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Comparative Study between Trueview PCD Video Laryngoscope and Flexible Fiber Optic Bronchoscope for Awake Oral Intubation in Difficult Airway Patients

Jay Brijesh Singh Yadav , Rakesh Bahadur Singh1 , Prashant Kumar Mishra2 , Jay Brijesh Singh Yadav3 , Avneesh Kumar Gautam4

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Indian Journal of Anesthesia and Analgesia 6(6):p 1995-2001, November-December 2019. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6619.21

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Rakesh Bahadur Singh, Prashant Kumar Mishra, Jay Brijesh Singh Yadav et al. Comparative Study between Trueview PCD Video Laryngoscope and Flexible Fiber Optic Bronchoscope for Awake Oral Intubation in Difficult Airway Patients. Indian J Anesth Analg. 2019;6(6 Part -I):1995-2001.

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Abstract

Background: Difficult airway leading to failed intubation are the foremost causes of anesthesia related morbidity and mortality. Newer developments in airway management has resulted in the pioneering of various optical and vedio laryngoscopes. In anticipated difficult airway patients, awake intubation using flexible fiber optic bronchoscope is the method of choice. Truview PCDTM laryngoscope is designed to help positioning of the endotracheal tube and also to record entry of the tube into glottis. Aims: To study and compare the effectiveness of fiber optic bronchoscope and Trueview PCDTM video laryngoscope in patients undergoing awake oral tracheal intubation in difficult airway situations. Study design: This was a prospective randomized study. Methodology: Sixty patients with ASA physical status classification I and II undergoing elective surgery under general anesthesia were randomized into two Groups; Group I (Trueview PCDTM video laryngoscope) and Group II (fiber optic bronchoscope). Intubation time, intubation attempts, Cormack and Lehane Grade (CLG), hemodynamic response, complications, were recorded. Results: Group II (88.10 ± 4.20 seconds) has significantly longer intubation time compared to Group I (58.00 ± 11.49 seconds). Intubation on first attempt observed in 76.7% patients in Group I compared to Group II (70%). CLG Grade I observed in 73.3% patients in Group I compared to Group II (80%). Better glottis visualization seen in Group II than Group I which is not significant. Hemodynamic parameters did not show significant difference among the two Groups. Conclusion: Trueview PCDTM video laryngoscope could be a suitable auxiliary to flexible fiber optic bronchoscope in difficult airway situations.

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Rakesh Bahadur Singh, Prashant Kumar Mishra, Jay Brijesh Singh Yadav et al. Comparative Study between Trueview PCD Video Laryngoscope and Flexible Fiber Optic Bronchoscope for Awake Oral Intubation in Difficult Airway Patients. Indian J Anesth Analg. 2019;6(6 Part -I):1995-2001.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6619.21

Keywords

Difficult airway; Flexible fiber optic bronchoscope; Oral intubation; Trueview PCD video laryngoscope.

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