Comparison of Hugemed Video Laryngoscope and Mccoy Laryngoscope for Entotracheal Intubation in Patients with Simulated Cervical Spine Immobilization

BACKGROUND: It is difficult to visualise the larynx using conventional laryngoscope in the presence of cervical spine immobilisation. Hugemed allows easy and successful in the neutral neck position. OBJECTIVE: To evaluate the performance of Hugemed in comparison with Mc Coy for ease of endotracheal intubation in patients with cervical spine immobilisation using manual in line cervical stabulisation (MILS) technique. METHODS: The study is a prospective randomized study was undertaken in 60 ASA I and ASA II in patients aged between 18 -60 years belonging to either gender scheduled to undergo elective procedures, Group A intubated with Mc Coy and Group B with Hugemed video laryngoscope and time taken for intubation, intubation difficulty score and POGO score compared. RESULTS: The mean intubation time was 27.3sec for Mc Coy and 21.5sec for Hugemed (P=0.0007). Intubation difficulty score for Mc Coy 73.33% were intubated in first attempt and 93.33% for Hugemed. The mean POGO score for Mc Coy 71.53 and 87.13 for Hugemed (p= 0.0082). CONCLUSION: Hugemed video laryngoscope requires less time for intubation, provided best visualisation of glottis, IDS score was less and less hemodynamic response when compared with group A patients in simulated cervical spine injury