A comparative evaluation of Video Stylet and flexible fibre-optic bronchoscope in the performance of intubation in adult patients
Background and Aims: Video Stylet (VS) is a new intubating modality that provides real-time video of endotracheal intubation (ETI). This device does not need alignment of the oral, pharyngeal and tracheal axes to view glottis and can be used in patients with limited mouth opening. The aim of this st...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2017;volume=61;issue=4;spage=321;epage=325;aulast=Amir |
| _version_ | 1798044715928518656 |
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| author | Syed Hussain Amir Qazi Ehsan Ali Sonali Bansal |
| author_facet | Syed Hussain Amir Qazi Ehsan Ali Sonali Bansal |
| author_sort | Syed Hussain Amir |
| collection | DOAJ |
| description | Background and Aims: Video Stylet (VS) is a new intubating modality that provides real-time video of endotracheal intubation (ETI). This device does not need alignment of the oral, pharyngeal and tracheal axes to view glottis and can be used in patients with limited mouth opening. The aim of this study was to compare flexible fibre-optic (FO) bronchoscope with VS in elective surgical patients in apparently normal airway patients requiring oral ETI. Methods: Sixty patients undergoing elective surgery under general anaesthesia of age group 20–60 years, weight 40–70 kg, American Society of Anesthesiologist 1 and 2 and modified Mallampatti I and II were included in the study. Patients in group FO (n = 30) were intubated by flexible FO bronchoscope, whereas patients in group VS (n = 30) were intubated by VS. Primary outcome measure was time taken for intubation (TTI). Secondary outcome measures were successful intubation, haemodynamic response and post-operative complications if any. Results: Average TTI in cases of FO group was 38.2 s (95% confidence interval [CI] 36–41) and in VS group was 19.7 s (95% CI 19–21; P = 0.0001). Three patients required a second attempt for successful intubation in FO group compared to eight in VS group (P = 0.2), with no failures in any group. Haemodynamic response and complications rate were greater in VS group; however, the differences were not statistically significant. Conclusion: VS takes lesser time to intubate than flexible FO bronchoscope. |
| first_indexed | 2024-04-11T23:08:38Z |
| format | Article |
| id | doaj.art-64f8d7aeb0d641bd96419ef185ac2571 |
| institution | Directory Open Access Journal |
| issn | 0019-5049 0976-2817 |
| language | English |
| last_indexed | 2024-04-11T23:08:38Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-64f8d7aeb0d641bd96419ef185ac25712022-12-22T03:57:55ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50490976-28172017-01-0161432132510.4103/ija.IJA_501_16A comparative evaluation of Video Stylet and flexible fibre-optic bronchoscope in the performance of intubation in adult patientsSyed Hussain AmirQazi Ehsan AliSonali BansalBackground and Aims: Video Stylet (VS) is a new intubating modality that provides real-time video of endotracheal intubation (ETI). This device does not need alignment of the oral, pharyngeal and tracheal axes to view glottis and can be used in patients with limited mouth opening. The aim of this study was to compare flexible fibre-optic (FO) bronchoscope with VS in elective surgical patients in apparently normal airway patients requiring oral ETI. Methods: Sixty patients undergoing elective surgery under general anaesthesia of age group 20–60 years, weight 40–70 kg, American Society of Anesthesiologist 1 and 2 and modified Mallampatti I and II were included in the study. Patients in group FO (n = 30) were intubated by flexible FO bronchoscope, whereas patients in group VS (n = 30) were intubated by VS. Primary outcome measure was time taken for intubation (TTI). Secondary outcome measures were successful intubation, haemodynamic response and post-operative complications if any. Results: Average TTI in cases of FO group was 38.2 s (95% confidence interval [CI] 36–41) and in VS group was 19.7 s (95% CI 19–21; P = 0.0001). Three patients required a second attempt for successful intubation in FO group compared to eight in VS group (P = 0.2), with no failures in any group. Haemodynamic response and complications rate were greater in VS group; however, the differences were not statistically significant. Conclusion: VS takes lesser time to intubate than flexible FO bronchoscope.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2017;volume=61;issue=4;spage=321;epage=325;aulast=AmirAirwayflexible fibre-optic bronchoscopeintubation timeVideo Stylet |
| spellingShingle | Syed Hussain Amir Qazi Ehsan Ali Sonali Bansal A comparative evaluation of Video Stylet and flexible fibre-optic bronchoscope in the performance of intubation in adult patients Indian Journal of Anaesthesia Airway flexible fibre-optic bronchoscope intubation time Video Stylet |
| title | A comparative evaluation of Video Stylet and flexible fibre-optic bronchoscope in the performance of intubation in adult patients |
| title_full | A comparative evaluation of Video Stylet and flexible fibre-optic bronchoscope in the performance of intubation in adult patients |
| title_fullStr | A comparative evaluation of Video Stylet and flexible fibre-optic bronchoscope in the performance of intubation in adult patients |
| title_full_unstemmed | A comparative evaluation of Video Stylet and flexible fibre-optic bronchoscope in the performance of intubation in adult patients |
| title_short | A comparative evaluation of Video Stylet and flexible fibre-optic bronchoscope in the performance of intubation in adult patients |
| title_sort | comparative evaluation of video stylet and flexible fibre optic bronchoscope in the performance of intubation in adult patients |
| topic | Airway flexible fibre-optic bronchoscope intubation time Video Stylet |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2017;volume=61;issue=4;spage=321;epage=325;aulast=Amir |
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