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Comparative randomised study of $GlideScope^{®}$ video laryngoscope versus flexible fibre-optic bronchoscope for awake nasal intubation of oropharyngeal cancer patients with anticipated difficult intubation
| Content Provider | Scilit |
|---|---|
| Author | Mahran, Essam Abd El-Halim Hassan, Mohamed Elsayed |
| Copyright Year | 2016 |
| Abstract | Background and Aims: Awake flexible fibre-optic bronchoscope (FFS) is the standard method of intubation in difficult airway in oral cancer patients. We decided to evaluate $GlideScope^{®}$ video laryngoscope (GL) for intubation as compared to the standard FFS for nasal intubation in such patients. Methods: After the ethical committee approval, we included 54 oropharyngeal cancer patients divided randomly into two equal groups: Group G and Group F. After pre-medication and pre-oxygenation, awake nasal intubation was performed using GL in Group G and FFS in Group F. In both groups, we compared intubation time in seconds (mean ± standard deviation) (primary outcome), success rate of the first intubation attempt, percentage of Cormack and Lehane glottic score and incidence of complications. We assumed that GL could be a suitable alternative for the standard FFS in nasal intubation of patients with oropharyngeal cancer. Success rate of the first attempt and Cormack and Lehane glottic score were compared using Chi-square test. Results: Intubation time in seconds was significantly shorter in Group G (70.85 ± 8.88 S) than in Group F (90.26 ± 9.41 S) with (P < 0.001). The success rate of the first attempt intubation was slightly higher in Group G (81.5%) than Group F (78.8%). Cormack and Lehane glottic Score I and II showed insignificant difference between both Group G (92.6%) and Group F (96.3%). We detected three cases of sore throat in each group. Conclusion: $GlideScope^{®}$ could be a suitable alternative to FFS in nasal intubation of oropharyngeal cancer patients. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5168897/pdf |
| Ending Page | 938 |
| Page Count | 3 |
| Starting Page | 936 |
| File Format | XHTML |
| ISSN | 00195049 |
| e-ISSN | 09762817 |
| DOI | 10.4103/0019-5049.195487 |
| Journal | Indian Journal of Anaesthesia |
| Issue Number | 12 |
| Volume Number | 60 |
| Language | English |
| Publisher | Medknow |
| Access Restriction | Open |
| Subject Keyword | Anesthesiology Awake Intubation Flexible Fibre-optic Bronchoscope Glidescope Video Laryngoscope Oropharyngeal Cancer Indian Journal of Anaesthesia, Volume 60, Issue 12 |
| Content Type | Text |
| Resource Type | Article |
| Subject | Anesthesiology and Pain Medicine |
