What is it about?
A Comparative Study of Airtraq with Macintosh Laryngoscope for Intubation in Paediatric Population
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Why is it important?
Context: Paediatric airway is different than adult airway in terms of anatomy and physiology, therefore techniques and tools for securing the airway are different. Macintosh laryngoscope is most commonly used but, Airtraq is new tool, that allows high quality viewing of the vocal cords, without requiring a straight line of sight. Aims: To compare use of Airtraq with Macintosh laryngoscope for intubation in paediatric subject posted for elective surgeries. Materials and Methods: After written and informed consent of parents/ guardians, 50 patients of ASA 1 & 2, 2 - 6 years of age were divided into two groups (group A & M). Patients pre-medicated with ondansetron, glycopyrrolate, midazolam, paracetamol. Anaesthesia was induced with ketamine, propofol, succinylcholine and maintain on O2, N2O, sevoflurane and atracurium. Group M (n=25) were intubated with Macintosh and group A (n=25) patients with Airtraq. Intubation time, number of attempts, optimization manoeuvres were recorded. Hemodynamic changes were recorded before induction and after induction at interval of 1, 3, 5 minutes after intubation. Statistical analysis: The statistical analysis was assessed by unpaired t-test on Microsoft excel and IBM SPSS (Statistical Package for Social Sciences) version 21. P-value significant if <0.05. Results: Time taken for intubation was 33.96 + 15.7 seconds for group A and 44.80 + 16.3 seconds for group M. The calculated p value (p=0.02) showed there was statistically significance. Conclusion: Airtraq required shorter time to intubate, lesser number of attempts, lesser optimization manoeuvres’ and better laryngeal view as compared to Macintosh in paediatric patients.
Perspectives
Context: Paediatric airway is different than adult airway in terms of anatomy and physiology, therefore techniques and tools for securing the airway are different. Macintosh laryngoscope is most commonly used but, Airtraq is new tool, that allows high quality viewing of the vocal cords, without requiring a straight line of sight. Aims: To compare use of Airtraq with Macintosh laryngoscope for intubation in paediatric subject posted for elective surgeries. Materials and Methods: After written and informed consent of parents/ guardians, 50 patients of ASA 1 & 2, 2 - 6 years of age were divided into two groups (group A & M). Patients pre-medicated with ondansetron, glycopyrrolate, midazolam, paracetamol. Anaesthesia was induced with ketamine, propofol, succinylcholine and maintain on O2, N2O, sevoflurane and atracurium. Group M (n=25) were intubated with Macintosh and group A (n=25) patients with Airtraq. Intubation time, number of attempts, optimization manoeuvres were recorded. Hemodynamic changes were recorded before induction and after induction at interval of 1, 3, 5 minutes after intubation. Statistical analysis: The statistical analysis was assessed by unpaired t-test on Microsoft excel and IBM SPSS (Statistical Package for Social Sciences) version 21. P-value significant if <0.05. Results: Time taken for intubation was 33.96 + 15.7 seconds for group A and 44.80 + 16.3 seconds for group M. The calculated p value (p=0.02) showed there was statistically significance. Conclusion: Airtraq required shorter time to intubate, lesser number of attempts, lesser optimization manoeuvres’ and better laryngeal view as compared to Macintosh in paediatric patients.
Red Flower Publication Publications
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This page is a summary of: A Comparative Study of Airtraq with Macintosh Laryngoscope for Intubation in Paediatric Population, Indian Journal of Anaesthesia and Analgesia, January 2019, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ijaa.2349.8471.6219.9.
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