ABSTRACT
Objective: to compare intubating conditions, success rate, and ease of intubation by anesthesia trainees using Glidescope Videolaryngoscope [GVL] compared to Macintosh laryngoscope [MCL]
Study Design: comparative study
Place and Duration of Study: king Khalid University Hospital, Riyadh, Saudi Arabia, from January 2012 to February 2015
Methodology: eighty adult patients ASA I and II with normal airway, scheduled to undergo elective surgery requiring endotracheal [ET] intubation were enrolled. Patients were randomly divided into 2 groups: GVL and MCL. All intubations were performed by trainee residents having experience of more than 1 year and who had successfully performed more than 50 tracheal intubations with each device. Glottic view based on Cormack and Lehane's [C and L's] score and percentage of glottis opening [POGO] score, time to successful intubation, need of external pressure, and overall difficulty scores were compared using either GVL or MCL
Results: view of glottis based on C and L's classification was better [p < 0.001] and POGO score was higher [88.25 +/- 22.06 vs. 57.25 +/- 29.26, p < 0.001] with GVL compared to MCL. Time to intubate in seconds was [32.90 +/- 8.69 vs. 41.33 +/- 15.29, p = 0.004] and overall difficulty score was less 2.78 +/- 1.39 vs. 4.85 +/- 1.75 [p < 0.001] using GVL compared to MCL
Conclusion: residents found ET intubation to be faster and easier with superior glottic view using GVL compared to MCL in patients with normal airway
ABSTRACT
Methylene blue is a highly irritant drug and has been used intraoperatively. Its accidental extravasation can lead to tissue necrosis. In this report, a unique management is described, and the patient recovered without any morbidity
ABSTRACT
All means to reduce blood loss in liver resection and to decrease blood loss and a need of blood transfusion would be of benefit to the patient as well as the surgeon. We report two cases in which different strategies were applied in order to achieve the low central venous pressure. We also compared in these cases surgical time, blood loss and blood transfusion requirements during liver resection
ABSTRACT
All means to reduce blood loss in liver resection and to decrease blood loss and a need of blood transfusion would be of benefit to the patient as well as the surgeon. We report two cases in which different strategies were applied in order to achieve the low central venous pressure. We also compared in these cases surgical time, blood loss and blood transfusion requirements during liver resection