Title: A Prospective Randomized Study to Compare and Evaluate King Vision Video Laryngoscope and McCoy Laryngoscope as Intubating Devices in Adult Patients
Authors: Dr Sarfaraz Ahmad, Dr Qazi Ehsan Ali, Dr Md Kashif Jamal, Dr Shadab Kamal, Dr Krochi Pal
DOI: https://dx.doi.org/10.18535/jmscr/v5i3.158
Abstract
Background: McCoy laryngoscope and many video laryngoscopes are being increasingly used and have a definitive advantage over conventional laryngoscopes in management of anticipated and unanticipated difficult airways. The aim of our study was to compare relative effectiveness of McCoy laryngoscope with king vision video laryngoscope in patients undergoing oral tracheal intubation.
Methods: sixty patients of American Society of Anaesthesiologists (ASA) grade I and II, aged 20 – 60 years, posted for elective surgery under general anaesthesia were randomly allocated into Group KVL (King vision video laryngoscope group, n=30) and Group MCC (McCoy group, n=30). The two groups were compared for demographic data, number of intubation attempts, ease of intubation, time to intubation, haemodynamic parameters and any airway trauma.
Results: The demographic data and ASA status was comparable in both the groups. Group KVL had a significantly more first attempts to intubation compared to Group MCC (p < 0.05). The incidence of ease of intubation grade I with King vision video laryngoscope was 93% while with McCoy laryngoscope was 87%. Th intubation time was less with King vision video laryngoscope as compared to Mc Coy laryngoscope.
There was a transient increase in heart rate and blood pressure after intubation in both the groups which returned back to the baseline within 10 minutes, but rise were less in KVL group. Less airway trauma was noted in the KVL group as compared to MCC groups.
Conclusion: King vision video laryngoscope resulted in better first attempt intubation and less time of intubation than McCoy laryngoscope. Patients in KVL group were more haemodynamicaly stable and less airway trauma were observed.
Keywords: McCoy laryngoscope(MCC), King vision video laryngoscope(KVL), tracheal intubation.
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Dr Sarfaraz Ahmad
Senior Resident, Department of Anaesthesiology, JNMCH, AMU, Aligarh INDIA
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