scholarly journals COMPARATIVE STUDY OF TRUVIEW EVO2 LARYNGOSCOPE WITH MACINTOSH LARYNGOSCOPE FOR LARYNGOSCOPY AND INTUBATION IN ADULTS RECEIVING GENERAL ANAESTHESIA FOR ELECTIVE SURGERIES

2020 ◽  
pp. 1-3
Author(s):  
Vikram Sonawane ◽  
Rajashri B. * Sonwane
Keyword(s):  
Macintosh Laryngoscope ◽  
External Pressure ◽  
Intubation Time ◽  
Number Of Patients ◽  
Lehane Grade ◽  
Rescue Technique ◽  
Group A ◽  
Group B ◽  
The Cost ◽  
Mean Time

INTRODUCTION: Though macintosh laryngoscope is a standard for intubation, new laryngoscopes are being introduced to reduce the disadvantages of macintosh. Trueview EVO2 laryngoscope has some advantages over macintosh laryngoscope. MATERIALAND METHODS: For this randomized, prospective study, 60 patients were allocated to either of the two groups and laryngoscopy and endotracheal intubation done in Group A by macintosh laryngoscope and in Group B by truview EVO2 laryngoscope. The time taken for intubation, number of intubation attempts, POGO score., Cormack-lehane grading, rescue technique for intubation, haemodynamics and side effects were studied RESULTS: POGO score of 100% was seen in maximum number of patients in group B compared to group A. Cormack lehane grade I was seen in maximum number of patients in group B Number of attempts taken were more in group B and statistically signicant. Rescue technique like use of bougie, external pressure were used more in group A compared to group B. Mean time for laryngeal intubation was more in group B compared to group A. Haemodynamics were comparable between the groups. Minor complications seen and they were comparable. CONCLUSION: Truview EV02 laryngoscopy is associated with improved view of glottis , stable hemodynamic parameters, less complications but at the cost of longer intubation time and increase number of attempts compared to Macintosh laryngoscope .

scholarly journals ROLE OF IVERMECTIN, DOXYCYCLINE ALONG WITH SUPPORTIVE CARE IN TREATMENT OF COVID-19 POSITIVE CHILDREN (>9 YEAR) AND ADOLESCENT AGE GROUP A PROSPECTIVE OBSERVATIONAL STUDY FROM TERTIARY CARE CENTER OF WESTERN U.P

2021 ◽  
Vol 9 (06) ◽  
pp. 307-314
Author(s):  
Nidhi Singh ◽  
◽  
Yogesh Goel ◽  
Ritu Agarwal ◽  
◽  
...  
Keyword(s):  
Supportive Care ◽  
Tertiary Care ◽  
Group Method ◽  
Control Group ◽  
Age Group ◽  
Number Of Patients ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
Mean Time

Background: In December 2019, the infection caused by 2019 novel coronavirus led to an outbreak in Wuhan, situated in the Hubei Province of China. The number of studies on children with COVID-19 is limited. We reviewed that COVID-19 does indeed affect children the same way as any other age group. Children can act as carriers of the virus and can endanger the lives of other individuals. Aim: In this Prospective study a combination of Ivermectin, Doxycycline along with supportive care was evaluated therapeutically to treat COVID-19 children (> 9 year) and adolescent age group. Method: Study was performed on pediatric COVID-19 patient who were enrolled in this study with a predefined inclusion and exclusion criteria. RT- PCR of the SERS-CoV-2 was done. The clinical features and response to treatment were noted according to protocol. Patients were divided in 2 groups.Combination of Ivermectin, Doxycycline and supportive treatment were given in one group and other group acted as control. Retesting was done between 5 to 25 days of starting medication. Result: In the study after excluding 50 patients, out of remaining 110 patients, males and females were 67 and 43 respectively, the age ranged between 9-18 years (Mean age was 10.88 ± 2.39 year). Retesting was done between 5 to 25 days of starting medication. Symptomatic improvement was noticed after 2-3 days of starting medication. Mean recovery time in Ivermectin-Doxycycline-supportive care group (Group B) was 10.28±4.72 versus 14.92±8.40 in control group. Hence, using Ivermectin along with Doxycycline reduced mean time to recovery up to 4.64 days. By analyzing the mean time to recovery in mild, moderate and severe patients in each group, it was shown that the mean time to recovery in Group B was 6.88±1.84,11.78±1.81, 21.28±1.79 days, respectively vs 8.375±1.25, 12.76±1.73, 23.16±1.47 days respectively in Group A. All patients symptomatically improved and tested negative. No death was noted in either group. Conclusion: Most of the cases of SARS-CoV-2 were mild and did not require specific treatment but combination of Ivermectin and Doxycycline along with supportive care was found to be effective in early viral clearance and helped the patients to overcome the disease early. Early improvement of symptoms and early discharge were noted in patients whom we gave combination of medicines. Over all it is a very cheap combination, save a lot of lives, and very helpful for resource-poor settings. This study has limitations as our number of patients was small.

