Comparing Intubating Conditions and Stress Response with CMAC D-Blade and McCoy Laryngoscope: A Guide to New Anesthetists

Author:

Khader Aisha1,Singh Tapkirat1,Singh Ajaydeep2,Kour Arvinpreet1

Affiliation:

1. Department of Anaesthesia, Maharishi Markandeshwar Institute of Medical Science and Research, Mullana, Haryana, India

2. Department of Neurosurgery, Maharishi Markandeshwar Institute of Medical Science and Research, Mullana, Haryana, India

Abstract

Introduction: Laryngoscopy and endotracheal intubation (ETI) are the most commonly performed procedure by an anesthesiologist. C-MAC video laryngoscope creates an optimum picture of the glottis and allows the anesthesiologist to direct the tip of the blade into the vallecula whereas McCoy laryngoscope is designed so the tip of the blade is hinged, and can be altered by the lever attached to the handle. Hence, this study was undertaken to compare intubating conditions and hemodynamic stress response to laryngoscopy and ETI. Aim: This Study aims to compare CMAC D-blade and McCoy laryngoscope with respect to the ease of intubation, number of attempts required to intubate, intubation time, and hemodynamic stress responses. Materials and Methods: This was a prospective, simple randomized, comparative study done in 60 patients for 2 years comparing the CMAC D-blade with McCoy laryngoscope regarding intubation time, procedure time, hemodynamic stress response, intubation difficulty score, adverse effects, and complications. Results: Statistically significant differences were seen between both groups regarding intubation time, procedure time, and grade of ease. Conclusion: CMAC D-blade VLS is a better choice for ETI than McCoy laryngoscope. CMAC D-blade could offer new perspective in managing patients with difficult airway and cervical spine injury.

Publisher

Medknow

Subject

General Medicine

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