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العنوان
Fiberoptic Bronchoscopy versus Video Laryngoscopy in Patients with Simulated Difficult Tracheal Intubation /
المؤلف
Mahmoud, Mohamed Reda.
هيئة الاعداد
باحث / محمد رضا محمود
مشرف / أحمد قرنى محمد
مشرف / أحمد زين العابدين محمد
الموضوع
Trachea - Intubation - Instruments. Intubation, Intratracheal - Methods. Endoscopy - Methods. Intubation, Intratracheal - Adverse Effects. Intubation, Intratracheal - Instrumentation. Fiber optics. Airway Obstruction.
تاريخ النشر
2015.
عدد الصفحات
119 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
التخدير و علاج الألم
تاريخ الإجازة
1/1/2015
مكان الإجازة
جامعة المنيا - كلية الطب - التخدير والعنايه المركزه
الفهرس
Only 14 pages are availabe for public view

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Abstract

This study was performed in El-Minia University Hospital in the period from April 2014 to February 2015 on one hundred patients undergoing surgeries under general anaesthesia with tracheal intubation of both sexes, their ages ranging between 18 to 40 years old and ASA I and II. Informed consent was taken from these patients to undergo this operation under general anaesthesia. Patients were randomly classified into two equal groups:
- Group : using flexible fiberoptic bronchoscopy
- Group II: using video laryngoscopy (Pentax-AWS).
Patient’s demographic data (sex, age and weight), haemodynamics and intubation data including; Cormack-Lehane Grade for viewing the glottis, number of attempts for intubation, number of optimizing maneuvers, time needed for intubation and whether it was successful or not and complications in each group were recorded.
It was found that using the fiberoptic bronchoscopy provided better view of the glottis, less time and higher success rates for intubation than using the video laryngoscope, so we have done this research to compare between fiberoptic bronchoscopy and video laryngoscopy in patients with simulated difficult tracheal intubation.
The results of this study found that there was significant result
regarding the 5 min after intubation in HR and SBP in the video laryngoscopy group than the other one.
Also the fiberoptic provided a better glottic view with high CLG than that provided by the video laryngoscope.
In conclusion, using the fiberoptic bronchoscope for intubation provides optimal view of the glottis, shortens the time for intubation and requires nearly no additional maneuvers to facilitate the intubation technique with less complications.