“A COMPARATIVE STUDY OF HEMODYNAMIC RESPONSE FOLLOWING LARYNGOSCOPY AND ENDOTRACHEAL INTUBATION: DIRECT VERSUS VIDEO LARYNGOSCOPY”

2021 ◽  
pp. 15-17
Author(s):  
Ankit Shrivastava ◽  
Devashri Chilke ◽  
Nishant Kumar ◽  
Debarshi Jana
Keyword(s):  
Blood Pressure ◽  
General Anaesthesia ◽  
Endotracheal Intubation ◽  
Video Laryngoscope ◽  
Intubation Time ◽  
Hemodynamic Responses ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
Mean Time

Introduction: Laryngoscopy and endotracheal intubation are the two essential procedures when general anaesthesia is administered to a patient. Adverse responses in the cardiovascular, respiratory, and other physiological systems can be provoked due to the noxious stimuli produced by laryngoscopy and intubation.1 During general anaesthesia maintenance of airway and ventilation can be done in various ways. Aims & Objectives: To assess the superiority of video laryngoscopy over direct laryngoscopy using baseline parameters like heart rate, systolic blood pressure, diastolic blood pressure and mean blood pressure. Materials And Methods: Interventional, Randomized study. Operation theatre of Durgapur Steel Plant Hospital, Durgapur, West Bengal. Adult males and females, ASA physical Grade 1 and 2 patients, scheduled for elective surgeries, under General Anesthesia, requiring or tracheal intubation. 1 year. From February 2018 to February 2019. Result And Analysis:In Group-A (MDL), 28(56.0%) patients had MPG 1 and 22(44.0%) patients had MPG 2. In Group-B (KVVL), 29(58.0%) patients had MPG 1 and 21(42.0%) patients had MPG 2. Association of MPG vs. group was not statistically signicant (p=0.8399). In Group-A (MDL), the mean time taken for intubation (mean±s.d.) of patients was 34.5600 ± 2.3661. In Group-B (KVVL), the mean time taken for intubation (mean±s.d.) of patients was 20.4000 ± 1.7728. Distribution of mean time taken for intubation vs. group was statistically signicant (p<0.0001). Conclusion: Also, Kingvision video laryngoscope offered less intubation time and reduced hemodynamic responses in patients with ASA grade 1and 2 as compared to Macintosh laryngoscope. So further study can be done on patients with difcult airways (III-IV) and with different co morbidities (ASA 3,4, E) to evaluate whether using Kingvision video laryngoscope can be advantageous in reducing intubation time and obtunding hemodynamic responses to laryngoscopy and intubation.

scholarly journals To Compare Mean Time Taken for Tracheal Intubation with Airtraq Versus Macintosh Laryngoscope in Elective Surgeries: A Randomised Clinical Trial

2021 ◽  
pp. 153-158
Author(s):  
Kenza Nadeem ◽  
Naila Zahoor ◽  
Rabia Tabassum ◽  
Ziauddin Kashmiri ◽  
Muneeba Arshad ◽  
...  
Keyword(s):  
Tracheal Intubation ◽  
Elective Surgery ◽  
Macintosh Laryngoscope ◽  
Surgical Intensive Care Unit ◽  
Maximum Effect ◽  
Anesthesia Induction ◽  
Surgical Intensive Care ◽  
Group A ◽  
Group B ◽  
Mean Time

