Yıl: 2018 Cilt: 21 Sayı: 2 Sayfa Aralığı: 123 - 129 Metin Dili: İngilizce DOI: 10.7126/cumudj.397203 İndeks Tarihi: 19-12-2018

COMPARING THE INTUBATION EFFECTIVENESS OF TWO DIFFERENT LARYNGOSCOPES IN PATIENTS WITH CEREBRAL PALSY

Öz:
Objective: In patients with expected airway difficulties, specificpreparatory and auxiliary equipment is required before generalanesthesia. The aim of this study was to compare the intubationefficacy of Macintosh laryngoscope with that of the McGrathMAC video laryngoscope in patients with cerebral palsy. Materials and Methods: The study was conducted in fortypatients (aged 4-15) with cerebral palsy who were scheduled toundergo dental treatment. Intubations were performed in patientsrandomly assigned to the McGrath MAC video laryngoscope orthe Macintosh laryngoscope. The characteristics of the patientsmean arterial blood pressure, heart rate, end-tidal carbon dioxide,and peripheral oxygen saturation were measured. The intubationsuccess, intubation time, Cormack and Lehane grades, number oftrials, need for neck extension, and complications were recorded.An independent sample t-test and a Mann–Whitney U test wereused. A chi-square test was used for the analysis of categoricaldata. The level of statistical significance was accepted as p <0.05.Results: When both groups were compared in terms of theglottic view, intubation time, and need for neck extension, therewas no significant difference (p = 0.542, p = 0.779, and p =1.000, respectively). All the intubations were performedsuccessfully at the first attempt in both groups, and nocomplications were recorded.Conclusion: Although our study included patients with cerebralpalsy, in which musculoskeletal anomalies are common,sufficient muscle relaxation for intubation after generalanesthesia was achieved in all the patients. There was noevidence of intubation difficulty in either group of patients, andcerebral palsy, with its existing deformities, did not affect theintubation success or complication rate. No additionaladvantages of using video laryngoscopy in patients with cerebralpalsy were found.
Anahtar Kelime:

Konular: Diş Hekimliği

Serebral Palsili Hastalarda İki Farklı Laringoskopun Entübasyon Etkinliğinin Karşılaştırılması

Öz:
Amaç: Bu çalışmanın amacı serebral palsili hastalarda, Macintosh laringoskop ile McGrath MAC video laringoskopun entübasyon etkinliğini karşılaştırmaktır. Gereç ve yöntem: Çalışmaya serebral palsili ve diş tedavisi planlanan 40 hasta dahil edildi. Hastalar rastgele McGrath MAC video laringoskop veya Macintosh laringoskop ile entübe edildi. Hastaların demografik özellikleri, ortalama arteryel kan basıncı, kalp hızı, end-tidal karbondioksit ve periferik oksijen satürasyonu ölçüldü. Entübasyon başarısı, entübasyon zamanı, Cormack ve Lehane sınıflaması, deneme sayısı, boyun ekstansiyon ihtiyacı ve komplikasyonlar kaydedildi. Bağımsız örneklem t testi ve Mann-Whitney U testi kullanıldı. Kategorik verilerin analizi için ki-kare testi kullanıldı. İstatistiksel anlamlılık düzeyi p <0,05 olarak kabul edildi. Bulgular: Glottik görüntü, entübasyon zamanı ve boyun ekstansiyon ihtiyacı açısından karşılaştırıldığında iki grup arasında anlamlı fark bulunamadı (p = 0.542, p = 0.779 ve p = 1.000). Tüm entübasyonlar her iki gruptaki ilk girişimde başarıyla uygulandı ve herhangi bir komplikasyon kaydedilmedi. Sonuç: Her iki gruptaki hastalarda entübasyon güçlüğü olduğuna dair bir bulguya rastlanmamıştır ve mevcut deformiteleri serebral palsili hastaların entübasyon başarısını veya komplikasyon oranını etkilememiştir. Serebral palsili hastalarda video laringoskop kullanmanın ek bir avantajı tespit edilememiştir.
Anahtar Kelime:

