Comparing the intubation effectiveness of two different laryngoscopes in patients with cerebral palsy

Yıl 2018, Volume: 21 Issue: 2, 123 - 129, 20.07.2018

Aysun Çağlar Torun Mustafa Erhan Sarı Ersin Köksal Sevgin İbiş

https://doi.org/10.7126/cumudj.397203

Cited By: 1

Öz

Objective: In patients with expected airway difficulties,
specific preparatory and auxiliary equipment is required before general
anesthesia. The aim of this study was to compare the intubation efficacy of
Macintosh laryngoscope with that of the McGrath MAC video laryngoscope in
patients with cerebral palsy.

Materials
and Methods: The study
was conducted in forty patients (aged 4-15) with cerebral palsy who were
scheduled to undergo dental treatment. Intubations were performed in patients
randomly assigned to the McGrath MAC video laryngoscope or the Macintosh
laryngoscope. The characteristics of the patients, mean arterial blood
pressure, heart rate, end-tidal carbon dioxide, and peripheral oxygen
saturation were measured. The intubation success, intubation time, Cormack and
Lehane grades, number of trials, need for neck extension, and complications
were recorded.

Results: When both groups were compared in terms of the
glottic view, intubation time, and need for neck extension, there was no
significant difference (p = 0.542, p = 0.779, and p = 1.000, respectively). All the intubations were performed
successfully at the first attempt in both groups, and no complications were
recorded.

Conclusion: Although our study included patients with cerebral
palsy, in which musculoskeletal anomalies are common, sufficient muscle
relaxation for intubation after general anesthesia was achieved in all the
patients. There was no evidence of intubation difficulty
in either group of patients, and cerebral palsy, with its existing deformities,
did not affect the intubation success or complication rate. No additional
advantages of using video laryngoscopy in patients with cerebral palsy were
found.

Anahtar Kelimeler

intubation, video laryngoscope, macintosh laryngoscope

Kaynakça

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