Evaluation of laryngoscopic view, intubation difficulty and sympathetic response during direct laryngoscopy in sniffing position versus simple head extension: a clinical comparative study
Journal Title: International Journal of Medical Research and Review - Year 2016, Vol 4, Issue 9
Abstract
Background: Proper position of the head and the neck is important for optimizing laryngoscopic view and for ease of endotracheal intubation.We compared two different positions, sniffing position and simple head extension during direct laryngoscopy on the basis of laryngoscopic view, intubation difficulty and sympathetic response. Methodology: One hundred twenty patients of age group 20-50 years, scheduled for elective surgeries under general anaesthesia were divided into two equal groups in a randomized fashion. In group A (n = 60), sniffing position during laryngoscopy and intubation; and in group B(n =60),simple head extension position during laryngoscopy and intubation. Laryngoscopy view, ease of intubation and hemodynamic parameters were recorded. Results: Demographic data and the different parameters for assessment of difficult airway were similar in both groups. Glottic visualization grade was superior in group A and intubation difficulty score were higher in Group B (P < 0.05), Hemodynamic parameters at different time intervals were comparable. Conclusion: Sniffing position during laryngoscopy was found to be superior to simple head extention position in respect of better glottis visualization and ease of intubation though no difference in sympathetic response to intubation was found.
Authors and Affiliations
Sangeeta Chauhan, Seema Shende, Ramchandra Vinayak Shidhaye
Keywords
Related Articles
- EP ID EP229949
- DOI 10.17511
- Views 142
- Downloads 0
Study of clinical risk factors for vitreous haemorrhage
Background: Vitreous haemorrhage is one of the common causes of visual loss and it is due to number of risk factors. This study aims to establish an early etiology of vitreous haemorrhage in our environment which provide...
Isolated tricuspid regurgitation secondary to annular dilatation: a rare case report
Isolated tricuspid regurgitation (TR) which is due to primary valvular pathology is a rare occurrence. Very few cases have been reported from India. Pathology may involve tricuspid valve leaflets, subvalvular apparatus o...
Incidence of anemia in type 2 diabetic mellitus and its prognostic index
Objective: To identify the incidence of anemia in type 2 diabetic mellitus in a rural population and its prognostic value. Methodology: This is prospective observational study conducted at RMMCH, Chidambaram; the study c...
Alcohol Withdrawal Syndrome
Alcohol withdrawal syndrome is a cluster of symptoms occurring when someone detoxes from alcohol. Alcohol dependence is one of the commonest psychiatric disorders, second only to major depression.
Clinical and cyto-histopathological study of Hansen’s disease in teaching government hospital in Mahakausal Region
Background: Hansen’s disease still remains a significant public health problem worldwide, especially in developing countries like India. Patients suffering from Hansen’s disease can remain undiagnosed for a longtime, bec...