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:: Volume 7, Issue 3 (9-2018) ::
Int J Med Invest 2018, 7(3): 43-47 Back to browse issues page
Effect of Second Person Aid for Upward Displacement of Laryngoscope on Laryngeal View during Laryngoscopy
Seyd Hedayatallah Akhlagh , , Arash Farbood , , Seyed Mohammadreza Hadavi , Reza Raeesi Estabragh * , Ramita Shahabifar , Farshid Ghahramani Nejad
Anesthesiology and Critical Care Research Center , Shiraz , Iran
Abstract:   (432 Views)
Introduction: Difficulties or failure in airway management is among leading causes of death due to anesthesia. Secure airway management necessitates an acceptable level of prediction, regarding the probability of difficult intubation and in occasions of difficulty, quick lifesaving reaction is required. This study aimed to assess a novel manual technique that enhances the exposing of laryngeal view by upward displacement of laryngoscope. Methods: In this study, 300 patients in the age range of 18-88 and ASA class I and II were studied. Mallampati score of each patient was estimated before intervention. After anesthesia, an expert would attempt laryngoscopy and laryngeal view was recorded. Immediately after checking laryngeal view by the first expert, a second person aide and lifts the laryngoscope upward in order to provide a better laryngeal view, then the new laryngeal view is recorded. Findings: A significant improvement was shown in patients’ laryngeal view after performing the upward lifting of the laryngoscope (P value < 0.001). Conclusion: The result of this research indicates that the simultaneous upward displacement of laryngoscope during laryngoscopy provides a better laryngeal view for the clinician, making the process of intubation easier and more successful.
Keywords: Laryngeal View, Laryngoscopy, Tracheal Intubation, Upward Displacement
Full-Text [PDF 415 kb]   (136 Downloads)    
Type of Study: Research | Subject: General
References
1. 1. Langeron O, Amour J, Vivien B, Aubrun F. Clinical review: management of difficult airways. Crit Care. 2006;10(6):243. 2. Krafft P, Frass M. [The difficult airway]. Wien Klin Wochenschr. 2000;112(6):260-70. 3. Etezadi F, Ahangari A, Shokri H, Najafi A, Khajavi MR, Daghigh M, et al. Thyromental height: a new clinical test forprediction of difficult laryngoscopy. Anesth Analg. 2013;117(6):1347-51. 4. Timmermann A. [Modern airway management--current concepts for more patient safety]. Anasthesiol Intensivmed Notfallmed Schmerzther. 2009;44(4):246-55. 5. Asai T. [Cannot intubate, cannot ventilate: airway management of difficult airways in adults]. Masui. 2006;55(1):13-23. 6. Mallampati SR, Gatt SP, Gugino LD, Desai SP, Waraksa B, Freiberger D, et al. A clinical sign to predict difficult tracheal intubation: a prospective study. Can Anaesth Soc J. 1985;32(4):429-34. 7. Neyrinck A. Management of the anticipated and unanticipated difficult airway in anesthesia outside the operating room. Curr Opin Anaesthesiol. 2013;26(4):481-8. 8. Law JA, Broemling N, Cooper RM, Drolet P, Duggan LV, Griesdale DE, et al. The difficult airway with recommendations for management--part 1--difficult tracheal intubation encountered in an unconscious/induced patient. Can J Anaesth. 2013;60(11):1089-118. 9. Maldini B GT, Vucić M, Kovac J, Baranović S, Letica-Brnadić R. Difficult airway management at Sestre Milosrdnice University Hospital Center. Acta Clin Croat 2012;51(3):473-6. 10. Drolet P. Management of the anticipated difficult airway--a systematic approach: continuing Professional Development. Can J Anaesth. 2009;56(9):683-701. 11. Cherng CH. Backward, Upward, Rightward Pressure (BURP) Effect Improves the Glottic View in Retrograde Light-guided Laryngoscopy for Tracheal Intubation. Anesthesiology. 2014;120(1):240. 12. Levitan RM, Kinkle WC, Levin WJ, Everett WW. Laryngeal view during laryngoscopy: a randomized trial comparing cricoid pressure, backward-upward-rightward pressure, and bimanual laryngoscopy. Ann Emerg Med 2006;47(6):548-55. 13. Lee HC, Yun MJ, Hwang JW, Na HS, Kim DH, Park JY. Higher operating tables provide better laryngeal views for tracheal intubation. Br J Anaesth. 2013. 14. Lebowitz PW, Shay H, Straker T, Rubin D, Bodner S. Shoulder and head elevation improves laryngoscopic view for tracheal intubation in nonobese as well as obese individuals. J Clin Anesth. 2012;24(2):104-8. 15. Levitan RM, Mechem CC, Ochroch EA, Shofer FS, Hollander JE. Head-elevated laryngoscopy position: improving laryngeal exposure during laryngoscopy by increasing head elevation. Ann Emerg Med. 2003;41(3):322-30. 16. Lee BJ, Kang JM, Kim DO. Laryngeal exposure during laryngoscopy is better in the 25 degrees back-up position than in the supine position. Br J Anaesth. 2007;99(4):581-6. 17. Rao SL, Kunselman AR, Schuler HG, DesHarnais S. Laryngoscopy and tracheal intubation in the head-elevated position in obese patients: a randomized, controlled, equivalence trial. Anesth Analg. 2008;107(6):1912-8.
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Akhlagh S H, Farbood , A, Hadavi , S M, Estabragh R R, Shahabifar R, Ghahramani Nejad F. Effect of Second Person Aid for Upward Displacement of Laryngoscope on Laryngeal View during Laryngoscopy. Int J Med Invest. 2018; 7 (3) :43-47
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Volume 7, Issue 3 (9-2018) Back to browse issues page
International Journal of Medical Investigation
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