Comparison of ease of endotracheal intubation with fixed height pillow versus pillow height attained by alignment of external auditory meatus to sternal notch

Authors

  • Priyanka Bansal Associate Professor, Department of Anaesthesia, PGIMS, Rohtak, Haryana, India https://orcid.org/0000-0002-5900-401X
  • Pulkita Kataria Junior Resident, Department of Anaesthesia, PGIMS, Rohtak, Haryana, India
  • Kirti Kshetrapal Professor, Department of Anaesthesia, PGIMS, Rohtak, Haryana, India
  • Hemant Kamal Senior Professor, Department of Urology, PGIMS, Rohtak, Haryana, India
  • Renu Bala Professor, Department of Anaesthesia, PGIMS, Rohtak, Haryana, India https://orcid.org/0000-0002-7064-7868
  • Geeta Ahlawat Senior Professor, Department of Anaesthesia, PGIMS, Rohtak, Haryana, India

DOI:

https://doi.org/10.3126/ajms.v15i12.71314

Keywords:

Endotracheal intubation; Laryngoscopy; Positive pressure ventilation; Mallampatti grade

Abstract

Background: Endotracheal intubation is considered to be the “Gold Standard” for airway management during the administration of general anesthesia and in critical care setting because of its advantages, which allows delivery of anesthetic gases and oxygen through positive pressure ventilation without inflation of stomach, permits access to tracheobronchial tree for pulmonary hence minimizing the risk of gastric content aspiration, and improves surgical access to head and neck. The major determinants of easy tracheal intubation are optimal laryngoscopy and a good visualization of the glottis.

Aims and Objectives: The aims and objectives of the study are to seek the optimal pillow height that gives the best direct laryngoscopic view and can be recommended as the starting head position before direct laryngoscopy in adults.

Materials and Methods: The present study was conducted in a prospective randomized comparative manner in the Department of Anaesthesiology and Critical Care, Pt. B.D. Sharma University of Health Sciences, Rohtak after obtaining approval from the institutional ethical committee (approval number: No. BREC/Th/20/Anaesth.../034). Patients included were scheduled for elective surgery under general anesthesia requiring endotracheal intubation. The inclusion criteria were patients aged 18–50 years of either sex of ASA I and II.

Results: A total of 50 subjects, 25 in each group, were included in the final analysis. Following observations and results were drawn from the present prospective and randomized study using appropriate statistical tests. The various observations were out of 50 patients in the study population, and the mean age in years of patients in Group 1 was 38.48±11.77 years and 39.36±11.64 years in Group 2.

Conclusion: To conclude, alignment of external auditory meatus to sternal notch offers better conditions for endotracheal intubation than conventionally used sniffing position when assessed in terms of Cormack–Lehane grading and time taken for laryngoscopy and intubation.

Downloads

Download data is not yet available.
Abstract
37
PDF
25

Downloads

Published

2024-12-04

How to Cite

Priyanka Bansal, Pulkita Kataria, Kirti Kshetrapal, Hemant Kamal, Renu Bala, & Geeta Ahlawat. (2024). Comparison of ease of endotracheal intubation with fixed height pillow versus pillow height attained by alignment of external auditory meatus to sternal notch. Asian Journal of Medical Sciences, 15(12), 13–20. https://doi.org/10.3126/ajms.v15i12.71314

Issue

Vol. 15 No. 12 (2024)

Section

Original Articles

License

Copyright (c) 2024 Asian Journal of Medical Sciences

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors who publish with this journal agree to the following terms:

  1. The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).