Introduction: Conventional fiber optic
intubation in well-organized airway is available with difficulty and rates of
the success are about sixty-eight percent. The complications involve long time
attributed to bleeding, coughing& intubation. The aim of this research work
is to compare two available procedures establish to reduce the duration,
problem rates, easy insertion &hemodynamic constancy.
Methodology:This study was conducted in
sheikh Zayed hospital Rahim yar khan. All the participants of this study were
distributed into two groups. In Group A of endotracheal tube, the insertion of
the endotracheal tube carried out till 18 centimetres spot at the alae of nasal
cavity. Fiberscope dot its way from the tube & found the way to go through
the VCs (vocal cords). The proper placement of the tube was confirmed. In the
next group: Group B of nasopharyngeal airway, a nasopharyngeal airway of spirally
split Rusch® in suitable size heated, lubrication carried out & inserted in
nose. Fiberscope got is way from airway, visualization of the VCs carried out
& the removal of the nasopharyngeal airway carried out and proper
confirmation about the placement of the tube was ensured. The documentation of
the duration of time taken for the intubation, the episodes of cough, bleeding &hemodynamic
aspects carried out.
Results: The 79.76 seconds
tome was requirement for intubation in the patients of Group A,but in case of GroupB,
the time was 44.15 seconds. The increase in the rate of heart beat &
average BP of the arteries to be very high in the in the patients of Group A as
compared to the patients of Group B.
Conclusion: We came with the
outcome that split nasopharyngeal airway is good procedure for the intubation
then the method of endotracheal tube due to short time and best hemodynamic factors.
intubation, nasopharyngeal, arteries, heartbeat.