Objective: To compare mean time taken for tracheal intubation with Airtraq versus Macintosh laryngoscope in elective surgeries. Study Design: This is a Randomized control trial (RCT) study. Setting: Study carried out at Department of Anaesthesiology, Surgical Intensive Care Unit and Pain Management, Clinic, Dow University of Health Sciences and  Dr. Ruth Pfau  Hospital Karachi, from June 2016 to November 2016. Materials and Methods: A total of 60 patients divided 30 in each group randomly i.e. Macintosh laryngoscope Group A and Airtraq laryngoscope Group B who scheduled for elective surgery and fulfill the inclusion criteria. All patients were received intravenous glycopyrolate 0.2 mg, tramadol 2 mg/kg, and midazolam 0.03 mg/kg 10 minutes before induction of anesthesia. Induction was done with propofol 2-2.5 mg/kg, minimum 3 minutes were given to maximum effect of muscle relaxant. Time taken to intubate the trachea were noted in seconds and entered into the predesigned proforma. Results: The analysis included data on all the patients between 18 to 50 years of age who scheduled for elective surgery during the study period after applying the exclusion criteria. Mean ± SD of age in group A were 36.85±8.47 years and in group B were 37.49±9.32 years. In Gender distribution of group A 11 (36%) were male and 19 (64%) were female and in group B the distribution of male and female were 8 (27%) and 22 (73%) respectively. By comparing both the groups for time taken in tracheal intubation in seconds Mean ± SD of group A was 35±7.8 and in group B was 21±4.2 and P value found to be highly significant i.e. (0.0001).  Conclusion: It is to be concluded that Airtraq laryngoscope is more effective instrument than Macintosh Laryngoscope for use in routine airway management and duration of successful tracheal intubation was shorter in the Airtraq group.

scholarly journals Effects of C-Mac Video Laryngoscope Aided Intubation Using D Blade on Incidence of Post-Operative Sore Throat

2021 ◽  
Vol 9 (11) ◽  
pp. 510-518
Author(s):  
Suhaib Iqbal
Keyword(s):  
Sore Throat ◽  
Macintosh Laryngoscope ◽  
Orotracheal Intubation ◽  
Demographic Variables ◽  
Video Laryngoscope ◽  
Exclusion Criteria ◽  
Glottic View ◽  
Number Of Patients ◽  
Group A ◽  
Group B

Abstract: Conclusion: C-MAC video laryngoscope-aided intubations using D-blade significantly reduced the incidence and severity of POST, hoarseness of voice, and cough following orotracheal intubation as compared to use of traditional Macintosh laryngoscope. Our evidence suggests that C-MAC video laryngoscopes reduce intubation failure and make intubation easier, particularly in patients with a predicted or known difficult airway, Also, it was found, use of C-MAC video laryngoscope helps anaesthetist to improve the glottic view and reduce the number of laryngoscopies in which the glottis cannot be seen. C-MAC may serve as a standard intubation device for both routine airway management and educational Results: Our study was done in the Department of Anaesthesiology MM deemed to be university Mullana-Ambala Haryana. After approval from the competent ethical committee, Study includes 130 patients as per inclusion and exclusion criteria. Both groups were comparable with respect to demographic variables, distribution of ASA, Age, Sex, BMI, and Mallampatti grade. Percentage of patients who were intubated at the first attempt was similar among the groups. While Comparing the presence and absence of POST, cough, hoarseness of voice between the two groups. When compared with group A (Macintosh), total number of patients found having the above symptoms was found less in group B (C-MAC video laryngoscope). Keywords: Sore throat, Laryngoscope, Preoperative complications, Endotracheal intubation, C-MAC video laryngoscope, Macintosh D balde.

scholarly journals McGrath Video Laryngoscope May Take a Longer Intubation Time Than Macintosh Laryngoscope

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Prerana N. Shah ◽  
Kaveri Das
Keyword(s):  
Randomized Study ◽  
Macintosh Laryngoscope ◽  
Total Duration ◽  
Video Laryngoscope ◽  
Intubation Time ◽  
Laryngoscopic View ◽  
Lehane Grade ◽  
Secondary Endpoints ◽  
Grade Ii ◽  
Grade Iii

