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ISSN 2063-5346
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POST EXTUBATION ASSESSMENT OF VOCAL CORD STATUS FOLLOWING THYROID SURGERY USING DIRECT LARYNGOSCOPY & VIDEO LARYNGOSCOPY

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Kavita Sharma, Amita Gupta, Mohit Gupta, Deeksha Singh
» doi: 10.31838/ecb/2023.12.s3.387

Abstract

Amis and objectives: The study was to find out the post-extubation assessment of status of vocal cord following thyroid surgery using Direct Laryngoscopy and Video Laryngoscopy. Material and methods: The Prospective, Interventional, Comparative, Randomized study was conducted in the Department of Anaesthesiology and Intensive care, Vardhaman Mahavir medical college and safdarjung Hospital, New Delhi. In the study, GROUP M: - Endotracheal extubation using Macintosh laryngoscopy (n=45) and GROUP V: - Endotracheal extubation using videolaryngoscopy (n=45) Results: All the patients recruited in the present study 69% had benign lesions of the thyroid. Of the malignant lesions the commonest was papillary carcinoma thyroid (17%) followed by medullary carcinoma thyroid (10%). Patients in the direct laryngoscopy had higher proportion of patients with a patient discomfort score of 3 (97.8%) compared to video laryngoscopy group, where the proportion of patients with patient discomfort scores of 2 were maximum (88.9%). These differences were statistically significant Conclusion: Therefore, it can be surmised from the study that in terms of hemodynamic parameters as well as outcome parameters, namely CL scores for glottic visualisation and Patient reactivity scores, CMAC videolaryngoscopy utilised in the study performs better as the procedure of choice in assessment of patients post thyroid surgery as compared to its direct laryngoscopy counterpart.

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