Airway management during the COVID-19 pandemic: macintosh laryngoscopy vs. video laryngoscopy
European Review for Medical and Pharmacological Sciences, cilt.27, sa.6, ss.2679-2685, 2023 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 27 Sayı: 6
- Basım Tarihi: 2023
- Doi Numarası: 10.26355/eurrev_202303_31805
- Dergi Adı: European Review for Medical and Pharmacological Sciences
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE, Directory of Open Access Journals
- Sayfa Sayıları: ss.2679-2685
- Anahtar Kelimeler: COVID-19, General anesthesia, Video laryngosco-py, Direct laryngoscopy
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
OBJECTIVE: Our study aimed to compare video laryngoscopy (VL) vs. direct laryngoscopy (DL) for tracheal intubation in adult patients receiving general anesthesia for elective surgery during the COVID-19 pandemic. PATIENTS AND METHODS: The study included 150 patients 18-65 years old, ASA I-II (American Society of Anesthesiologists), and negative PCR tests before the operation was scheduled for elective surgery under general anesthesia. Patients were subdivided into two groups considering the intubation method: the video laryngoscopy group (Group VL, n=75) and the Macintosh laryngoscopy group (Group ML, n=75). Demographic data, operation type, intubation comfort, and field of view, intubation times, complications were recorded. RESULTS: Both groups’ demographic data, complications, and hemodynamic parameters were similar. In Group VL, Cormack-Lehane Scoring values were higher (p<0.001), the field of view was better (p<0.001), and the intubation was more comfortable (p<0.002). The duration for the vocal cord appearance was significantly shorter in the VL group than in the ML group (7.55±1.00 vs. 8.31±2.20 sec, p=0.008, respectively). The beginning of intubation to full ventilation of the lungs was significantly shorter in the VL group than the ML group (12.71±2.72 vs. 17.48±6.8, p<0.001, respectively). CONCLUSIONS: Using VL in endotracheal intubation may be more reliable in reducing intervention times and the risk of suspected transmission during the COVID-19 pandemic.