Background. Video laryngoscopes provide better view and can improve ease of intubation compared with standard laryngoscopes. Methods. A prospective randomized study was done on 60 patients, 18 to 65 years old, comparing McGrath video laryngoscope and Macintosh laryngoscope. The aim was to compare the ease, efficacy, and usability of them during routine airway management. The primary endpoint was duration of intubation and the secondary endpoints were Cormack and Lehane grade of laryngoscopic view, number of intubation attempts, and incidence of complications. Results. There was an increase in total duration of intubation with McGrath video laryngoscope with 42.9 ± 19.5 seconds compared to Macintosh laryngoscope with 17.9 ± 4.6 seconds. In Macintosh group, 73.3% had grade I, 20% had grade II, and 6.7% had grade III Cormack Lehane view, while in McGrath group, 83.3% had grade I, 13.3% had grade II, and 3.3% had grade III. In McGrath group, 6 patients (20%) required more than 120 seconds to get intubated and only 73.3% were intubated in 1 attempt, while patients in Macintosh group had 100% successful intubation in 1 attempt. Pharyngeal trauma was seen with McGrath videolaryngoscopy. Conclusion. Duration of laryngoscopy, intubation, and total duration of intubation were significantly higher in McGrath group than in Macintosh group. McGrath group required a higher number of intubation attempts.

scholarly journals Single Layer Extra-Mucosal Versus Double Layer Intestinal Anastomosis for Colostomy Closure: A Prospective Comparative Study

2021 ◽  
Vol 17 (2) ◽  
pp. 95-99
Author(s):  
Layth Saleh Owaid ◽  
Imad Wajeeh Al-Shahwani ◽  
Zuhair B. Kamal ◽  
Laith Naif Hindosh ◽  
Abbas Farman Abdulrahman ◽  
...  
Keyword(s):  
Double Layer ◽  
Intestinal Anastomosis ◽  
Single Layer ◽  
Anastomosis Group ◽  
Duration Of Hospital Stay ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
Mean Cost ◽  
Mean Time

Background: The main objective was to compare the outcome of single layer interrupted extra-mucosal sutures with that of double layer suturing in the closure of colostomies. Subjects and Methods: Sixty-seven patients with closure colostomy were assigned in a prospective randomized fashion into either single layer extra-mucosal anastomosis (Group A) or double layer anastomosis (Group B). Primary outcome measures included mean time taken for anastomosis, immediate postoperative complications, and mean duration of hospital stay. Secondary outcome measures assessed the postoperative return of bowel function, and the overall mean cost. Chi-square test and student t-test did the statistical analysis.. Results:  Thirty-two patients were allocated to group A and 35 patients to group B. The mean time taken for anastomosis was significantly shorter in group A (23.25 ± 1.20 min in group A vs. 36.71 ± 1.93 min in group B; P<0.001). A significant shorter duration of hospital stay was seen in group A (7.00 ± 1.778 days in group A vs. 9.74 ± 1.990 days in group B; P<0.001). The detection of bowel sound was substantially quicker in group A as compared to group B (4.56 ± 0.50 days in group A vs. 6.46±0.50 days in group B; P<0.001). There was no significant discrepancy between the two groups regarding anastomotic leak rates (P= 0.543). The mean cost of double layer intestinal anastomosis method was significantly higher than that of single layer anastomosis (P<0.001). Conclusions: The use of single layer extra-mucosal anastomosis of the intestine has the advantage of taking less time, less morbidity and cost-effective to perform with the same rate of anastomotic leak in the closure of colostomy.

scholarly journals INTRAVENOUS REGIONAL ANESTHESIA (BIERS BLOCK);

2012 ◽  
Vol 19 (05) ◽  
pp. 710-714
Author(s):  
Muhammad ASGHER ◽  
ASIM GHAURI ◽  
MUHAMMAD ABDULLAH ◽  
Tariq Abassi
Keyword(s):  
Regional Anaesthesia ◽  
Military Hospital ◽  
P Value ◽  
Complete Evaluation ◽  
Intravenous Regional Anesthesia ◽  
Number Of Patients ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
Intravenous Regional Anaesthesia

