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A comparative study to assess ease of intubation with C-mac vs direct laryngoscope, when used for intubation with clear plastic drapes over Mayo stand for in Covid negative patients during a pandemic in resource limited setting

Poonam Bharambe, Harsha Narkhede, Khalki Saravankumar.




Abstract
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The study aimed to assess the time to endotracheal intubation, First-pass success when intubating with C-MAC and Direct laryngoscope with clear plastic drapes over a mayo stand.
Standard anaesthesia machine and monitors Drugs for pre-medication & general anaesthesia Anatomical face masks, video laryngoscope with blades 3 & 4 Macintosh blade 3 & 4, endotracheal cuffed tubes, Bougie, Clear plastic sheets, Mayo stand.
Mayo stands containment setup is suspended over the patient’s head, neck and chest. The necessary Anaesthesia equipment required for intubation will be kept inside the containment setup. General anaesthesia induced with fentanyl, Propofol & Succinylcholine. C- Mac laryngoscope with appropriate size blade will be kept with Group A patients, while Direct laryngoscope with appropriate size blade will be kept with Group B patients.
The mean duration of intubation in secs was longer in Group B compared to group A ( 27.47 sec vs 21.4 sec). Based on the intubation difficulty scale score, Group B had more second attempts needed (26.67%) than Group A 6.67%) and also the second operator required in (16.67% vs 3.33%)  Group B compared to Group A (p

Key words: Airway, containment setup, laryngoscopes






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