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Study on Tracheal Intubation using Airtraq versus McCoy Laryngoscope in Elective Surgical Patients

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Background: Airtraq and Mc Coy laryngoscopes have been commonly used in difficult airway scenarios. In the present study, the study aims to evaluate the comparison of Airtraq from McCoy Laryngoscope in view of laryngoscopic time and ease of insertion in elective surgical patients. Methods: A prospective randomized prospective study was undertaken in 60 ASA I and II patients, 18-60 years of age scheduled for elective surgical procedures. Patients were randomly divided into two group Group M (30 patients) and Group A (30 patients). Following induction and adequate muscle relaxation, they were intubated using either of the techniques first, followed by the other. Laryngoscopy time, haemodynamic parameters, maneuvers required were recorded between Airtraq and Mc Coy group. Results: The mean intubation time of laryngoscopy in Airtraq group was 19.20 seconds whereas in McCoy group was 35.33 seconds. There was statistically significant difference between both the group on basis of number of attempts required for intubation (p-value=0.019). However there was no difference between two groups on the basis of ease of intubation, maneuvers required and complication. Conclusion: In terms of visualization of glottic area Airtraq laryngoscope is better in comparison to McCoy laryngoscope.

Perspectives

Background: Airtraq and Mc Coy laryngoscopes have been commonly used in difficult airway scenarios. In the present study, the study aims to evaluate the comparison of Airtraq from McCoy Laryngoscope in view of laryngoscopic time and ease of insertion in elective surgical patients. Methods: A prospective randomized prospective study was undertaken in 60 ASA I and II patients, 18-60 years of age scheduled for elective surgical procedures. Patients were randomly divided into two group Group M (30 patients) and Group A (30 patients). Following induction and adequate muscle relaxation, they were intubated using either of the techniques first, followed by the other. Laryngoscopy time, haemodynamic parameters, maneuvers required were recorded between Airtraq and Mc Coy group. Results: The mean intubation time of laryngoscopy in Airtraq group was 19.20 seconds whereas in McCoy group was 35.33 seconds. There was statistically significant difference between both the group on basis of number of attempts required for intubation (p-value=0.019). However there was no difference between two groups on the basis of ease of intubation, maneuvers required and complication. Conclusion: In terms of visualization of glottic area Airtraq laryngoscope is better in comparison to McCoy laryngoscope.

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This page is a summary of: A Prospective Randomized Comparative Study on Tracheal Intubation using Airtraq versus McCoy Laryngoscope in Elective Surgical Patients, Indian Journal of Anaesthesia and Analgesia, January 2018, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ijaa.2349.8471.5518.9.
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