文章基本信息

标题：Comparison of flange slide pack technique using macintosh laryngoscope blade with conventional laryngoscopy-guided throat packing: A pilot study
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作者：Abhijit A Karmarkar ; Deepak Dwivedi ; Vidhu Bhatnagar 等
期刊名称：Journal of Marine Medical Society
印刷版ISSN：0975-3605
电子版ISSN：2589-1235
出版年度：2018
卷号：20
期号：1
页码：18-22
DOI：10.4103/jmms.jmms_65_17
语种：English
出版社：Medknow Publications
摘要：Context: An analytical pilot study was conducted prospectively to ascertain the efficacy of a new method of throat packing “Flange Slide Pack Technique” (FSPT) in patients undergoing nasal,faciomaxillary,and oral surgeries.Aim: To compare the conventional technique of throat packing guided by direct laryngoscopy with FSPT where the Macintosh laryngoscope blade is used as aid for throat packing.Settings and Design: A comparative observational pilot study was conducted at a tertiary care hospital.Subjects and Methods: Subjects were randomly allocated into two groups based on the technique for throat packing by computer-generated random numbers as Group A (conventional technique) and Group B (FSPT).Primary outcomes measured were total time duration taken for packing the throat with a standardized length of ribbon gauze and changes in heart rate and change in Mean Arterial Pressure (MAP) from baseline.Secondary outcomes measured were incidence of postoperative sore throat (POST) at 6 h postoperatively and ease of insertion of the throat packs.Statistical Analysis: Parametric data were analyzed using “unpaired t-test.” Comparison of proportions and data were analyzed using Chi-square test.SPSS Version 17 (SPSS Inc.,Chicago,IL,USA) was used for statistical analysis.Results: The time taken to pack the throat was shorter in Group B;percentage increase of MAP from baseline was higher in Group A.Ease of insertion of throat pack was more in Group B.POST results were insignificant.Conclusions: FSPT can prove to be an alternative technique to the conventional method of packing the throat by minimizing duration of laryngoscopy and thereby limiting the stress response.
关键词：Laryngoscopy;oral cavity;physiological stress response;postoperative complications;sore throat