Hatice KUŞDERCİ, Sibel BARIŞ, Ebru KELSAKA, Serhat KOCAMANOĞLU

Yenidoğanlarda truvıew evo2 laringoskop ile mıller bleydli laringoskopun hemodinami ve entübasyon koşulları yönünden karşılaştırılması

Amaç: Yenidoğanlarda Truview EVO2 infant laringoskopi ve Miller bleydli laringoskopinin hemodinamik yanıt, laringeal görüş ve entübasyon koşulları üzerine etkilerini karşılaştırmaktır. Yöntem: Çalışmaya genel anestezi altında opere olacak toplam 100 yenidoğan dahil edildi. Hastalar iki gruba ayrıldı. Entübasyon Grup VLde Truview EVO2 infant laringoskop, Grup DLde Miller düz O bleyd laringoskop ile gerçekleştirildi. Hemodinamik parametreler (kalp hızı ve ortalama arter basıncı, periferik oksijen satürasyonu ve end-tidal karbondioksit) preoperatif, indüksiyondan sonra, entübasyondan sonraki 1, 3, 5 ve 10. dakikada kaydedildi. Laringoskopik görünüm Cormack- Lehane skorlaması ile değerlendirildi. Entübasyon durum skorlaması ve komplikasyonlar kaydedildi. Bulgular: Grupların demografik özellikleri, kalp hızı, ortalama arter basıncı ile periferik oksijen satürasyonları ve Cormack- Lehane skorları arasında fark yoktu (p>0.05). Truview EVO2 laringoskopi grubunda entübasyon süresi Miller bleydli laringoskop grubuna göre daha uzundu (31.6±7.0 saniye vs 19.3±4.5 saniye) (p

Comparison of truview evo2 infant laryngoscopy and direct laryngoscopy on hemodynamic parameters and intubation conditions in neonates

Objective: The aim of this study was to compare the Truview infant EVO2 laryngoscope and the Miller straight blade laryngoscope on hemodynamic effects, laryngeal view and intubation conditions in neonates. Methods: In this prospective randomized study, 100 neonates undergoing surgery under general anesthesia were included into the study. Infants were divided into two groups: Endotracheal intubation was performed with a Truview infant blade (Group VL) or with a Miller 0 blade (Group DL). The hemodynamic parameters (heart rate and mean blood pressure, peripheric oxygen saturation, end-tidal CO2 were recorded at preoperatively, after induction, and 1, 3, 5, 10 min after intubation. Laringoscopic view was assessed with Cormack-Lehane score. Intubation conditions and complications were also recorded. Results: There were no statistical differences among demographic parameters, heart rate, mean blood pressure, peripheral oxygen saturations and Cormack-Lehane scores (p>0.05). Duration of intubation was longer with Truview laryngoscope blade than Miller blade (31.6±7.0 sec vs 19.3±4.5 sec) (p<0.0001). In DL Group, one patient experienced post-extubation hoarseness. Conclusion: It has been found that tracheal intubation with Truview EVO2 infant blade resulted in longer intubation time with similar laryngoscopic view compared to Miller blade in neonates.

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