Videolaryngoscopes

Glidescope and kingş vision

Abstract

INTRODUCTION
Airway management is of paramount importance difficult intubation, often unexpected, has been identified as commonest contributory factor to anesthetic-related death. laryngoscopy with conventional Macintosh laryngoscope involves extension of head and flexion which can be a potential risk in patients with unstable cervical spine.
The purpose of this study is to compare the efficacy and , visualization of glottic structure with kingsvision videolaryngoscope to glidescope in patient with simulated difficult airway.
METHODS- This is a randomised control trial. After obtaining informed and written consent , 80 patients were randomly divided into 2 groups. Group 1 used glideoscope and group 2 used kings vision (non channelled) vediolaryngoscope to intubate patients with simulated difficult airway. Preoperative airway assessment was done. Intra operative indices was observed and noted like POGO Score , efficacy , hemodynamic parameters was noted for each attempt. Data was represented in form of mean and SD.
Result – Statistically, no significant difference was seen in mean HR,SBP,DBP in both groups. Mean age of patients in group 1 was 35.6 ±9.2 years and in group 2 was 36.0±10.2 years . Mean laryngoscopic view (pogo score) in group 1 was 99.0 ± 3.2 and in group 2 was 98.0 ± 6.3.Esophageal intubation was not present in any of the group glidescope and kings vision video laryngoscope group .
CONCLUSION – the use of glideoscope resulted in better glottic view , easier intubation , than kings vision vedio laryngoscope in patients with simulated difficult airway
Key words – Glidescope ,king vision guided endotracheal intubation.