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COMPARISON OF ENDOTRACHEAL INTUBATION OUTCOMES USING VIDEO LARYNGOSCOPE VERSUS MACINTOSH LARYNGOSCOPE IN PATIENTS WITH MAXILLOFACIAL TRAUMA
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Abstract
We conducted a prospective study to evaluate the efficacy of endotracheal intubation (ETI) in 68 patients undergoing general anesthesia for maxillofacial trauma surgery. Patients were randomly assigned to two groups: Group 1 (n = 34) underwent ETI using a video laryngoscope, while Group 2 (n = 34) was intubated with a conventional Macintosh laryngoscope. The results showed that the intubation time was significantly shorter in Group 1 compared to Group 2 (22.28 ± 6.27 seconds vs. 31.68 ± 10.39 seconds; p < 0.05). The first-attempt success rate was also higher in Group 1 (94.12%) than in Group 2 (76.47%; p < 0.05). Regarding glottic visualization, the proportion of Cormack-Lehane grade I and II views in Group 1 was 79.41% and 17.65%, respectively, markedly higher than in Group 2 (38.24% and 47.06%; p < 0.001). These findings suggest that the use of video laryngoscopy in patients with maxillofacial trauma provides superior glottic visualization, reduces intubation time, and improves first-attempt success rates compared to the traditional Macintosh laryngoscope.
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Keywords
Maxillofacial trauma, endotracheal intubation, video laryngoscope, Macintosh laryngoscope
References
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