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Journals / Şişli Etfal Hastanesi Tıp Bülteni / 2020 / Cilt: 54 - Sayı: 3

Randomized Prospective Comparison of Glidescope Video Laryngoscope with Macintosh Laryngoscope in Adult who Underwent Thyroid or Parathyroid Surgery Using Neuromonitorization

Murat GÜNEŞ
Ayşe SURHAN ÇINAR
Mehmet ULUDAĞ
Pages
320–326
DOI
—
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⚡ TL;DR(Too Long; Didn't Read)

There was nosignificant difference between the groups’ number of trials and intubation-associated complications.Conclusion: Despite its long intubation time, we believe that GVL may be the first choice laryngoscopy method in the thyroidor parathyroid cases that intubated with a low dose muscle relaxant for neuromonitoring since it has a slight effect than ML onhemodynamism it does not increase mucosal damage and has improved visibility.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: The present study aims to compare the effects of Glidescope Video Laryngoscope (GVL) and Machintosh Laryngoscope(ML) on the hemodynamic response, intubation time and mucosal damage in adult patients who underwent thyroid orparathyroid surgery using neuromonitorization.Methods: In this study, 180 patients, aged between 22 and 65 classified as Class I-II in ASA (American Society of Anesthesiologists)and operated under elective conditions were included.
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Key Findings & Data:Patients were assigned into two groups: Patients intubated with GVL GroupG (n=90) and patients intubated with ML Group M (n=90).
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Conclusion & Impact:There was nosignificant difference between the groups’ number of trials and intubation-associated complications.Conclusion: Despite its long intubation time, we believe that GVL may be the first choice laryngoscopy method in the thyroidor parathyroid cases that intubated with a low dose muscle relaxant for neuromonitoring since it has a slight effect than ML onhemodynamism it does not increase mucosal damage and has improved visibility.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Objectives: The present study aims to compare the effects of Glidescope Video Laryngoscope (GVL) and Machintosh Laryngoscope(ML) on the hemodynamic response, intubation time and mucosal damage in adult patients who underwent thyroid orparathyroid surgery using neuromonitorization.Methods: In this study, 180 patients, aged between 22 and 65 classified as Class I-II in ASA (American Society of Anesthesiologists)and operated under elective conditions were included. Patients were assigned into two groups: Patients intubated with GVL GroupG (n=90) and patients intubated with ML Group M (n=90). In both groups, intubation time and the number of trials were recorded.HR (Heart Rate), SpO2 (Peripheral Capillary Oxygen Saturation), SBP (Systolic Blood Pressure), DBP (Diastolic Blood Pressure) andMBP (Mean Blood Pressure) scores were recorded at preinduction, post-induction, post-intubation and three minutes after intubation.Post-operative intubation-associated complications were recorded.Results: Post intubation HR, DBP and MBP scores were found to be significantly higher in Group M than Group G (p=0,006, p=0.013,p=0.011). Intubation time was found to be significantly higher in Group G than in group M (35.3±10.3, 22.1±7.7 sec). There was nosignificant difference between the groups’ number of trials and intubation-associated complications.Conclusion: Despite its long intubation time, we believe that GVL may be the first choice laryngoscopy method in the thyroidor parathyroid cases that intubated with a low dose muscle relaxant for neuromonitoring since it has a slight effect than ML onhemodynamism it does not increase mucosal damage and has improved visibility.

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Cite This Article

GÜNEŞ, M., ÇINAR, A. S., ULUDAĞ, M. (2020). Randomized Prospective Comparison of Glidescope Video Laryngoscope with Macintosh Laryngoscope in Adult who Underwent Thyroid or Parathyroid Surgery Using Neuromonitorization. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 54 - Sayı: 3, 320–326. https://ajindex.com/articles/363398

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