A Comparative Evaluation of Pressure Response in Conventional Nasal Vs Fiber Optic Bronchoscopic Endotracheal Intubation Techniques in Oral & Maxillofacial Surgery

Academia Anesthesiologica International

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Title A Comparative Evaluation of Pressure Response in Conventional Nasal Vs Fiber Optic Bronchoscopic Endotracheal Intubation Techniques in Oral & Maxillofacial Surgery
 
Creator Sharma, Archna
Sharma, Manish Kumar
Sood, Ajay
Singh , Dara
 
Subject Endotracheal intubation
Fiber optic intubation
Conventional nasal intubation
Mean arterial pressure
 
Description Background: The purpose of the present study was to compare the blood pressure response between conventional nasal and flexible fiber optic techniques. Subjects and Methods: After taking approval of the hospital ethical committee on research, 60 consenting adult patients, of either sex, of ASA physical status 1 and 2, coming for oral and maxillofacial surgery were included in the study. These patients were randomly divided into two groups of 30 patients, each for either conventional nasal endotracheal intubation (Group A) or nasal intubation using flexible fiber optic bronchoscope (Group B). Results: When mean arterial pressure (MAP) was compared between both the groups, we found that at 1 minute after intubation, the increase in MAP was more in group B (fiber optic bronchoscope group), which was significant. Also time taken for intubation with fiber optic technique was significantly more than conventional nasal intubation. Conclusions: From our study, we concluded that fiber optic bronchoscopy provides no advantage over conventional laryngoscopy, in terms of decreasing the pressure response to nasotracheal intubation. However, fiber optic intubation remains gold standard technique for difficult airway.
 
Publisher Society for Health Care & Research Development
 
Date 2021-12-31
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
application/xml
text/html
application/epub+zip
 
Identifier https://aijournals.com/index.php/aan/article/view/2176
 
Source Academia Anesthesiologica International; Vol 6 No 2 (2021): July-December 2021; 15-18
2456-7388
2617-5479
 
Language eng
 
Relation https://aijournals.com/index.php/aan/article/view/2176/2823
https://aijournals.com/index.php/aan/article/view/2176/2824
https://aijournals.com/index.php/aan/article/view/2176/2825
https://aijournals.com/index.php/aan/article/view/2176/2826
 
Rights Copyright (c) 2021 Author
https://creativecommons.org/licenses/by/4.0/
 

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