ORIGINAL ARTICLE
Year : 2015  |  Volume : 8  |  Issue : 2  |  Page : 173-178

Comparative study between a sensascope and a flexible fiberoptic in head and neck cancer surgeries with difficult airways


Department of Anesthesia and Pain Management, National Cancer Institute, Cairo University, Cairo, Egypt

Correspondence Address:
Emad G Saleh
Department of Anesthesia and Pain Management, National Cancer Institute, Cairo University, Cairo
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1687-7934.156671

Rights and Permissions

Background Many devices have been become widely available for managing difficult airways, including rigid fiberscopes and flexible fiberoptic bronchoscopes. The sensascope is different from the flexible fiberoptic in that it can be used with one hand (preferably the right hand) while the left hand is used to insert the laryngoscope as recommended by experienced users. The objective of this study was to evaluate the efficacy of a sensascope in the management of difficult airways in patients scheduled for head and neck cancer surgeries. Patients and methods This study was conducted at the National Cancer Institute on 60 patients. The patients were divided into two equal groups, group F (FOB) and group S (sensascopes), each comprising 30 patients. The following parameters were measured: patient characteristics including age, sex, weight, and ASA classification, airway assessment, hemodynamic changes, number of failures of intubation, duration of intubation, number of attempts, and complications that may occur during manipulation of the airway. Results The success rate of intubation and the number of failures were statistically comparable between the two groups. The mean time taken to complete successful intubation was significantly shorter in group F compared with group S. The number of patients successfully intubated at first attempt was significantly higher in group F than in group S. The number of patients successfully intubated at second attempt was significantly higher in group S than in group F. The number of patients who needed three attempts to be successfully intubated was statistically comparable between the two groups. There was statistically significant increase in pulse rate and mean arterial blood pressure immediately after successful intubation in group S compared with baseline and with group F. There was a significantly higher incidence of staining of the fiberscope blade with blood and transient change in voice in group S compared with group F. Conclusion The sensascope can be a valuable aid in the management of difficult intubation in a spontaneously breathing anesthetized patient, and should be added to backup devices in the event of difficult intubation.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1686    
    Printed83    
    Emailed1    
    PDF Downloaded175    
    Comments [Add]    

Recommend this journal