الفهرس 
Introduction & Aim of the work
Chapter 1 : Upper airway anatomyOnly 14 pages are availabe for public view
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Abstract
This prospective randomized clinical trial was conducted at El-Minia university hospital after approval of ethical review board of faculty of medicine controlled in Minia university and a written informed consent obtained from each patient. The study involved 60 patients aged from 16-60 years old, American Society of Anesthesiologists physical state I–III undergoing elective surgical operation and of anticipated difficult tracheal intubation.
Patients were randomly assigned by random numbers into 2 equal groups F (Fiberoptic laryngoscope group) or S (MultiView scope MVS handle with a stylet scope) composed of 30 patient each.
group S: Intubation was achieved by rigid stylet scope of multiview scope.
group F: Intubation was achieved by flexible fiberoptic laryngoscope.
We aimed in this study to compare the MultiView scope versus fiberoptic laryngoscope for anticipated difficult oral intubation regarding intubation time, number of attempts, proportion of successful first attempts and quality of intubation. Also hemodynamic response and the incidence of any complications were noted.
The study demonstrated that:
Both MultiView scope and fiberoptic laryngoscope were efficient without statistically significant differences in the ease of positioning, visibility, failure of first attempt and complication (during procedure or postoperatively) but with a statistically significant shorter time to intubation and time for positioning in multiview scope (MVS) group than in fiberoptic laryngoscope (FOS) group. Furthermore, with regard to the hemodynamic parameters including heart rate and mean arterial pressure there were statistically significant differences in immediately after intubation and post-intubation values in each group, with no statistically significant differences in SPO 2 values in each group.
Also our study demonstrated that there were no statistically significant differences in demographic data including age, sex or body mass index ( BMI ).
Conclusion:
Multiview scope ( MVS) with stylet handle is a good alternative to fiberoptic laryngeoscope (FOB) especially for awake intubation , showed a shorter intubation time and was as effective and safe as (FOB).