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Intubation must be done with utmost care in cervical trauma patients. cervical spine motion must be minimized and intubation must be fast. The aim of this study was to compare the effectiveness of fastrach and glidescope. 18-65 years of age , ASA I-II 100 patients undergoing elective surgery were enrolled in this trial. After standard monitorisation including EKG , noninvasive blood pressure, pulse oximetry, anesthesia was induced with propofol and fentanyl. rocuronium was then administered for muscle relaxation. Patients were divided into two groups glidescope and fastrach. Rigid collar was placed then patients were intubated with one of these devices. Mask ventilations with or without collar were recorded. insertion times, intubation times of the devices were recorded. Peroperative hemodynamic parameters and postoperative minor complications were also recoded.
inclusion criteria: ASA I-II , 18-60 years of age undergoing elective surgery requiring intubation exclusion criteria:
- pregnancy reflux nonfasted head and neck tumors recent flue in 2 weeks
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Glidescope videolaryngoscope | Active Comparator | cervical collar was applied to 47 patients then facemask ventilations were recoded intubated with Glidescope and insertion time: handling of the device till the good glottic visualisation intubation time: handling of the device till the capnography appears mucosal damage: bloodstain on the device after removal heart rate preinduction heart rate postinduction heart rate postinsertion heart rate postintubation mean arterial pressure preinduction mean arterial pressure postinduction mean arterial pressure postinsertion mean arterial pressure postintubation wrere recorded. postoperative minor complications were recorded. |
|
| Intubating laryngeal mask airway | Active Comparator | cervical collar was applied to 47 patients then facemask ventilations through the collar were recorded and intubated with ILMA insertion time: handling of the device till the good glottic visualisation appears intubation time: handling of the device till the capnography appears mucosal damage: bloodstain on the device heart rate preinduction heart rate postinduction heart rate posinsertion heart rate postintubation mean arterial pressure preinduction mean arterial pressure postinduction mean arterial pressure postinsertion mean arterial pressure postintubation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Glidescope | Device | videolaryngoscope |
| |
| Measure | Description | Time Frame |
|---|---|---|
| intubation times | From handling of the device till intıbation |
| Measure | Description | Time Frame |
|---|---|---|
| Heart rate | From Preoperative heart rate till 15 minutes After intubation | |
| Mean arterial pressure | From preinduction till 15 minutes after intubation |
| Measure | Description | Time Frame |
|---|---|---|
| minor complications | From the end of surgery till 2 hours postoperatively | |
| Mucosal damage | Bloodstain on the device after removal |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Zehra I ARSLAN, Specialist | Anesthesiology and Reanimation | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kocaeli University School of Medicine | Kocaeli | 41900 | Turkey (Türkiye) |
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| ILMA |
| Device |
handling of the device till the optimal ventilation achieved |
|
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