Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Hemodynamic Changes During Endotracheal Intubation in Patients with Anticipated Difficult Airway: A Comparison Between King Vision Video Laryngoscope and Mccoy Direct Laryngoscope
Dibas Saha, Parna Chakraborty, Esita Dutta, Dipankar Mukherjee and Archana Roy
Page: 106-109 | Received 18 Sep 2023, Published online: 12 Oct 2023
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Abstract
Laryngoscopy and intubation are known to cause exaggerated haemodynamic response and increased intracranial pressure manifesting as tachycardia, hypertension, dysrhythmias, raised catecholamine level in blood and they may have deleterious respiratory, neurological and cardiovascular effects. To compare the ease of intubation in case of King Vision video laryngoscope and McCoy direct laryngoscope and to compare the hemodynamic responses in the patients with aforementioned techniques. The present study was a Comparative Clinical Study. This Study was conducted from march 2020 to August 2021 at Nilratan Sircar Medical College and Hospital, Kolkata. It was found that in Group K, the mean MPG (Mean±SD) of patients was 3.4000±0.4961 and in Group M, the mean MPG (Mean±SD) of patients was 3.3750±0.6279 which was not statistically significant (p = 0.8439). In Group K, 24 (60.0%) patients were MPG3 and 16 (40.0%) patients were MPG4. In Group M, 23 (57.5%) patients were MPG3 and 17 (42.5%) patients were MPG4. Association of MPG with Group was not statistically significant (p = 0.8203). We found that in Group K, 1 (2.5%) patient had Mucosal injury and in Group M, 3 (7.5%) patients had Mucosal injury which was not statistically significant (p = 0.3049). It was found that in Group K, the mean MPG (Mean±SD) of patients was 3.4000±0.4961 and in Group M, the mean MPG (Mean±SD) of patients was 3.3750±0.6279 which was not statistically significant (p = 0.8439). Our study showed that in Group K, the mean Time taken for intubation (Mean±SD) of patients was 21.3000±2.4200 and in Group M, the mean Time taken for intubation (Mean±SD) of patients was 36.4000±3.5648 which was statistically significant (p = <0.0001). We concluded that the time taken for intubation with king vision video laryngoscope was shortened; this probably was the advantage over the Macintosh laryngoscope group in terms of decreased hemodynamic responses specifically, heart rate (HR) at 1, 3 and 5 min post‐induction was significantly lower in the King Vision video laryngoscope group. Moreover, systolic blood pressure (SBP) at these time points, as well as diastolic blood pressure (DBP) and mean arterial pressure (MAP), were also significantly reduced in the King Vision video laryngoscope group compared to the McCoy direct laryngoscope group.
How to cite this article:
Dibas Saha, Parna Chakraborty, Esita Dutta, Dipankar Mukherjee and Archana Roy. Hemodynamic Changes During Endotracheal Intubation in Patients with Anticipated Difficult Airway: A Comparison Between King Vision Video Laryngoscope and Mccoy Direct Laryngoscope.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.11.106.109
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.11.106.109