Research Article
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Year 2019, Volume: 5 Issue: 5, 745 - 750, 04.09.2019
https://doi.org/10.18621/eurj.419490

Abstract

References

  • [1] Vinayagam S, Dhanger S, Tilak P, Gnanasekar R. C-MAC® video laryngoscope with D-BLADE™ and Frova introducer for awake intubation in a patient with parapharyngeal mass. Saudi J Anaesth 2016;10:471-3.
  • [2] Griesdale DE, Liu D, McKinney J, Choi PT. Glidescope® video-laryngoscopy versus direct laryngoscopy for endotracheal intubation: a systematic review and meta-analysis. Can J Anaesth 2012;59:41-52.
  • [3] Cavus E, Thee C, Moeller T, Kieckhaefer J, Doerges V, Wagner K. A randomised, controlled crossover comparison of the C-MAC videolaryngoscope with direct laryngoscopy in 150 patients during routine induction of anaesthesia. BMC Anesthesiol 2011;11:6.
  • [4] Das B, Samal RK, Ghosh A, Kundu R. A randomised comparative study of the effect of Airtraq optical laryngoscope vs. Macintosh laryngoscope on intraocular pressure in non-ophthalmic surgery. Braz J Anesthesiol 2016;66:19-23.
  • [5] Ahmad N, Zahoor A, Riad W, Al Motowa S. Influence of GlideScope assisted endotracheal intubation on intraocular pressure in ophthalmic patients. Saudi J Anaesth. 2015;9:195-8.
  • [6] Mahjoubifar M, Boroojeny SB. Hemodynamic changes during orotracheal intubation with the Glidescope and direct laryngoscope. IRCMJ 2010;12:406-8.
  • [7] Win NN, Kohase H, Yoshikawa F, Wakita R, Takahashi M, Kondo N, et al. Haemodynamic changes and heart rate variability during midazolam-propofol co-induction. Anaesthesia 2007;62:561-8.
  • [8] Yang JC, Siu TS, Ng KF, Gong Z, Tsui SL, Wong JS. Combined effect of isoflurane and esmolol on sympathetic responses to tracheal intubation. Acta Anaesthesiol Sin 2000;38:123-30.
  • [9] Amini S, Shakib M. Hemodynamic changes following endotracheal intubation in patients undergoing cesarean section with general anesthesia: application of glidescope® videolaryngoscope versus direct laryngoscope. Anesth Pain Med 2015;5:e21836.
  • [10] Karaman T, Dogru S, Karaman S, Demir S, Kaya Z, Suren M, et al. Intraocular pressure changes: the McGrath videolaryngoscope vs the Macintosh laryngoscope: a randomized trial. J Clin Anesth 2016;34:358-64.
  • [11] Canbay O, Celebi N, Sahin A, Celiker V, Ozgen S, Aypar U. Ketamine gargle for attenuating postoperative sore throat. Br J Anaesth 2008;100:490-3.
  • [12] Cirilla DJ 2nd, Ngo J, Vaisman V, Daly C, Ata A, Sandison M, et al. Does the incidence of sore throat postoperatively increase with the use of a traditional intubation blade or the GlideScope? J Clin Anesth 2015;27:646-51.
  • [13] Serocki G, Neumann T, Scharf E, Dörges V, Cavus E. Indirect videolaryngoscopy with C-MAC D-Blade and GlideScope: a randomized, controlled comparison in patients with suspected difficult airways. Minerva Anestesiol 2013;79:121-9.
  • [14] Smereka J, Ladny JR, Naylor A, Ruetzler K, Szarpak L. C-MAC compared with direct laryngoscopy for intubation in patients with cervical spine immobilization: a manikin trial. Am J Emerg Med 2017;35:1142-6.

A comparison of C-MAC videolaryngoscope and Macintosh laryngoscope in intraocular pressure changes, throat pain, intubation time and hemodynamic variables

Year 2019, Volume: 5 Issue: 5, 745 - 750, 04.09.2019
https://doi.org/10.18621/eurj.419490

Abstract

Objectives: The aim of the current study was to
compare intraocular pressure (IOP), hemodynamic parameters and throat pain in
the use of C-MAC videolaryngoscope and the Macintosh laryngoscope under general
anesthesia requiring endotracheal intubation.

Methods: Seventy-eight
patients aged 18-65 years, ASA (
American Society of
Anesthesiologists physical status).
I-II, who underwent
elective surgery under general anesthesia were scheduled in the study. The groups were allocated as
Group M (Macintosh laryngoscope) and Group VL (videolaryngoscope). Standard
anesthesia
technique was used in both groups. To assess the depth of
anesthesia which was kept between 40 and 60, a Bispectral Index Monitor Model
2000 (Aspect Medical Systems, Inc, Newton, MA) was used throughout the study.
We
recorded hemodynamic variables, oxygen saturation before induction, at the 3rd
and at the 10th minutes after intubation. The duration of intubation was
recorded as the time from the laryngoscope entering the mouth to removal with
end-tidal carbon dioxide on the monitor.
IOP was measured before
induction, and at the 3rd and 10th minutes after intubation. Inhalation agent
was given after intubation. 78 patients were included in the study.
We
recorded cough after extubation, and postoperative sore throat was evaluated by
an anesthesiologist who was blinded to the group allocations at 10 minutes and
at 24 hours postoperatively.

