“Hanger” in Intubation and Laryngoscopy
Achieving an adequate exposure in laryngoscopy is an extremely tedious task for the operating surgeon, especially for the anterior commissure lesions. Various maneuvers have been described to overcome this difficulty, but failed in providing an adequate exposure leading to a poor outcome. To create...
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| Veröffentlicht in: | Indian journal of otolaryngology, and head, and neck surgery and head, and neck surgery, 2018-12, Vol.70 (4), p.591-596 |
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| container_title | Indian journal of otolaryngology, and head, and neck surgery |
| container_volume | 70 |
| creator | Rengaraja, Devkumar Jagade, Mohan Sonate, Radhika Rao, Karthik Ramtek, Deoshri |
| description | Achieving an adequate exposure in laryngoscopy is an extremely tedious task for the operating surgeon, especially for the anterior commissure lesions. Various maneuvers have been described to overcome this difficulty, but failed in providing an adequate exposure leading to a poor outcome. To create a device that can deliver uniform pressure over the laryngeal cartilage and succeed in providing an adequate exposure of the glottic lesion. A total of 44 patients were included in the study, divided into two groups containing 22 patients each. The distance at the level of anterior commissure from the superior border of the distal end of the laryngoscope was noted and compared. Group A subjected to digital cricoid pressure showed a mean distance of 9.09 of exposure with variance of 1.22 and Group B subjected to cricoid pressure with the cricoid catapult showed a mean distance of 11.76 with variance of 1.59. The groups were statistically analyzed using Anova Test and the test was found to be very significant (
p
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| doi_str_mv | 10.1007/s12070-018-1330-7 |
| format | Article |
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p
< 0.0001). The catapult is made of a hanger defining its economics, which has a vital role in difficult intubations especially in anterior placed larynx, short neck and obese patients, also succeeds in providing an adequate exposure of the glottic lesion, (especially the anterior commissure) by delivering uniform pressure over the laryngeal cartilage, leading to a superior operative outcome.</description><identifier>ISSN: 2231-3796</identifier><identifier>EISSN: 0973-7707</identifier><identifier>DOI: 10.1007/s12070-018-1330-7</identifier><identifier>PMID: 30464922</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Endoscopy ; Head and Neck Surgery ; Intubation ; Laryngoscopy ; Larynx ; Medicine ; Medicine & Public Health ; Original ; Original Article ; Otorhinolaryngology</subject><ispartof>Indian journal of otolaryngology, and head, and neck surgery, 2018-12, Vol.70 (4), p.591-596</ispartof><rights>Association of Otolaryngologists of India 2018</rights><rights>Indian Journal of Otolaryngology and Head & Neck Surgery is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c422t-4876f07c3b936c535f4dfb094194cbba7c58f06e59e6d0f157f2cd0929b1dfb3</cites><orcidid>0000-0003-1356-5564</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224829/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224829/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41464,42533,51294,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30464922$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rengaraja, Devkumar</creatorcontrib><creatorcontrib>Jagade, Mohan</creatorcontrib><creatorcontrib>Sonate, Radhika</creatorcontrib><creatorcontrib>Rao, Karthik</creatorcontrib><creatorcontrib>Ramtek, Deoshri</creatorcontrib><title>“Hanger” in Intubation and Laryngoscopy</title><title>Indian journal of otolaryngology, and head, and neck surgery</title><addtitle>Indian J Otolaryngol Head Neck Surg</addtitle><addtitle>Indian J Otolaryngol Head Neck Surg</addtitle><description>Achieving an adequate exposure in laryngoscopy is an extremely tedious task for the operating surgeon, especially for the anterior commissure lesions. Various maneuvers have been described to overcome this difficulty, but failed in providing an adequate exposure leading to a poor outcome. To create a device that can deliver uniform pressure over the laryngeal cartilage and succeed in providing an adequate exposure of the glottic lesion. A total of 44 patients were included in the study, divided into two groups containing 22 patients each. The distance at the level of anterior commissure from the superior border of the distal end of the laryngoscope was noted and compared. Group A subjected to digital cricoid pressure showed a mean distance of 9.09 of exposure with variance of 1.22 and Group B subjected to cricoid pressure with the cricoid catapult showed a mean distance of 11.76 with variance of 1.59. The groups were statistically analyzed using Anova Test and the test was found to be very significant (
p
