Endotracheal intubation in patients undergoing open abdominal surgery in the lateral position: a comparison between the intubating video stylet and fiberoptic intubating bronchoscopy
| Autor: | Mohamed Mahmoud Hussien, Amr Samir Wahdan, Nesrine Abdel Rahman El-Refai, Shady Amr Abdel Moneem, Sohaila H Omar, Mennatallah Magdi Mohamed |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_treatment
video stylet Anesthesia General 03 medical and health sciences 0302 clinical medicine Bronchoscopy laparotomy 030202 anesthesiology Anesthesiology bronchoscope Sore throat medicine Lateral Decubitus Position Intubation Intratracheal Intubation Humans RD78.3-87.3 030212 general & internal medicine Clinical Research Article airway management medicine.diagnostic_test business.industry Pharyngitis Perioperative patient positioning intratracheal intubation Stylet Anesthesiology and Pain Medicine Bronchoscopes Anesthesia Airway management medicine.symptom business Abdominal surgery |
| Zdroj: | Korean Journal of Anesthesiology, Vol 74, Iss 3, Pp 234-241 (2021) Korean Journal of Anesthesiology |
| ISSN: | 2005-7563 2005-6419 |
| Popis: | Background: Some situations compel anesthetists to execute endotracheal intubation in the lateral position. We compared elective endotracheal intubation in the lateral decubitus position using the video stylet (VS) device with the fiberoptic (FO) bronchoscope device in patients undergoing abdominal surgery.Methods: Overall, 50 patients were enrolled in this prospective, randomized study. They were randomly classified into the VS intubation or FO intubating bronchoscope group. After anesthesia induction, patients were placed in the lateral decubitus position, and a single investigator well-versed with the use of the VS and FO bronchoscope performed the intubation. The primary outcome was the time taken for intubation. Secondary outcomes included the intubation success rate, hemodynamic response at specific time points and perioperative complications.Results: The average time taken for intubation was significantly lesser in the VS group than in the FO group, with values of 39.5 ± 10.0 and 75.6 ± 16.2 s, respectively (P < 0.001). Incidences of a successful first attempt of intubation in the VS and FO groups were 88% and 100%, respectively, showing no significant difference. There was a negligible difference in complications between the groups, except sore throat, which showed a higher incidence in the VS group than in the FO group (P = 0.002).Conclusions: In laterally positioned patients, elective endotracheal intubation with VS provides less intubation time; however, its use is accompanied by a significant increase in the hemodynamic response after intubation and an increased incidence of sore throat. |
| Databáze: | OpenAIRE |
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