Results: There was no significant difference
between the groups regarding age (p >
0.05),
mean body mass index (p = 0.157),
mean ASA (p = 0.475), mean b
ispectral
index
values (p
= 0.084)

and mean operating time (p = 0.068).
The mean duration of intubation was determined to be statistically
significantly longer in Group M than in Group VL (p = 0.0001). There was no statistically significant difference
between the groups regarding Modified Mallampati Score (p = 0.571) and Cormack Lehane Score (p = 0.819). The mean IOP at 3rd minute after intubation was
determined to be statistically significantly higher in Group M (p = 0.0001). There was no statistically
significant difference between the groups in regarding cough after extubation (p = 0.549), throat pain at 10 minutes (p = 0.662) and at 24 hours
postoperatively.







Conclusions: C-MAC videolaryngoscope can be
recommended as the first choice in patients with high IOP requiring general
anesthesia with endotracheal intubation. 

References

  • [1] Vinayagam S, Dhanger S, Tilak P, Gnanasekar R. C-MAC® video laryngoscope with D-BLADE™ and Frova introducer for awake intubation in a patient with parapharyngeal mass. Saudi J Anaesth 2016;10:471-3.
  • [2] Griesdale DE, Liu D, McKinney J, Choi PT. Glidescope® video-laryngoscopy versus direct laryngoscopy for endotracheal intubation: a systematic review and meta-analysis. Can J Anaesth 2012;59:41-52.
  • [3] Cavus E, Thee C, Moeller T, Kieckhaefer J, Doerges V, Wagner K. A randomised, controlled crossover comparison of the C-MAC videolaryngoscope with direct laryngoscopy in 150 patients during routine induction of anaesthesia. BMC Anesthesiol 2011;11:6.
  • [4] Das B, Samal RK, Ghosh A, Kundu R. A randomised comparative study of the effect of Airtraq optical laryngoscope vs. Macintosh laryngoscope on intraocular pressure in non-ophthalmic surgery. Braz J Anesthesiol 2016;66:19-23.
  • [5] Ahmad N, Zahoor A, Riad W, Al Motowa S. Influence of GlideScope assisted endotracheal intubation on intraocular pressure in ophthalmic patients. Saudi J Anaesth. 2015;9:195-8.
  • [6] Mahjoubifar M, Boroojeny SB. Hemodynamic changes during orotracheal intubation with the Glidescope and direct laryngoscope. IRCMJ 2010;12:406-8.
  • [7] Win NN, Kohase H, Yoshikawa F, Wakita R, Takahashi M, Kondo N, et al. Haemodynamic changes and heart rate variability during midazolam-propofol co-induction. Anaesthesia 2007;62:561-8.
  • [8] Yang JC, Siu TS, Ng KF, Gong Z, Tsui SL, Wong JS. Combined effect of isoflurane and esmolol on sympathetic responses to tracheal intubation. Acta Anaesthesiol Sin 2000;38:123-30.
  • [9] Amini S, Shakib M. Hemodynamic changes following endotracheal intubation in patients undergoing cesarean section with general anesthesia: application of glidescope® videolaryngoscope versus direct laryngoscope. Anesth Pain Med 2015;5:e21836.
  • [10] Karaman T, Dogru S, Karaman S, Demir S, Kaya Z, Suren M, et al. Intraocular pressure changes: the McGrath videolaryngoscope vs the Macintosh laryngoscope: a randomized trial. J Clin Anesth 2016;34:358-64.
  • [11] Canbay O, Celebi N, Sahin A, Celiker V, Ozgen S, Aypar U. Ketamine gargle for attenuating postoperative sore throat. Br J Anaesth 2008;100:490-3.
  • [12] Cirilla DJ 2nd, Ngo J, Vaisman V, Daly C, Ata A, Sandison M, et al. Does the incidence of sore throat postoperatively increase with the use of a traditional intubation blade or the GlideScope? J Clin Anesth 2015;27:646-51.
  • [13] Serocki G, Neumann T, Scharf E, Dörges V, Cavus E. Indirect videolaryngoscopy with C-MAC D-Blade and GlideScope: a randomized, controlled comparison in patients with suspected difficult airways. Minerva Anestesiol 2013;79:121-9.
  • [14] Smereka J, Ladny JR, Naylor A, Ruetzler K, Szarpak L. C-MAC compared with direct laryngoscopy for intubation in patients with cervical spine immobilization: a manikin trial. Am J Emerg Med 2017;35:1142-6.
There are 14 citations in total.

Details

Primary Language English
Subjects Ophthalmology, Anaesthesiology
Journal Section Original Articles
Authors

Ceyda Özhan Çaparlar 0000-0001-5306-1956

Gözde Bumin Aydın This is me 0000-0001-8489-8505

Evginar Sezer This is me 0000-0002-5858-7401

Jülide Ergil This is me 0000-0002-4580-7866

Aysun Şanal Doğan This is me 0000-0002-7401-8903

Publication Date September 4, 2019
Submission Date April 29, 2018
Acceptance Date November 1, 2018
Published in Issue Year 2019 Volume: 5 Issue: 5

Cite

AMA Özhan Çaparlar C, Bumin Aydın G, Sezer E, Ergil J, Şanal Doğan A. A comparison of C-MAC videolaryngoscope and Macintosh laryngoscope in intraocular pressure changes, throat pain, intubation time and hemodynamic variables. Eur Res J. September 2019;5(5):745-750. doi:10.18621/eurj.419490

e-ISSN: 2149-3189 


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