PMID: 29465200Feb 22, 2018Paper

THE CHOICE OF TRACHEAL INTUBATION METHOD IN RECONSTRUCTIVE MAXILLO-FACIAL SURGERY WITH DIFFICULT AIRWAYS

Anesteziologiia i reanimatologiia
A Yu ZaytcevV A Svetlov

Abstract

The development of modern video - and endoscopic equipment allows for revision and adjust to modern protocols for maintaining patency of the difficult airway, especially in maxillofacial or ENT -surgery. Comparison the efficacy ofvarious methods of maintaining the airway patency in the practice of reconstructive maxillofacial surgery. 89 patients, who were divided into 4 groups, were examined. Group I (n=57) - classic laryngos- copy with the Macintosh blade, group II (n=14) -fiber-optic bronchoscopy (FBS) in clear consciousness. In group III (n=10) tracheal intubation was performed by the blade D-Blade of videolaryngoscope C-MAC (Karl Storz) or McGrath (Aircraft Medical Ltd.). In group IV (n=12) - retromolar endoscope (RAE) intubation by videostylet Shikani (Clarus Medical) and RME Bonfils (Karl Storz). At the time of laryngoscopy and tracheal intubation the duration of tracheal intubation (t), the maximum values of arterial blood pressure and heart rate, galvanic skin response (GSR) (NASTYA, Neyrok, Russia) were analyzed. The results and discussion. Unexpected difficult tracheal intubation occurredfor 31.6 % of the 1st group patients, need two attempts at laryngoscopy and tracheal intubation occurred in the subgroup 1B patient...Continue Reading

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