Hoarseness, Intubation; Difficult or Failed, Sore-throat
Conditions
Keywords
Videolaryngoscope,, Intubation, C-MAC R Videolaryngoscope,, D- Blade, Subglottic damage, Postoperative sore throat,, Hoarsness
Brief summary
In this study we compared post-operative sore throat, ease and time of intubation, hoarseness, subglottic damage and hemodynamic changes to orotracheal intubation using three different intubation stylets with C-MAC R videolaryngoscope D- blade.
Detailed description
In this study we compared the ease of intubation, time needed for intubation, subglottic damage, postoperaitve sore throat, hoarseness and hemodynamic response to orotracheal intubation using three different intubation stylets with C-MAC R videolaryngoscope D- blade. After the approval of the Ethics Committee, patients were randomized into three groups with closed envelope technique. In Group A endotracheal tube (ETT) is shaped into an angel of 90 degrees, in Group B 80 degrees and in Group C 60 degrees with three different stylets. Laryngoscopy was performed using D-Blade in all 3 groups. Heart rate and blood pressure before and after intubation, time from the entrance of the laryngoscope into the mouth to the passage of the vocal cords, time from the appearance of the cords to intubation, Cormack-Lehane (C-L) classification were recorded. Subglottic damage was examined with fiberoptic bronchoscope. Patients were evaluated regarding postoperative sore throat and hoarsness at 30 minutes, 4, 12, 24 hours postoperatively.
Interventions
OTHERIntubation using C-MAC D blade videolariyngoscope
all patients were intubated using the C-MAC D-Blade videolaryngoscope but for each group the intubation tubes were angled in different degrees. First group was intubated using the stylet of 60 degrees, second group was intubated using the stylet of 80 degrees and the third group was intubated using the stylet of 90 degrees.
Sponsors
Yeditepe University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Intervention model description
In this study we compared the ease of intubation, time needed for intubation, subglottic damage, postoperaitve sore throat, hoarseness and hemodynamic response to orotracheal intubation using three different angled intubation stylets with C-MAC R videolaryngoscope D- blade.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* ASA score I-II * Elective operations * Supine pozition * 18-65 years * No history of surgery in the last 6 months * No history of airway related surgery * No anticipated difficult airway
Exclusion criteria
* Abdomen, thorax, head-neck surgeries * Smoker * Chronic alcohol abuse * Occupational inhaler agent exposure * Patients with malignancies * Patients with a history of radiotheraphy to head-neck region * Patients with congenital anomalies at head-neck region * Patients with diagnosed abnormalites of head -neck movements * Non-cooperatied patients * Non-oriented patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| sore throat | 30 minutes, 4 hour, 12 hour, 24 hour | For evaluation of sore throat, the patients were asked whether they had any throat pain. The severity of sore throat was graded as follows: 1: no sore throat, 2: minimal, 3: moderate, 4: severe |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ease of intubation | 2 minutes | For evaluation of the ease of intubation modified intubation difficulty score was used. |
| Subglottic damage | 2 hours | For evaluation of subglottic damage 4-point scaled subglottic damage score was used. grade 0, normal; grade 1, mucosal hyperaemia and oedema and/or slight submucosal haematoma; grade 2, moderately submucosal haematoma; grade 3, mucosal laceration and/or mucosal bleeding |
Countries
Turkey (Türkiye)
Outcome results
None listed