular space Surgery lcsh:RD78.3-87.3 Anesthesiology and Pain Medicine medicine.anatomical_structure lcsh:Anesthesiology OELM Medicine In patient Clinical Investigation business |
| Zdroj: | Indian Journal of Anaesthesia, Vol 54, Iss 1, Pp 45-48 (2010) Indian Journal of Anaesthesia |
| ISSN: | 0019-5049 |
| Popis: | Successful endotracheal intubation requires a clear view of glottis. Optimal external laryngeal manipulation may improve the view of glottis on direct laryngoscopy with Macintosh blade, but it requires another trained hand. Alternatively, McCoy laryngoscope with elevated tip may be useful. This study has been designed to compare the two techniques in patients with poor view of glottis. Two hundred patients with ′Grade 2 or more′ view of glottis on direct laryngoscopy with Macintosh blade are included in the study. Optimal external laryngeal manipulation was applied, followed by laryngoscopy with McCoy blade in activated position; and the view was noted in both situations. The two interventions were compared using Chi-square test. The overall changes, in the views, were analyzed with Wilcoxon signed rank test. Both the techniques improved the view of glottis significantly (P< 0.05). Optimal external laryngeal manipulation was significantly better than McCoy laryngoscope in active position, especially in patients with Grade 3 or 4 baseline view, poor oropharyngeal class, decreased head extension and decreased submandibular space (odds ratio = 2.36, 3.17, 3.22 and 26.48 respectively). To conclude, optimal external laryngeal manipulation is a better technique than McCoy laryngoscope in patients with poor view of glottis on direct laryngoscopy with Macintosh blade. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|