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A Prospective Randomized Comparative Study on Tracheal Intubation using Airtraq versus McCoy Laryngoscope in Elective Surgical Patients

Rohit Kumar Varshney, Associate Professor, Department of Anaesthesia, Teerthankar Mahaveer Medical College, Delhi Road, Moradabad, Uttar Pradesh 244001, India. , Kali Kapoor1 , Rohit Kumar Varshney2 , Rakshit Sethi3 , Amber Kumar4 , Yashovardhan Singh5 , Ravi Keshri6 , Swati Soni7

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Indian Journal of Anesthesia and Analgesia 5(5):p 747-754, May 2018. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5518.9

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Abstract

 

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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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5518.9

Keywords

Difficult Airway; Endotracheal Intubation; Laryngoscopy.

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