Abstract
Introduction: The incidence of difcult endotracheal intubation is high in the ICU because of various factors. Most commonly used method for endotracheal intubation is direct laryngoscopy. Video Laryngoscopes are also helpful aids which provide a better laryngeal view in comparison to Direct Laryngoscope. We should aim at minimizing the time required to achieve a secure airway for ventilation in patients presenting to the Emergency Department/ICU. This was a prospective randomized study in Emer Methods : gency ICU in a tertiary care hospital. A total of 90 patients requiring endotracheal intubation in Emergency ICU were included in the study and were randomly divided into two groups. Group A included patients intubated with the help of C-MAC Videolaryngoscope and Group B included patients intubated with Macintosh Laryngoscope. The primary outcome was to determine overall successful intubation rates. Secondary outcome was to measure rst attempt successful intubation rates, time to intubation, requirement of External Laryngeal Manipulation, requirement of any intubating aids. Patients in Group A and Results : Group B showed an overall similar intubation success rate (p=0.213). Rate of rst attempt intubation in Group A and Group B was similar (p=0.120). Average time to intubation with Group A and Group B was also similar (p=0.0647). Requirement of ELM was lesser with Group A as compared to Group B (p=0.038). The requirement of use of intubating aids was lesser in Group A vs Group B (p=0.003). The use of C- Conclusion : MAC video laryngoscope provided better glottis visualization but resulted in similar rst attempt intubation rates, almost similar time to intubation. C-MAC group required lesser overall requirement of ELM and use of intubating aids when compared to the Macintosh Laryngoscope. Thus, C-MAC® Videolaryngoscopy seems to be a useful technique as the initial approach for endotracheal intubation in the ICU.
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