A Comparison of Hemodynamics and Ease if Intubation in Intubating the Trachea Using Intubating Laryngeal Mask Airway after Induction Versus Awake Fiberoptic Bronchoscopy in Patients With Difficult Airway.

Introduction: Difficult intubation carries almost one third of deaths due to failure to intubate or ventilate. We performed current study to compare tracheal intubation using Awake Fiberoptic intubation and using Intubating laryngeal mask airway in patients with difficult airway. Method-Two groups of 40 ASA I&II with MPC I,II,III were randomized for intubating trachea with awake Fiberoptic and Intubating laryngeal mask airway. Changes in hemodynamics monitored through all procedure till 10 min after intubation. Assessment done for ease of intubation,no.of attempts,complications like sore throat,arrythmias.Result-No significant difference found in demographic data as well in SBP,DBP,MAP,SPO2 in both groups. At 5 min after intubation mean heart rate changes were significant between both the groups. Maximum HR changes seen at 5 minutes as increase in HR of 18.57 from baseline in group F whereas in group I it was just 13.42.Conclusion-Intubation with Fiberoptic & Intubating laryngeal mask airway is equally successful and suitable with low complication rate in difficult airway.