Volume 22 No 1 (2024)
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The Success of Videolaryngoscopy & Macintosh Laryngoscopy in Intubation Attempts & Visualisation Vocal Cords in Adult Patients- A Comparative Study
Dr. Chiranjeevi Yendrapati, Dr. Kakula Vindhya, Dr. Vommi Venkata Ramesh, Dr. Neela Jyothi Mylabathula
Abstract
Introduction The laryngoscope was created to facilitate tracheal intubation & enhance glottis visualisation. It is uncertain whether this method works well for patients whose intubation is anticipated to be challenging. The aim of present study is to comparatively study the success of videolaryngoscopy& Macintosh laryngoscopy in intubation attempts &visualisation vocal cords in adult Patients. Material & Methods The present prospective comparative study was conducted at department of anaestheisa of a tertiary care centre among patients undergoing surgery with tracheal intubation under general anesthesia during the study duration period of one year. Two groups of fifty patients each were randomly assigned to receive either a videolaryngoscope (VL Group) or a Macintosh laryngoscope blade (ML Group). The analyses were conducted using the SPSS 25.0 package software for Windows, using a significance level of P <0.05. Results In the VL Group, there were 68% of patients with CL- I, but in the ML Group, there were 30%. In both groups, there were no CL-IV patients (P =.001). Within the VL Group, 85% of patients required just one attempt at intubation, 15% needed two, & none needed three. Of the patients in the ML Group, 86% only needed one attempt at intubation, 13% needed two, & 1% needed three. Compared to videolaryngoscope patients (9%), those using Machintosh laryngoscopes (20%) experienced higher problems. Conclusion In patients undergoing endotracheal intubation for general anaesthesia, videolaryngoscopy was found to be superior to Macintosh laryngoscopy due to its increased glottic view, shortened intubation time, streamlined intubation process, and decreased risk of complications.
Keywords
Anesthesia, Intubation, Macintosh Laryngoscopy, Patients, Surgery, VideoLaryngoscopy
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