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Comparative study of oxiport laryngoscope blade versus miller laryngoscope blade for intubation in neonates and infants during general anesthesia, a prospective randomized controlled study

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Original Article

Author Details : Nimit Gandhi*, Swati Bhatt, Anisha Goswami

Volume : 8, Issue : 3, Year : 2021

Article Page : 356-360

https://doi.org/10.18231/j.ijca.2021.068

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Abstract

Background and Aims: Neonates and infants are prone to oxygen desaturation during the induction of general anethesia. Pharyngeal oxygen insufflation has been shown to delay the onset and severity of desaturation during apnea. We took this comparative study with the hypothesis that Oxiport Blade delays the time of onset as well as severity of desaturation as compared to Miller Blade.
Materials and Methods: Eighty neonates and infants undergoing general anesthesia with endotracheal intubation were recruited and randomly assigned into two groups:-Oxiport or Miller. (Laryngoscopy performed with Oxiport or Miller Blade respectively). Results were observed in terms of lowest SPO2 attained during Intubation with each Blade, time for 1% desaturation from baseline, desaturation rate, time for intubation and Heart rate.
Results: Data from 80 patients were available for final analysis: Oxiport(n=40)-Group O and Miller(n=40)-Group M. Mean lowest SPO2 attained during laryngoscopy in Group O was 97.77±2.81 and with Group M was 92.42±3.71 with a P-value<0> Conclusion: Apnoeic Laryngeal Oxygen insufflation with Oxiport Blade decreases the incidence and severity of desaturation during intubation in neonates and infants.

Keywords: Apneic oxygenation, Endotracheal intubation, Infants, Miller blade, Oxiport blade, Neonates.

How to cite : Gandhi N, Bhatt S, Goswami A, Comparative study of oxiport laryngoscope blade versus miller laryngoscope blade for intubation in neonates and infants during general anesthesia, a prospective randomized controlled study. Indian J Clin Anaesth 2021;8(3):356-360

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