Objective: To compare the analgesic effects of combination of 0.5% Lidocaine plus Ketorolac in intravenous regionalanaesthesia technique with those of Lidocaine (0.5%) alone to prevent post operative pain after intravenous regional anaesthesia (Biersblock). Study design: Randomized Control Trial. Place and duration of study: The study was carried out at Department of Anaesthesiology,Intensive Care and pain management, Combined Military hospital, Rawalpindi from July 2008 to February 2009. Patients and Methods: Thestudy was conducted after complete evaluation of risk / benefit ratio to the patients. On the basis of random number method the patients weredivided into two equal groups (group A and group B). The number of patients in each group was 75. Group A was assigned Lidocaine in a dose of200mg 40ml of 0.5% solution and group B was assigned injection Ketorolac 30mg added to Lidocaine in a dose of 200mg 40ml of 0.5% solution.The patients were kept in post anaesthesia care unit for two hours and pain intensity was measured by visual analogue scale(VAS) on 15,30minutes,1hour, 1.5 and at 2 hours after the cuff deflation. The analgesic efficacy recorded on the basis of visual analog scale of two groups, wascompared using student’s t - test. p value of less than 0.05 was considered statistically significant. Results: In group A 33 males and 42 femaleswere enrolled for the study while in group B there were 38 males and 37 females. The mean age of the patients in group A was 34.31 ± 6.03years while in group B was 32.99 ± 6.08 years. Patients were also classified according to ASA classification in which 87 patients were classifiedas ASA – I and 63 patients as ASA – II. Group B which received Ketorolac in addition to Lidocaine for Bier’s block had low visual analogue scoresas compared to group A which received only Lidocaine for Bier’s block. P values obtained after the comparison of the mean VAS of two groupsat 15 minutes, 30 minutes, 1 hour, 1.5 hours and 2 hours were all less than 0.05 (0.002 for 15 minutes, 0.004 for 30 minutes, 0.001 for 1 hour,0.004 for 1.5 hours and 0.001 for 2 hours). Conclusions: Ketorolac improves the postoperative analgesia markedly when used with Lidocainein intravenous regional anaesthesia.

scholarly journals Antibiotic usage rates in bacterial versus nonbacterial diseases: a new way to monitor hospital-acquired infections in children: a retrospective case analysis

2020 ◽  
Vol 7 (11) ◽  
pp. 2176
Author(s):  
Jayendra R. Gohil ◽  
Chintu C. Chaudary ◽  
Sheena D. Sivanandan
Keyword(s):  
Antibiotic Usage ◽  
Retrospective Case ◽  
Hospital Acquired Infections ◽  
Group A ◽  
Added Benefit ◽  
Reduction Of Mortality ◽  
Group B ◽  
The Cost ◽  
Hospital Acquired ◽  
Selection Of

Background: While treating children, the selection of antibiotics, when indicated, should be from the point of its effectiveness, safety, suitability, and cost. However, this flow of action does not take place in all cases. Aim of the study was to assess the antibiotic usage in admitted children and mortality.Methods: The case records between January to July 2012 in children wards was evaluated for the use of antibiotics. Patients were grouped into; group A- ‘must use' antibiotic in all, and group B- where antibiotics are not indicated.Results: There were 1852 admissions, including 719 Thalassemia cases. Antibiotic usage was 63% in 1133 cases after excluding thalassemia. Out of 1133 cases, 423 were in group A and 710 cases were in group B. In group B the antibiotic usage was 41%. The mortality was 6.6% and 4.8% in group A and B. Inside group B, mortality was 5.9% versus 4.0% in those administered versus not administered, antibiotics.Conclusions: There was no increase in mortality in patients in whom antibiotics were not prescribed, and no added benefit of prescribing antibiotics was observed in nonbacterial group B disease patients. The mortality was similar in both the groups. In nonbacterial group B, the antibiotics did not offer any advantage in the reduction of mortality, but increased the cost of the treatment, and possibly the chance of development of drug resistance and adverse events. When analysing the hospital antibiotic usage, only the nonbacterial diseases should be considered to get a true picture of the inappropriate prescription of antibiotics.

