Comparative Evaluation of Conventional Approach Versus Paraglossal Approach for Routine Anesthesia

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dc.contributor.authorMandal, Anirudh Prasaden_US
dc.contributor.authorKumar, Narendraen_US
dc.contributor.authorKumar, Rakeshen_US
dc.date.accessioned2020-01-02T06:09:12Z
dc.date.available2020-01-02T06:09:12Z
dc.date.issued2019-11
dc.description.abstractBackground: Paraglossal technique was described as early as 1930 but is seldom taught now or practiced. AIM: To evaluate the effectiveness of paraglossal technique over conventional approach and to evaluate the ease of insertion and glottic view obtained. Methods: This Randomized Controlled Trial, was done after taking informed consent 140 patients scheduled for elective surgery under general anesthesia were enrolled for the study. They were randomly divided into Group P: Intubation was performed using paraglossal approach with Miller blade and Group C: Intubation was done using conventional larynogoscopy technique with Mcintosh blade. Comparisons were made in improvement in Cormack Lehane grade, intubation difficulty score, time taken for intubation and complications if any. Results: Cormack Lehane Grade I was obtained in 97.1% subjects in paraglossal group as compared to 67.1% in group C (p=0.02). Time taken for intubation was significantly more in group C (p=0.014). The ease of intubation on Likert scale was graded as 1 (1-2) and 1 (1-1) for Group P and C respectively. Conclusion: Paraglossal approach improves the glottic visualization and also leads to successful intubation. We recommend that paraglossal approach be taught to anesthesia residents as an alternative technique so that it can be used with confidence if conventional laryngoscopy fails.en_US
dc.identifier.affiliationsSenior Resident, Department of Anesthesia, GMC Bettiahen_US
dc.identifier.affiliationsAssociate Professor & HOD, Department of Anesthesia, GMC Bettiahen_US
dc.identifier.citationMandal Anirudh Prasad, Kumar Narendra, Kumar Rakesh. Comparative Evaluation of Conventional Approach Versus Paraglossal Approach for Routine Anesthesia. Annals of International medical and Dental Research. 2019 Nov; 5(6): 22-25en_US
dc.identifier.issn2395-2822
dc.identifier.issn2395-2814
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/189147
dc.languageenen_US
dc.publisherSociety for Health Care & Research Developmenten_US
dc.relation.issuenumber6en_US
dc.relation.volume5en_US
dc.source.urihttps://doi.org/10.21276/aimdr.2019.5.6.AN5en_US
dc.subjectConventional Approachen_US
dc.subjectParaglossal Approachen_US
dc.subjectAnesthesiaen_US
dc.titleComparative Evaluation of Conventional Approach Versus Paraglossal Approach for Routine Anesthesiaen_US
dc.typeJournal Articleen_US
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