The incidence of trauma with the use of glidescope in anticipated difficult airway cases – A prospective observational study
Background: Glidescope video-laryngoscope (GVL) is an invaluable equipment for patients with anticipated difficult intubations that aids in visualizing the vocal cords out of line-of-sight. However, despite the ease in the visualization and shortening of the time taken to visualise the cords, the in...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Current Medical Issues |
| Subjects: | |
| Online Access: | http://www.cmijournal.org/article.asp?issn=0973-4651;year=2022;volume=20;issue=3;spage=138;epage=142;aulast=Jeyakumar |
| _version_ | 1811313243017183232 |
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| author | Mary Benita Jeyakumar Melvin Alex Abraham Georgene Singh Tony Thomson Chandy |
| author_facet | Mary Benita Jeyakumar Melvin Alex Abraham Georgene Singh Tony Thomson Chandy |
| author_sort | Mary Benita Jeyakumar |
| collection | DOAJ |
| description | Background: Glidescope video-laryngoscope (GVL) is an invaluable equipment for patients with anticipated difficult intubations that aids in visualizing the vocal cords out of line-of-sight. However, despite the ease in the visualization and shortening of the time taken to visualise the cords, the intubation time is often prolonged and is associated with trauma. This study aims at identifying incidence of trauma with glidescope in anticipated difficult airway scenario and whether correct practice by experienced anesthesiologist can reduce trauma. Methodology: Eighty-nine adult patients with anticipated difficult airway who were intubated using GVL by experienced anesthesiologists in a tertiary care setting were studied. The time to visualize, the time to intubate, the difficulties encountered at intubation were documented, the incidence of trauma was reported. The factors associated with trauma were analyzed using PSPP software (psppire. exe 0.8.4-g012d99). Results: The incidence of airway trauma was 11.2%. It was higher in the group with technical difficulties (Gtd) (P < 0.001) and was less in the hands of an experienced anesthesiologist (P = 0.02). Conclusion: GVL intubation in anticipated difficult airway cases by experienced anesthesiologists using the right technique has lesser incidence of trauma, lesser than that is seen with Macintosh intubations in anticipated difficult airway scenario. Knowledge on techniques to troubleshoot technical difficulties with GVL may reduce the incidence of trauma further and needs to be studied more. |
| first_indexed | 2024-04-13T10:50:18Z |
| format | Article |
| id | doaj.art-987bce6d4e9f4001935784c3aeef7b38 |
| institution | Directory Open Access Journal |
| issn | 0973-4651 2666-4054 |
| language | English |
| last_indexed | 2024-04-13T10:50:18Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Current Medical Issues |
| spelling | doaj.art-987bce6d4e9f4001935784c3aeef7b382022-12-22T02:49:40ZengWolters Kluwer Medknow PublicationsCurrent Medical Issues0973-46512666-40542022-01-0120313814210.4103/cmi.cmi_94_21The incidence of trauma with the use of glidescope in anticipated difficult airway cases – A prospective observational studyMary Benita JeyakumarMelvin Alex AbrahamGeorgene SinghTony Thomson ChandyBackground: Glidescope video-laryngoscope (GVL) is an invaluable equipment for patients with anticipated difficult intubations that aids in visualizing the vocal cords out of line-of-sight. However, despite the ease in the visualization and shortening of the time taken to visualise the cords, the intubation time is often prolonged and is associated with trauma. This study aims at identifying incidence of trauma with glidescope in anticipated difficult airway scenario and whether correct practice by experienced anesthesiologist can reduce trauma. Methodology: Eighty-nine adult patients with anticipated difficult airway who were intubated using GVL by experienced anesthesiologists in a tertiary care setting were studied. The time to visualize, the time to intubate, the difficulties encountered at intubation were documented, the incidence of trauma was reported. The factors associated with trauma were analyzed using PSPP software (psppire. exe 0.8.4-g012d99). Results: The incidence of airway trauma was 11.2%. It was higher in the group with technical difficulties (Gtd) (P < 0.001) and was less in the hands of an experienced anesthesiologist (P = 0.02). Conclusion: GVL intubation in anticipated difficult airway cases by experienced anesthesiologists using the right technique has lesser incidence of trauma, lesser than that is seen with Macintosh intubations in anticipated difficult airway scenario. Knowledge on techniques to troubleshoot technical difficulties with GVL may reduce the incidence of trauma further and needs to be studied more.http://www.cmijournal.org/article.asp?issn=0973-4651;year=2022;volume=20;issue=3;spage=138;epage=142;aulast=Jeyakumarincidenceintubationlaryngoscopes |
| spellingShingle | Mary Benita Jeyakumar Melvin Alex Abraham Georgene Singh Tony Thomson Chandy The incidence of trauma with the use of glidescope in anticipated difficult airway cases – A prospective observational study Current Medical Issues incidence intubation laryngoscopes |
| title | The incidence of trauma with the use of glidescope in anticipated difficult airway cases – A prospective observational study |
| title_full | The incidence of trauma with the use of glidescope in anticipated difficult airway cases – A prospective observational study |
| title_fullStr | The incidence of trauma with the use of glidescope in anticipated difficult airway cases – A prospective observational study |
| title_full_unstemmed | The incidence of trauma with the use of glidescope in anticipated difficult airway cases – A prospective observational study |
| title_short | The incidence of trauma with the use of glidescope in anticipated difficult airway cases – A prospective observational study |
| title_sort | incidence of trauma with the use of glidescope in anticipated difficult airway cases a prospective observational study |
| topic | incidence intubation laryngoscopes |
| url | http://www.cmijournal.org/article.asp?issn=0973-4651;year=2022;volume=20;issue=3;spage=138;epage=142;aulast=Jeyakumar |
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