Megala, R (2016) A prospective randomised study to compare and evaluate macintosh laryngoscope and king vision video laryngoscope for routine intubation in adults scheduled for elective surgery. Masters thesis, Government Mohan Kumaramangalam Medical College, Salem.
|
Text
2010010megalar.pdf Download (7MB) | Preview |
Abstract
The present study compared the King Vision Video Laryngoscope (KVVL) channelled blade with Macintosh laryngoscope (ML) with regard to the laryngoscopic view, laryngoscopic time and time required to complete the tracheal intubation with head in neutral position. We aimed to investigate any disadvantages that the King Vision Video Laryngoscope may have with regard to hemodynamics when used in routine clinical practice. Methods: Eighty patients undergoing elective surgery requiring general anaesthesia and tracheal intubation were randomly allocated to receive tracheal intubation using the King Vision Video Laryngoscope or the Macintosh laryngoscope. Following a standardised general anaesthetic, data were collected during and after laryngoscopy and endotracheal intubation. Results: The mean tracheal intubation time (TTI) for the King Vision Video Laryngoscope and Macintosh laryngoscope respectively were 24.9 and 26.5seconds, (p =0.596). The mean duration of laryngoscopy (DOL) for the King Vision Video Laryngoscope and Macintosh laryngoscope respectively were 46.5 and 46.4 seconds (p = 0.925). Only 37.5% in ML group had Cormack Lehane grade 1 glottic view while all in KVVL had grade 1 glottic view. The xi percentage of patients who did not required optimisation manoeuvres were respectively 72.5% and 27.5% for KVVL and ML. The change in hemodynamic profile was comparable between both groups. Conclusion: King Vision Video Laryngoscope has comparable efficacy related to intubation time, duration of laryngoscopy, success rate and ease of intubation. Although King Vision provided greater percentage of best laryngoscopic view with less requirement of optimising manoeuvres, it provides no added benefit with regard to fluctuation of the hemodynamic response to intubation. Therefore, we conclude that the King Vision Video Laryngoscope may be used in routine clinical practice for tracheal intubation.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Macintosh Laryngoscope; King Vision Video; Laryngoscope; Routine Intubation; Adults Scheduled; Elective Surgery |
| Subjects: | MEDICAL > Anaesthesiology |
| Depositing User: | Punitha K |
| Date Deposited: | 19 Jul 2017 05:59 |
| Last Modified: | 19 Jul 2017 05:59 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/1867 |
Actions (login required)
 |
View Item |