Konular: Diş Hekimliği
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik
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APA ÇAĞLAR TORUN A, sarı m, KÖKSAL E, İBİŞ S (2018). COMPARING THE INTUBATION EFFECTIVENESS OF TWO DIFFERENT LARYNGOSCOPES IN PATIENTS WITH CEREBRAL PALSY. , 123 - 129. 10.7126/cumudj.397203
Chicago ÇAĞLAR TORUN AYSUN,sarı mustafa erhan,KÖKSAL Ersin,İBİŞ Sevgin COMPARING THE INTUBATION EFFECTIVENESS OF TWO DIFFERENT LARYNGOSCOPES IN PATIENTS WITH CEREBRAL PALSY. (2018): 123 - 129. 10.7126/cumudj.397203
MLA ÇAĞLAR TORUN AYSUN,sarı mustafa erhan,KÖKSAL Ersin,İBİŞ Sevgin COMPARING THE INTUBATION EFFECTIVENESS OF TWO DIFFERENT LARYNGOSCOPES IN PATIENTS WITH CEREBRAL PALSY. , 2018, ss.123 - 129. 10.7126/cumudj.397203
AMA ÇAĞLAR TORUN A,sarı m,KÖKSAL E,İBİŞ S COMPARING THE INTUBATION EFFECTIVENESS OF TWO DIFFERENT LARYNGOSCOPES IN PATIENTS WITH CEREBRAL PALSY. . 2018; 123 - 129. 10.7126/cumudj.397203
Vancouver ÇAĞLAR TORUN A,sarı m,KÖKSAL E,İBİŞ S COMPARING THE INTUBATION EFFECTIVENESS OF TWO DIFFERENT LARYNGOSCOPES IN PATIENTS WITH CEREBRAL PALSY. . 2018; 123 - 129. 10.7126/cumudj.397203
IEEE ÇAĞLAR TORUN A,sarı m,KÖKSAL E,İBİŞ S "COMPARING THE INTUBATION EFFECTIVENESS OF TWO DIFFERENT LARYNGOSCOPES IN PATIENTS WITH CEREBRAL PALSY." , ss.123 - 129, 2018. 10.7126/cumudj.397203
ISNAD ÇAĞLAR TORUN, AYSUN vd. "COMPARING THE INTUBATION EFFECTIVENESS OF TWO DIFFERENT LARYNGOSCOPES IN PATIENTS WITH CEREBRAL PALSY". (2018), 123-129. https://doi.org/10.7126/cumudj.397203
APA ÇAĞLAR TORUN A, sarı m, KÖKSAL E, İBİŞ S (2018). COMPARING THE INTUBATION EFFECTIVENESS OF TWO DIFFERENT LARYNGOSCOPES IN PATIENTS WITH CEREBRAL PALSY. Cumhuriyet Dental Journal , 21(2), 123 - 129. 10.7126/cumudj.397203
Chicago ÇAĞLAR TORUN AYSUN,sarı mustafa erhan,KÖKSAL Ersin,İBİŞ Sevgin COMPARING THE INTUBATION EFFECTIVENESS OF TWO DIFFERENT LARYNGOSCOPES IN PATIENTS WITH CEREBRAL PALSY. Cumhuriyet Dental Journal 21, no.2 (2018): 123 - 129. 10.7126/cumudj.397203
MLA ÇAĞLAR TORUN AYSUN,sarı mustafa erhan,KÖKSAL Ersin,İBİŞ Sevgin COMPARING THE INTUBATION EFFECTIVENESS OF TWO DIFFERENT LARYNGOSCOPES IN PATIENTS WITH CEREBRAL PALSY. Cumhuriyet Dental Journal , vol.21, no.2, 2018, ss.123 - 129. 10.7126/cumudj.397203
AMA ÇAĞLAR TORUN A,sarı m,KÖKSAL E,İBİŞ S COMPARING THE INTUBATION EFFECTIVENESS OF TWO DIFFERENT LARYNGOSCOPES IN PATIENTS WITH CEREBRAL PALSY. Cumhuriyet Dental Journal . 2018; 21(2): 123 - 129. 10.7126/cumudj.397203
Vancouver ÇAĞLAR TORUN A,sarı m,KÖKSAL E,İBİŞ S COMPARING THE INTUBATION EFFECTIVENESS OF TWO DIFFERENT LARYNGOSCOPES IN PATIENTS WITH CEREBRAL PALSY. Cumhuriyet Dental Journal . 2018; 21(2): 123 - 129. 10.7126/cumudj.397203
IEEE ÇAĞLAR TORUN A,sarı m,KÖKSAL E,İBİŞ S "COMPARING THE INTUBATION EFFECTIVENESS OF TWO DIFFERENT LARYNGOSCOPES IN PATIENTS WITH CEREBRAL PALSY." Cumhuriyet Dental Journal , 21, ss.123 - 129, 2018. 10.7126/cumudj.397203
ISNAD ÇAĞLAR TORUN, AYSUN vd. "COMPARING THE INTUBATION EFFECTIVENESS OF TWO DIFFERENT LARYNGOSCOPES IN PATIENTS WITH CEREBRAL PALSY". Cumhuriyet Dental Journal 21/2 (2018), 123-129. https://doi.org/10.7126/cumudj.397203