< 0.0001). The catapult is made of a hanger defining its economics, which has a vital role in difficult intubations especially in anterior placed larynx, short neck and obese patients, also succeeds in providing an adequate exposure of the glottic lesion, (especially the anterior commissure) by delivering uniform pressure over the laryngeal cartilage, leading to a superior operative outcome.</description><subject>Endoscopy</subject><subject>Head and Neck Surgery</subject><subject>Intubation</subject><subject>Laryngoscopy</subject><subject>Larynx</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><issn>2231-3796</issn><issn>0973-7707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp1kc1KAzEQx4MoWj8ewIsUvAiyOplkk81FEPELCl56D9lstq60Sd3sCt58EH05n8SU1k_wlMP85p-Z-RGyT-GEAsjTSBEkZECLjDIGmVwjA1CSZVKCXCcDREYzJpXYItsxPgCwnErYJFsMuOAKcUCO319eb4yfuPb95W3Y-OGt7_rSdE3wQ-Or4ci0z34Sog3z512yUZtpdHurd4eMry7HFzfZ6O769uJ8lFmO2GW8kKIGaVmpmLA5y2te1SUoThW3ZWmkzYsahMuVExXUNJc12goUqpImkO2Qs2XsvC9nrrLOd62Z6nnbzNIwOphG_6745l5PwpMWiLxAlQKOVgFteOxd7PSsidZNp8a70EeNlEkuRCFoQg__oA-hb33aTiMgCExXWlB0Sdk2xNi6-msYCnphQi9N6GRCL0xomXoOfm7x1fF5-gTgEoiptBDw_fX_qR_a3pSk</recordid><startdate>20181201</startdate><enddate>20181201</enddate><creator>Rengaraja, Devkumar</creator><creator>Jagade, Mohan</creator><creator>Sonate, Radhika</creator><creator>Rao, Karthik</creator><creator>Ramtek, Deoshri</creator><general>Springer India</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>04Q</scope><scope>04T</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1356-5564</orcidid></search><sort><creationdate>20181201</creationdate><title>“Hanger” in Intubation and Laryngoscopy</title><author>Rengaraja, Devkumar ; Jagade, Mohan ; Sonate, Radhika ; Rao, Karthik ; Ramtek, Deoshri</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-4876f07c3b936c535f4dfb094194cbba7c58f06e59e6d0f157f2cd0929b1dfb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Endoscopy</topic><topic>Head and Neck Surgery</topic><topic>Intubation</topic><topic>Laryngoscopy</topic><topic>Larynx</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rengaraja, Devkumar</creatorcontrib><creatorcontrib>Jagade, Mohan</creatorcontrib><creatorcontrib>Sonate, Radhika</creatorcontrib><creatorcontrib>Rao, Karthik</creatorcontrib><creatorcontrib>Ramtek, Deoshri</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>India Database</collection><collection>India Database: Health & Medicine</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Indian journal of otolaryngology, and head, and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rengaraja, Devkumar</au><au>Jagade, Mohan</au><au>Sonate, Radhika</au><au>Rao, Karthik</au><au>Ramtek, Deoshri</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>“Hanger” in Intubation and Laryngoscopy</atitle><jtitle>Indian journal of otolaryngology, and head, and neck surgery</jtitle><stitle>Indian J Otolaryngol Head Neck Surg</stitle><addtitle>Indian J Otolaryngol Head Neck Surg</addtitle><date>2018-12-01</date><risdate>2018</risdate><volume>70</volume><issue>4</issue><spage>591</spage><epage>596</epage><pages>591-596</pages><issn>2231-3796</issn><eissn>0973-7707</eissn><abstract>Achieving an adequate exposure in laryngoscopy is an extremely tedious task for the operating surgeon, especially for the anterior commissure lesions. Various maneuvers have been described to overcome this difficulty, but failed in providing an adequate exposure leading to a poor outcome. To create a device that can deliver uniform pressure over the laryngeal cartilage and succeed in providing an adequate exposure of the glottic lesion. A total of 44 patients were included in the study, divided into two groups containing 22 patients each. The distance at the level of anterior commissure from the superior border of the distal end of the laryngoscope was noted and compared. Group A subjected to digital cricoid pressure showed a mean distance of 9.09 of exposure with variance of 1.22 and Group B subjected to cricoid pressure with the cricoid catapult showed a mean distance of 11.76 with variance of 1.59. The groups were statistically analyzed using Anova Test and the test was found to be very significant (
p
< 0.0001). The catapult is made of a hanger defining its economics, which has a vital role in difficult intubations especially in anterior placed larynx, short neck and obese patients, also succeeds in providing an adequate exposure of the glottic lesion, (especially the anterior commissure) by delivering uniform pressure over the laryngeal cartilage, leading to a superior operative outcome.</abstract><cop>New Delhi</cop><pub>Springer India</pub><pmid>30464922</pmid><doi>10.1007/s12070-018-1330-7</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-1356-5564</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Endoscopy Head and Neck Surgery Intubation Laryngoscopy Larynx Medicine Medicine & Public Health Original Original Article Otorhinolaryngology |
| title | “Hanger” in Intubation and Laryngoscopy |
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