THE COMPARISON OF HEAD EXTENSION IN NASOTRACHEAL INTUBATION BETWEEN TWO METHOD OF LARYNGOSCOPY, GLAIDESCOPY AND LARYNGOSCOPY WITH MACINTOSH IN MAXOILLOFACIAL SURGERY

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DEDDIGHINEZHAD ABBAS; NADERI NABI BAHRAM; HAGHIGHI MOHAMMAD; HADDADI SOUDABE; MARZBAN SHIDEH; ABAD MOUHSEN; ERFANI REZA; NEKOUFARD MAJID

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Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2012 | Volume:34 | Issue:80 Page(s): 25-31

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Title

THE COMPARISON OF HEAD EXTENSION IN NASOTRACHEAL INTUBATION BETWEEN TWO METHOD OF LARYNGOSCOPY, GLAIDESCOPY AND LARYNGOSCOPY WITH MACINTOSH IN MAXOILLOFACIAL SURGERY

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Keywords

HEAD EXTENSIONQ2

MAGILL FORCEPSQ2

GLIDEOSCOPEQ3

CORMACKQ2

LEHANEQ2

MCINTOSH LARYNGOSCOPEQ2

EXTERNAL LARYNGEAL MANEUVERQ2

Abstract

Introduction: Glidescopic larangoscopy has many approved useful effects that are comparable with direct larangoscopy with Macintosh laryngoscope in different directions. In this study we have compared the HEAD EXTENSION, the most important factor in successful intubation and with a central role in cervical spinal cord injury in these two methods.Materials and Methods: We undertook a double blind clinical trial study of 65 patients divided randomly in two groups, Macintosh laryngoscopic group and GLIDEOSCOPE group. Patients were preoxygenated after entering the operating room, and standard monitoring established. Anesthesia induction was started by administering 2mg/kg propofol, 2m/kg fentanyl and 0.5 mg/kg atracurium and then nasal intubation was performed by simple nasal tube (the nasal mucosa was shrinked by 0.25% phenylephrine nasal drops). All information about the time of intubation, the HEAD EXTENSION degree, bleeding, using MAGILL FORCEPS or not, EXTERNAL LARYNGEAL MANEUVER or not, number of attempt for intubation and CORMACK and LEHANE classification were registered in both methods. The findings were analyzed statistically by SPSS V. 16 and chi square statistical test.Results: Comparison of the two different laryngoscopic methods showed no significant difference between, sex, age and BMI in two groups. GLIDEOSCOPE Laryngoscopy needed MAGILL FORCEPS less often than in the direct larangoscopy (p=0.003). In CORMACK-Lehane grading there were meaningful correlation that high CORMACK-Lehane degrees had lower mean in GLIDEOSCOPE group. (p=0.005). In the number of attempts in passing the tube, although the statistical test showed its superiority, by chi square exam. This correlation did not become significant. (p=0.163) The EXTERNAL LARYNGEAL MANEUVER application was much less than in Macintosh laryngoscopic group (P=0.0001). Bleeding was less in GLIDEOSCOPE group and it was statistically significant. (p=0.017) Intubation was faster than in the Macintosh Laryngoscopy (p=0.0001). The degree of HEAD EXTENSION was less in GLIDEOSCOPE method than in the Macintosh method (p=0.0001).Conclusion: The amount of HEAD EXTENSION is significantly lower in GLIDEOSCOPE method than with Macintosh laryngoscope. In addition, the evaluations showed that Glidescopic method is faster, needs less time with MAGILL FORCEPS usage and fewer EXTERNAL LARYNGEAL MANEUVERs, has less bleeding possibilities and also makes intubation easier.

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APA: Copy

DEDDIGHINEZHAD, ABBAS, NADERI NABI, BAHRAM, HAGHIGHI, MOHAMMAD, HADDADI, SOUDABE, MARZBAN, SHIDEH, ABAD, MOUHSEN, ERFANI, REZA, & NEKOUFARD, MAJID. (2012). THE COMPARISON OF HEAD EXTENSION IN NASOTRACHEAL INTUBATION BETWEEN TWO METHOD OF LARYNGOSCOPY, GLAIDESCOPY AND LARYNGOSCOPY WITH MACINTOSH IN MAXOILLOFACIAL SURGERY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 34(80), 25-31. SID. https://sid.ir/paper/63133/en

Vancouver: Copy

DEDDIGHINEZHAD ABBAS, NADERI NABI BAHRAM, HAGHIGHI MOHAMMAD, HADDADI SOUDABE, MARZBAN SHIDEH, ABAD MOUHSEN, ERFANI REZA, NEKOUFARD MAJID. THE COMPARISON OF HEAD EXTENSION IN NASOTRACHEAL INTUBATION BETWEEN TWO METHOD OF LARYNGOSCOPY, GLAIDESCOPY AND LARYNGOSCOPY WITH MACINTOSH IN MAXOILLOFACIAL SURGERY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2012;34(80):25-31. Available from: https://sid.ir/paper/63133/en

IEEE: Copy

ABBAS DEDDIGHINEZHAD, BAHRAM NADERI NABI, MOHAMMAD HAGHIGHI, SOUDABE HADDADI, SHIDEH MARZBAN, MOUHSEN ABAD, REZA ERFANI, and MAJID NEKOUFARD, “THE COMPARISON OF HEAD EXTENSION IN NASOTRACHEAL INTUBATION BETWEEN TWO METHOD OF LARYNGOSCOPY, GLAIDESCOPY AND LARYNGOSCOPY WITH MACINTOSH IN MAXOILLOFACIAL SURGERY,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 34, no. 80, pp. 25–31, 2012, [Online]. Available: https://sid.ir/paper/63133/en

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