Anupama Jaybhaye
Assistant Professor, Department of Anesthesia, S.M.B.T. Institute of Medical Sciences & Research Center, Dhamangaon, Dist. Nashik
Abstract
Background: Successful tracheal intubation is a critical skill in airway management, and various tools have been developed to enhance this process. This study compares the ease of tracheal intubation using an intubating video-stylet with the C-MAC video laryngoscope. Objectives: To assess the time taken for tracheal intubation using both devices and to evaluate the success rate and ease of use as perceived by the anesthesiologists.
Methods: This prospective, randomized study included 100 adult patients undergoing elective surgery requiring general anesthesia. Inclusion criteria comprised adults aged 18-65 years with a Mallampati score of I or II. Exclusion criteria included patients with anticipated difficult airways, cervical spine abnormalities, or previous tracheostomy. Participants were randomly assigned to either the intubating video-stylet group or the C-MAC group. Intubation time, success rate, and subjective ease of use were recorded.
Results: The intubating video-stylet group demonstrated a shorter mean intubation time compared to the C-MAC group (12.3 seconds vs. 15.4 seconds). The success rate was similar between both groups, but the intubating video-stylet was rated higher for ease of use.
Conclusion: The intubating video-stylet provides a quicker intubation time with favorable ease of use compared to the C-MAC video laryngoscope, suggesting it may be a beneficial alternative in routine practice.
Keywords: tracheal intubation, video-stylet, C-MAC video laryngoscope, airway management, anesthesia.