EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 7.065

 ICV - 79.57

Abstract

LARYNGOSCOPY AND LARYNGEAL INTUBATION USING MACINTOSH VERSUS FLEXITIP (TRUPTI) BLADE – RANDOMIZED, PROSPECTIVE STUDY OF A COMPARISON OF THE STRESS RESPONSE, LARYNGOSCOPIC VIEW AND EXTERNAL MANIPULATION

*Dr. Amarjeet D.Patil, Dr. Charu Sudan, Dr. Sunita A.Patil, Dr.Lt.Col. K.R.Sivashankar

ABSTRACT

Background: Laryngoscopy and intubation are known to have profound cardiovascular effects like a pressure response and tachycardia along with an increase in catecholamine concentrations. The major cause of sympathoadrenal response is believed to arise from stimulation of supraglottic region by the Laryngoscope blade and tracheal tube placement and cuff inflation contributing additional stimulation. We studied in a prospective study of a comparison of the stress response, laryngeal view, requirement of the external manipulation(BURP-backward upward rightward pressure) during laryngoscoy and laryngeal intubation, Macintosh versus Flexitip (Trupti) blade. Methods: After obtaining approval from Institutional Ethics Committee and written informed patient consent, 100 ASA I and II patients in the age group 18-60 years of age of either sex, who were normotensive and undergoing planned elective surgery under general anaesthesia were selected in this randomised, prospective study. Data within each group were analyzed using repeated measured analysis of variance and both the group using Chi-square t-test. A „p‟ value of <0.05 was considered significant. Results: Significant difference is noted in hemodynamic parameters in both the groups. Conclusion: To avoid the stress response to laryngoscopy, use of Flexitip (Trupti) blade is a good choice.

Keywords: laryngoscopy, endotracheal intubation, pressor response.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia