Affiliation:
1. MBBS, DNB Durgapur Steel Plant Hospital
2. M.D. Anaesthesiology , Durgapur Steel Plant Hospital, Durgapur , West Bengal 713205
3. MS (ENT) , Consultant The Mission Hospital, Durgapur
4. Young Scientist (DST) Department Of Gynecology and Obstetrics Institute Of PostGraduate Medical Education And Research, A.J.C. Bose Road, Kolkata-700020, West Bengal, India
Abstract
Introduction: Laryngoscopy and endotracheal intubation are the two essential procedures when general anaesthesia is administered to a patient.
Adverse responses in the cardiovascular, respiratory, and other physiological systems can be provoked due to the noxious stimuli produced by
laryngoscopy and intubation.1 During general anaesthesia maintenance of airway and ventilation can be done in various ways.
Aims & Objectives: To assess the superiority of video laryngoscopy over direct laryngoscopy using baseline parameters like heart rate, systolic
blood pressure, diastolic blood pressure and mean blood pressure.
Materials And Methods: Interventional, Randomized study. Operation theatre of Durgapur Steel Plant Hospital, Durgapur, West Bengal. Adult
males and females, ASA physical Grade 1 and 2 patients, scheduled for elective surgeries, under General Anesthesia, requiring or tracheal
intubation. 1 year. From February 2018 to February 2019.
Result And Analysis:In Group-A (MDL), 28(56.0%) patients had MPG 1 and 22(44.0%) patients had MPG 2. In Group-B (KVVL), 29(58.0%)
patients had MPG 1 and 21(42.0%) patients had MPG 2. Association of MPG vs. group was not statistically signicant (p=0.8399). In Group-A
(MDL), the mean time taken for intubation (mean±s.d.) of patients was 34.5600 ± 2.3661. In Group-B (KVVL), the mean time taken for intubation
(mean±s.d.) of patients was 20.4000 ± 1.7728. Distribution of mean time taken for intubation vs. group was statistically signicant (p<0.0001).
Conclusion: Also, Kingvision video laryngoscope offered less intubation time and reduced hemodynamic responses in patients with ASA grade
1and 2 as compared to Macintosh laryngoscope.
So further study can be done on patients with difcult airways (III-IV) and with different co morbidities (ASA 3,4, E) to evaluate whether using
Kingvision video laryngoscope can be advantageous in reducing intubation time and obtunding hemodynamic responses to laryngoscopy and
intubation.
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