scholarly journals Comparative study of endoscopic tympanoplasty and conventional tympanoplasty

2020 ◽  
Vol 6 (10) ◽  
pp. 1804
Author(s):  
Priyanka Aggarwal ◽  
Barjinder Singh Sohal ◽  
J. P. Goyal
Keyword(s):  
Success Rate ◽  
Cost Effective ◽  
Patient Comfort ◽  
Hearing Improvement ◽  
Post Operation ◽  
Group A ◽  
Group B ◽  
The Cost ◽  
Results Of Surgery ◽  
Endoscopic Tympanoplasty

<p><strong>Background:</strong> To compare the results of endoscopic tympanoplasty with that of conventional tympanoplasty and to evaluate and compare the graft uptake in both of these methods. The study was done to evaluate the improvement in hearing after tympanoplasty and the problems faced while doing the endoscope assisted tympanoplasty.</p><p><strong>Methods: </strong>Between July 2010 to June 2013, 50 patients underwent tympanoplasty, 25 were endoscope assisted (group A) and 25 were microscope assisted (group B). Results of surgery were compared at the end of three and six months post operation.</p><p><strong>Results: </strong>The success rate in terms of graft uptake rate was 88% with endoscope assisted tympanoplasty and 84% with other microscope assisted tympanoplasty. Overall success rate was 86.0%. Mean hearing improvement was (16.24±10.21 dB) and (14.28±7.10 dB) in group A and group B respectively.</p><p><strong>Conclusions: </strong>Tympanoplasty with its visualization of hidden corners, justifies tympanoplasty by using endoscope in selected cases with comparable improved results in the literature. Furthermore, the cost of the endoscope is much less (about 10%) in comparision to operating microscope, making it more cost effective in developing countries. However, the endoscope cannot be employed in every case as one hand is blocked. In terms of Patient comfort, the endoscope assisted outnumbers the benefits of other conventional methods.<strong></strong></p>

Comparative Study Between Dexmedetomidine and Fentanyl as Sedatives in Awake Fiberoptic Intubation in Cervical Spine Surgeries

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Waleed Mohamed Abd El Mageed ◽  
Ahmad Kamal Mohamed Ali ◽  
Eeman Aboubakr ElSiddik Ahmed Bayoumi ◽  
Haitham Sabry Mahmoud Omar
Keyword(s):  
Cervical Spine ◽  
Sedation Score ◽  
Fiberoptic Intubation ◽  
Intubation Time ◽  
Hemodynamic Stability ◽  
Double Blind ◽  
Hemodynamic Variables ◽  
Group A ◽  
Group B ◽  
Awake Fiberoptic Intubation

Abstract Background Various drugs are used for providing favorable intubation conditions during awake fiberoptic intubation (AFOI). However, most of them have various side effects. Aim The aim of this study was to compare the effects of dexmedetomedine and fentanyl as regards sedative effects, hemodynamic stability, intubation time and intubation attempts success during awake fiberoptic intubation. Material and Methods A randomized double-blind prospective study was conducted on a total of 40 patients scheduled for elective cervical spine surgeries who were randomly allocated into two equal groups (n 20): (group A) patients received a bolus dose of dexmedetomidine of 1 mcg/kg over 10 min followed by a continuous infusion of dexmedetomidine at 0.5 mcg/kg/h. and fentanyl group (group B) received dose of 1 μg/kg over 10 min followed by 0.5 μg/kg/hr. Sedation score (Ramsy sedation score), hemodynamic variables, oxygen saturation, intubation time and intubation attempts were noted and compared between the two groups. Results Ramsy Sedation Score was significantly favorable (P &lt; 0.001) in group A in comparison to group B, moreover better hemodynamic stability during intubation (P &lt; 0.05) and less intubation attempts were observed in group A in comparison to group B. Conclusion The results of our study showed that dexmedetomidine provides optimum sedation without compromising airway or hemodynamic stability and with favorable intubation time and less intubation attempts during AFOI in comparison to fentanyl.

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