POSTOPERATIVE SORE THROAT AFTER LARYNGOSCOPY WITH MACINTOSH VERSUS VIDEOLARYNGOSCOPE BLADE

Abstract

Introduction: Direct laryngoscopy guided by a Macintosh curved blade, is the standard traditional method of endotracheal intubation in patients under general anaesthesia. Post Operative Sore Throat [POST] is a common problem faced. With the advent of newer technology, various videolaryngoscopes have come into usage. To know the incidence of sore throat after Aim: intubation with the Macintosh versus videolaryngoscope. To compare the incidence of hoarseness, hemodynamic response and time taken for intubation by two methods. A prospective, randomized study was conducted on 110 patient Method: s with normal airway undergoing general anaesthesia for elective surgeries. Patients were enrolled into two groups randomly by Systemic Randomization Technique. All patients underwent thorough pre-anaesthestic evaluation with general and systemic examination. In the operation theatre, baseline vital parameters were recorded. The standard anaesthetic regimen and surgical procedures was followed. Postoperative sore throat was assessed with 10 point score at 0,6,12,24 hours post extubation. The mean incidence of sore throat at 0,6,12 and 24 hours Result: post extubation was 6.67, 5.44, 4.91 and 3.93 in the Macintosh group whereas 4.18, 3.09, 1.22 and 1.25 in the videolaryngoscope group. The mean time taken for intubation was 19.5 sec in Macintosh group and 36.6 sec in videolaryngoscope group. All patients were haemodynamically stable throughout the procedure. Conclusion: The incidence of postoperative sore throat was more with Macintosh blade whereas the time taken for intubation and the hemodynamic stability was more with the videolaryngoscope blade