A comparison of light wand and suspension laryngoscopic intubation techniques in outpatients

Anesthesia and Analgesia
P G FriedmanM Lebenbom-Mansour


Endotracheal intubation can produce postoperative sore throat and hoarseness, as well as changes in cardiovascular variables. A major goal of ambulatory surgery is the prompt return of patients to their daily activities. Postoperative sore throat may impede this and may decrease patient satisfaction with their anesthetic and surgical experience. We conducted a prospective, randomized study in 40 outpatients having lower extremity arthroscopies to compare the effects of direct laryngoscopy and light wand intubation on cardiovascular changes, sore throat, hoarseness, and dysphagia. Subjects were randomly assigned to either Group A (endotracheal intubation by rigid laryngoscopy) or Group B (endotracheal intubation with a light wand). A standardized anesthetic technique was used. Heart rate and blood pressure were recorded before induction, after induction but before endotracheal intubation, and at 1-min intervals for the first 5 min after intubation. Sixteen to twenty-four hours postoperatively, the incidence and severity of sore throat, hoarseness, and dysphagia was assessed by a follow-up phone call. This study demonstrated no clinically significant difference in cardiovascular variables between the two techniques. Patients had ...Continue Reading


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Related Concepts

Surgery, Day
Arthroscopic Surgical Procedures
Esophageal Dysphagia
Neurogenic Hoarseness
Intubation, Intratracheal
Laryngoscopic Surgical Procedures
Sore Throat
Postoperative Complications

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